TYPE 1 DIABETES IHP

Student's Name *
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DoB
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Would you like to add the student's homeroom number and teacher's name?
Address
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Treating Physician
Physician Phone Number
Physician Fax Number
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Add a medication or procedure?
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Nursing Diagnosis: Risk for Unstable Blood Glucose Levels
Nursing Diagnosis: Risk for Hypoglycemia
Nursing Diagnosis: Risk for Hyperglycemia
Nursing Diagnosis: Knowledge Deficit
Nursing Diagnosis: Risk for Interrupted School Attendance
Nursing Diagnosis: Impaired Skin Integrity
Nursing Diagnosis: Anxiety
Nursing Diagnosis: Ineffective Health Management
Would you like to add another nursing diagnosis?

IHP Developed By

Name
Date
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