Matthew Cantu
Patient name 
 Matthew Cantu 
 Gender 
 Female 
 MR # 
 0007424903 
 admission date/Time 
 08/07/15 7:11:00 AM 
 Reg # 
 064700011010 
 Visit Status 
 DSC 
 DATE OF BIRTH 
 21/01/85 12:00:00 AM 
 DISCHARGE DAY/Time 
 07/08/15 9:31:00 PM 
 1. Adult Plan of Care 
 11/08/20 4:28 
 Entered By 
 Individualization (Mutuality/Preferences) 
 Individualization/Preferences / pt 
 pt goes by "Cierra"; lives at home with her grandparents 
 SEB 
 goes by "Cierra"; lives at home with 
 her grandparents 
 Comments : 
 CLINICAL PRACTICE GUIDELINES 
 Precaution Precaution 
 SEB 
 coping,genitourinary,peripheral/neurovascular,reproductiv 
 e,safety,skin 
 Comments :
 Nursing Goal #1 Related To Nursing 
 Cellulitis 
 SEB 
 Diagnosis/CPG 
 Comments : 
 Nursing Goal #1 Goal 
 pt will be able to maintain temperature WNL < 100.4 
 SEB 
 degrees F during hospitalization 
 Comments : 
 Nursing Goal #1 Goal Established 
 01/10/2023 
 SEB 
 (mm-dd-yyyy) 
 Comments : 
 Nursing Goal #1 Time Frame 
 By Discharge 
 SEB 
 Comments : 
 11/08/20 1:03:00 PM 
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