DAILY NURSING NOTE
Patient Name: MR#:
Daily Monitoring Required For:
Handicap Injury Risk Malnutrition Medical Condition
Medication Psychiatric Condition Other:
Behavior:
Alert Cooperative Aggressive Disruptive
Agitated Isolative Bizarre Detached
Avoidant Assaultive Impulsive Other:
Physical Condition:
Relaxed Tense Restless Rigid
Pacing Tremors Slow Other:
Affect:
Labile Blunted Flat Inappropriate Other:
Mood:
Depressed Anxious Angry Sad
Labile Other:
Thought Processes:
Confused Disorganized Loose Coherent
Logical Concrete Other:
Thought