Nursing Documentation
Templates

Nursing Diagnosis Worksheet (PES Format)

Build a nursing diagnosis step by step: problem, related factors and defining characteristics, then a check against the assessment data.

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Price
Free, no sign-up
Format
Printable page, save as PDF (US Letter or A4)
Sections
Patient, Diagnosis 1, Diagnosis 2, Priority

How to use this template

  1. Choose the problem label from your approved diagnosis list.
  2. Write the etiology after 'related to'.
  3. Write the evidence after 'as evidenced by'.
  4. Check every defining characteristic appears in your assessment.

Learn the format

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