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Counseling - the Fistula Care Project

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counseling de la cliente souffrant de la fistule obstétricale : un curriculum de formation<br />

O/E (Diagramme etc. )<br />

Gestion actuelle : ________________________________________________________________________<br />

Date de l’opération : _____________________________________________________________________<br />

Groupe sanguin : ____________________________ Transfusion ? _______________________________<br />

Résultats : _____________________________________________________________________________<br />

Incontinence urinaire d’effort ? _____________________________________________________________<br />

Lui a-t-on donné des vêtements ? __________________________________________________________<br />

De l’argent pour le transport ? _____________________________________________________________<br />

Numéro de la patiente hospitalisée : _________________________________________________________<br />

Signature : _________________________________ Date : _____________________________________<br />

336 · Annexe K : exemple de dossier de cliente et de formulAire de consentement · fistulA cAre

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