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Nurse Care Plan

The nursing care plan form requires the student to provide information in 5 sections for each nursing diagnosis: 1) Assessment data including subjective and objective findings leading to the diagnosis, 2) Two measurable and time-specific goals focused on the patient or family, 3) At least three nursing interventions with rationales, 4) The rationale for each intervention citing references, and 5) An evaluation of each goal and whether it was met, with proposed revisions to the plan of care.

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Marie Jocelyn
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38 views1 page

Nurse Care Plan

The nursing care plan form requires the student to provide information in 5 sections for each nursing diagnosis: 1) Assessment data including subjective and objective findings leading to the diagnosis, 2) Two measurable and time-specific goals focused on the patient or family, 3) At least three nursing interventions with rationales, 4) The rationale for each intervention citing references, and 5) An evaluation of each goal and whether it was met, with proposed revisions to the plan of care.

Uploaded by

Marie Jocelyn
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Nursing Care Plan Form

Student Name: Date:


Patient Identifier: Patient Medical Diagnosis:
Nursing Diagnosis (use PES/PE format):
Assessment Data Goals & Outcome Nursing Interventions Rationale Outcome Evaluation &
(Include at least three-five (Two statements are required for (List at least three nursing or (Provide reason why Replanning
subjective and/or objective each nursing diagnosis. Must collaborative interventions with intervention is (Was goal met? How would
pieces of data that lead to the be Patient and/or family rationale for each goal & indicated/therapeutic; provide you revise the plan of care
nursing diagnosis) focused; measurable; time- outcome.) references.) according the patients response
specific; and reasonable.) to current plan ?)

1. Statement #1 1. 1. Outcome #1

2. 2.
2.

3. 3.

3.

Statement #2 1. 1. Outcome #2

2. 2.

3. 3.

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