Nursing care plan
Gemini85
CarePlan12-1.docx
PRACTICAL NURSING PROGRAM
CARE PLAN
Student Name: __________________________________ Date: _________________
Patient initials: _______ DOB__________
|
Assessment |
|
|
Subjective Data |
Objective Data |
|
|
|
|
Patient stated problems |
Identified problems |
|
|
|
|
Patient Problem and Nursing Diagnosis |
Interventions and Rationale |
Goals and Evaluation |
|
Patient Problem #1:
Nursing Diagnosis #1:
|
1.
Rationale:
2.
Rationale:
3.
Rationale:
|
Short term goal:
Long term goal:
Evaluation:
|
|
Patient Problem and Nursing Diagnosis |
Interventions and Rationale |
Goals and Evaluation |
|
Patient Problem #2:
Nursing Diagnosis #2:
|
1.
Rationale:
2.
Rationale:
3.
Rationale:
|
Short term goal:
Long term goal:
Evaluation:
|
|
Medications |
||||
|
Drug Name (generic and trade name) and classification |
Dose, Route, Frequency |
Medication Indication |
Indications for patient use |
Adverse Side effects |
|
|
|
|
|
|
|
Nursing responsibilities:
|
