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    Nursing Care Plan Format

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    Jogil Paragua
    NNVVXFGH

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    © All Rights Reserved
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    Nursing Care Plan Format

    Uploaded by

    Jogil Paragua
    8 views3 pages
    NNVVXFGH

    Original Title

    NURSING-CARE-PLAN-FORMAT

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    © © All Rights Reserved

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    NNVVXFGH

    Copyright:

    © All Rights Reserved
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    Download as docx, pdf, or txt
    8 views3 pages

    Nursing Care Plan Format

    Uploaded by

    Jogil Paragua
    NNVVXFGH

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Pamantasan ng Cabuyao

    (University of Cabuyao)
    COLLEGE OF HEALTH AND ALLIED SCIENCES
    Katapatan Mutual Homes, Brgy. Banay-banay, Cabuyao City, Laguna 4025

    BACHELOR OF SCIENCE IN NURSING

    NURSING CARE PLAN FORMAT


    /50
    Patient Initial: ___________________ Age: _____________________ Date: _____________________ Student Name: ____________________ Score:
    Admitting Diagnosis/Current/Medical Diagnosis: ______________________________________________________________________________________________
    Definition(2pts): _______________________________________________________________________________________________________________________________
    ____________________________________________________________________________________________________________________________________________

    ASSESSMENT DIAGNOSIS PLANNING IMPLEMENTATION EVALUATION


     Include only the supporting data cluster  Include functional health patterns  Outcomes & evaluative  Prescribed interventions, & rationales.  Evaluate outcomes& evaluative criteria
    related to each diagnosis (6 pts.) criteria:  Nurse will: (4 pts.)
    (6 pts.)  Patient will: (20 pts)
    (10 pts.)
    Include only the Risk for injury related to loss of 1. Short Term: After 1a. Nurse will (Ongoing assessment) 1. Goal completely met.
    supporting data memory, language, and other thinking 4 hours of Rationale: - Patient have appropriate maintenance
    cluster related to each abilities caused by dementia as nursing 1b. Nurse will (Therapeutic intervention) of mental and psychological function and
    diagnosis evidenced by disoriented to time, intervention the Rationale: reversal of behaviors.
    Subjective data: place, event, and other circumstances family member 1c. Nurse will (education/continuity of care) - Patient achieve functional ability at her
    “this are, no you ahh” as verbalized will: Rationale: optimum level with modifications and
    by the patient alterations within her environment to
    - be able to 2a. Nurse will (Ongoing assessment) compensate for deficits.
    exhibits Rationale: - Patient is aware and oriented, and
    understanding of 2b. Nurse will (Therapeutic intervention) reality maintained at an optimal level
    required care Rationale:
    Objective data: and will 2c. Nurse will (education/continuity of care)
    - Inability to identify danger in the demonstrate Rationale:
    environment appropriate
    - Weakness coping skills and
    - Inability to recognize objects ability to utilize
    - Balancing difficulties community
    resources.
    - Patient's family
    will be able to
    access
    community
    resources and
    make informed
    choices
    regarding
    patient's care,
    both currently
    and for future
    care.
    2. Long term: After
    Pamantasan ng Cabuyao
    (University of Cabuyao)
    COLLEGE OF HEALTH AND ALLIED SCIENCES
    Katapatan Mutual Homes, Brgy. Banay-banay, Cabuyao City, Laguna 4025

    BACHELOR OF SCIENCE IN NURSING


    24 hours of
    nursing
    intervention
    patient will:

    - Have
    appropriate
    maintenance of
    mental and
    psychological
    function as long
    as possible, and
    reversal of
    behaviors when
    possible.
    - Patient will
    achieve
    functional ability
    at his optimum
    level with
    modifications
    and alterations
    within his
    environment to
    compensate for
    deficits.
    - Patient will be
    aware and
    oriented if
    possible, and
    reality will be
    maintained at an
    optimal level.
    Citation in APA Format (2 pts):

    Submitted by: Checked/Evaluated by:

    __________________________________ _________________________________
    Student’s Name and signature Clinical Instructor Name and signature
    Pamantasan ng Cabuyao
    (University of Cabuyao)
    COLLEGE OF HEALTH AND ALLIED SCIENCES
    Katapatan Mutual Homes, Brgy. Banay-banay, Cabuyao City, Laguna 4025

    BACHELOR OF SCIENCE IN NURSING

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