Patient Care Plan
STUDENT:
INSTRUCTOR:
Nanda Dx and
Statement:
PATIENT INITIALS:
AGE:
M/ F
Goals:
Short Term/Long Term
Nursing Interventions
1
ADMITTING DX:
ADMISSION DATE:
Rationales
Evaluation:
NANDA DX AND
STATEMENT:
GOALS:
SHORT TERM/LONG TERM
NURSING INTERVENTIONS
2
RATIONALES
EVALUATION:
NANDA DX AND
STATEMENT:
GOALS:
SHORT TERM/LONG TERM
NURSING INTERVENTIONS
3
RATIONALES
EVALUATION:
References
4