ASSESSMENT
Data Collection and
Organization
Subjective Data:
Objective Data:
Age:
HT:
WT:
Allergies:
Nursing Diagnosis
PLANNING AND IMPLEMENTATION
Expected Outcome
STG:
Planning Nursing
Interventions
Rationale
EVALUATION
Evaluation of Interventions
1.
1.
1.
2.
2.
2.
3.
3.
3.
4.
4.
4.
5.
5.
5.
Evaluation
of Short
Term Goal
STG:
ASSESSMENT
Data Collection and
Organization
Nursing Diagnosis
PLANNING AND IMPLEMENTATION
Expected Outcome
LTG:
Planning Nursing
Interventions
Rationale
EVALUATION
Evaluation of Interventions
1.
1.
1.
2.
2.
2.
3.
3.
3.
4.
4.
4.
5.
5.
5.
Evaluation of
Long Term
Goal
LTG:
Cite References: