NURS3148 Clinical Practice II (2016 - 2017)

Nursing Care Plan

Clients surname: ________________ Age: __________________ sex: _________ Student ID: ________________________

Medical diagnosis: ___________________________________________ Assessment date: ____________________

Diagnostic statement (PES): ________________________________________________________________________________________

Assessment Nursing Diagnosis Goals & Expected Nursing Interventions Rationales Methods of Evaluation
Outcomes
Subjective data: Problem: Goals:

Objective data: Etiology: Expected outcomes:

Defining
Dysfunctional health characteristics/
pattern Signs & symptoms