West Visayas State University

COLLEGE OF NURSING
La Paz, Iloilo City

NURSING CARE PLAN

Name of Patient: ___________________________ Attending Physician: _____________________________
Age: ______ Ward/Bed Number: ___________ Impression / Diagnosis: ___________________________

Clustered Cues Nursing Diagnosis Rationale Outcome Criteria Nursing Interventions Rationale Evaluation

Subjective: Knowledge Deficit Deficient knowledge After 4 hours of 1.Establish rapport.® 1. to gain patient’s After 4 hours of my
“abi ko sakit lang regarding condition is a state in which nursing intervention to gain patient’s trust trust and have a good nursing intervention
gid sang tiyan pero ,and treatment related cognitive information my patient will and have a good nurse- nurse-patient my patient was able
lala gali sa” as to absence of or psychomotor skills beable to know and patient relationship relationship. to know and
verbalized by information required for health understand the 2. Evaluate 2. to determine understand the
R.D.C. recovery, disease process and desire/readiness of amount or level of disease process and
maintenance, or treatment regimen as patient to learn information to treatment regimen as
health promotion are evidenced by: 3. Provide an provide at any given evidenced by:
Objective: lacking. atmosphere of respect, moment.
a.) Participate in openness, trust, and 3. important when a.) Patient
Reference: learning process collaboration. providing education participated in
Nurse's Pocket b.) verbalization of 4. Assess motivation to patients with learning
Guide: Diagnoses understanding about and willingness of different values and process
Prioritized his disease process patient and are givers beliefs about health b.) “kabalo
Interventions and c.) initiation of to learn and illness naman ako
Rationales. Doenges, lifestyle changes and 5. Help patient in 4. some patient are kung ngaa na
M., et al, (13th participate in integrating information ready to learn as soon kuha ko ang
Edition, 2006) treatment regimen into daily life. after they are sakit ko nga
6. Provide immediate diagnosed; others ini” as
feedback on cope better by verbalized by
 performance. denying or delaying R. D. C.
the need for c.) “te malain
instruction. nagid akon
5. This technique aids nga pangabuhi
the learner make kag sa diet
adjustments in daily ko” as
life that will result in verbalized by
the desired change in R. D. C.
behavior.
6. Immediate
feedback allows the
learner to make
corrections rather
than practicing the
skill wrongly.

Student’s Name: __________________________________________

Clinical Instructor: _________________________________________