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CAPITOL UNIVERSITY

COLLEGE OF NURSING
Name of Student: ______________________________________________ Date of Assignment: ___________________________
Name of Patient: _______________________________________________ Ward: ____________________ Bed No. ___________

NURSING CARE PLAN

ASSESSMENT DATA NURSING DIAGNOSIS GOALS AND OBJECTIVES NURSING INTERVENTIONS AND EVALUATION
(Subjective & Objective (Problem and Etiology) RATIONALE
Cues)

Issue: 05 April 2006 Revision Code : 003

CU-ARXE-NURSING-0018

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