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NURSING CARE PLAN

NAME OF STUDENT: _________________________________________________


_____
NAME OF PATIENT: __
____________________

DATE OF ASSIGNMENT: _____

____________________________________

CIVIL STATUS: _________

MEDICAL DIAGNOSIS: __________________________________________________ AGE: ____


__________

______

WARD: ________

CUES

NURSIN
G
DIAGNO
SIS

BACKGROUND
KNOWLEDGE

GOALS AND
OBJECTIVES

NURSING
INTERVENTIO
NS

SEX: ____

BED: _______

RATIONALE
EVALUATION

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