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Nursing Care Plan

Patient’s Name: Age: Sex: Address:

Pathophysiologic/
Assessment Nursing Desired Nursing
Schematic Rationale Evaluation
Cues Diagnosis Outcome Intervention
Diagram
Subjective After 8 hours of Independent After 8 hours of
Cues: Predisposing Nursing Interventions: Nursing
Factors: Intervention, the Intervention, the
patient and patient and
significant other significant other
will be able to: Dependent was able to:
Definition: Precipitating Interventions:
Objective Cues: Factors:

Source: S/S

Nursing
Diagnosis

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