Nursing 1106

Care Plan Format

Assessment findings pertinent for this diagnosis:

Nursing Diagnosis
PES format (problem r/t etiology AEB symptoms)

Patient Outcome (Short term outcome)

Nursing Interventions (minimum of 4) Rationale and Reference

The student nurse will:
1. 1.

2. 2.

3. 3.

4. 4.

Evaluation of Outcome (Outcome met? Outcome partially met? Outcome not met?) (Provide supporting data)
If outcome is not met, revise plan (diagnosis, outcome, interventions) as appropriate.
ORIGINATED 4/07; Rev. 1/09 NRR; Rev.1/10; Rev. 9/15, 8/17