Nursing Process: Clustering Data

Group your abnormal patient assessment data to identify key problem areas to become nursing diagnoses
Key Problem: Key Problem: Key Problem: Key Problem:

Abnormal Assessment Data: Abnormal Assessment Data: Abnormal Assessment Data: Abnormal Assessment Data:
 Nursing Process: Nursing Diagnosis
Concept Map and Prioritization
Problem Area:
Problem Area:
Priority No. 2
Priority No. 1
Nursing Diagnosis:
Nursing Diagnosis:
Patient Initials:

Age:

Diagnosis on admission:
Problem Area: Problem Area:
Priority No. 3 Priority No. 4
Nursing Diagnosis: Nursing Process: Nursing Care Plan Nursing Diagnosis:

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GTNI: NU 102 Adult of Nursing Practice: Clinical Package
 Primary Nursing Diagnosis (Priority 1):
Primary Nursing Diagnosis (Priority 2):

Expected Outcomes/Goals: Evaluation of outcome for this shift:

Outcome for this shift:
Expected Outcomes/Goals: Evaluation of outcome for this shift:
Outcome for this shift:
Overall Goal:

Overall Goal:
Interventions Rationale Evaluation of Intervention
(Plan of nursing management for this (Why the intervention should be undertaken – (How the patient responded to
Interventions
diagnosis) Rationale
information from acceptable resource) Evaluation
the of Intervention
intervention)
(Plan of nursing management for this (Why the intervention should be undertaken – (How the patient responded to the
diagnosis) information from acceptable resource) intervention)

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GTNI: NU 102 Adult of Nursing Practice: Clinical Package
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GTNI: NU 102 Adult of Nursing Practice: Clinical Package