Bulacan State University

COLLEGE OF NURSING
City of Malolos, Bulacan

NURSING CARE PLAN

Patient’s Initial: ___________ Age: ________ Gender: ________ Date Handled: _________________
Medical Diagnosis: _______________________________ Chief Complaint: _________________________ Clinical Area: __________________

Assessment Nursing Diagnosis Planning Intervention Rationale Evaluation

Subjective: Short Term Goal: Independent: Short Term Evaluation:

Long Term Evaluation:

Objective: Long Term Goal:
Dependent:

Interdependent/
Collaborative: