PHINMA University of Pangasinan

College of Health Sciences

NURSING CARE PLAN

Patient’s Initials: Chief Complaint: Name of the Student Nurse:

Age & Gender: Admitting Diagnosis: Level/Block/Group:
Birthdate: Clinical Instructor/s:
Date of Confinement:
Address: Date:

ASSESSMENT NURSING ANALYSIS PLANNING INTERVENTIONS RATIONALE EVALUATION

NURSING DIAGNOSIS