‫كليـــة العلـــوم الصحيــة‬

College of Health Sciences

NURSING CARE PLAN

Name of the student:_________________________

Date of submission: ___________________________

 ‫كليـــة العلـــوم الصحيــة‬
College of Health Sciences

NURSING CARE PLAN-1

Name of the Patient:________________________________

Diagnosis of the patient:_____________________________

Assessment Nursing Expected Intervention Rationale Evaluation

Diagnosis outcomes/Goals

Subjective data:

Objective data:
 ‫كليـــة العلـــوم الصحيــة‬
College of Health Sciences

NURSING CARE PLAN-2

Assessment Nursing Expected Intervention Rationale Evaluation

Diagnosis outcomes/Goals

Subjective data:

Objective data:
 ‫كليـــة العلـــوم الصحيــة‬
College of Health Sciences

NURSING CARE PLAN-3

Assessment Nursing Expected Intervention Rationale Evaluation

Diagnosis outcomes/Goals

Subjective data:

Objective data:
 ‫كليـــة العلـــوم الصحيــة‬
College of Health Sciences

NURSING CARE PLAN RUBRIC (10 MARKS)

CRITERIA 2 MARKS 1.5 MARKS 1 MARK 0.5 MARK

Assessment

• Includes subjective,
objective and historical Includes all pertinent data Includes all pertinent data Does not include all pertinent Assessment
data that support actual related to nursing diagnosis related to nursing diagnosis, data related to nursing portion is
or risk for nursing and does not include data but also includes data not diagnosis. May also include incomplete.
diagnosis. that is not related to nursing related to nursing diagnosis. data that does not relate to
diagnosis. nursing diagnosis.

Diagnosis

• Includes the most

appropriate diagnosis Diagnosis is appropriate for Diagnosis is appropriate for Diagnosis is not appropriate for Diagnosis portion
for patient and ordinal patient and ordinal level, patient and ordinal level, and patient and ordinal level (first is incomplete.
number that includes all and diagnosis is NANDA diagnosis is NANDA approved, diagnosis, second diagnosis,
appropriate parts (stem, approved. Diagnosis also but does not include all parts etc). May also not be NANDA
related to or R/T, and as includes all parts and or information is listed in and may not include all parts.
evidenced by AEB for
information is listed in wrong part of diagnosis.
actual diagnosis) and is
NANDA approved. correct part of diagnosis.
 ‫كليـــة العلـــوم الصحيــة‬
College of Health Sciences

Planning (Goal Setting)

• Includes a patient or
family goal that is most
appropriate for the Goal statement is patient or Goal statement is not patient Goal portion is
family oriented, and Goal statement is patient or or family oriented and may not incomplete.
patient/family and the
nursing diagnosis. Goal family oriented, and contains
contains two measurable have measurable criteria or a
should be measurable at least one measurable
criteria and a target date or target date or time.
by at least two criteria criteria or a target date/time.
time with (1) short term
and have a target date
goal and (1) long term goal.
or time. Provides at
least (1) short term goal
and (1) long term goal.
Implementation
(Interventions)

• Includes interventions
or nursing actions that
Interventions portion Interventions portion does not Interventions
directly relate to the
contains adequate number Interventions portion contains include adequate number of portion is
patient's goal, that are
specific in action and of interventions to help adequate number of interventions to help incomplete.
frequency, are labeled patient/family meet goal, interventions to help patient/family meet goal.
"I" for independent and and interventions are patient/family meet goal, but Interventions may also not be
"C" for collaborative, specific in action and interventions may not be specific, labeled or listed with
and include a frequency, labeled with "I" specific, labeled or listed with rationales.
referenced rationale
or "C" and are listed with rationales.
with page number (if
applicable). Number of referenced rationales.
interventions should be
appropriate to help
 ‫كليـــة العلـــوم الصحيــة‬
College of Health Sciences

patient or family meet

their goal.

Evaluation

• Includes data that is

listed as criteria in Evaluation portion does Evaluation portion does Evaluation portion does not Evaluations
goal statement. contain data that is listed as contain data that is listed as contain data that is listed as portion is
Based on this data, criteria in goal statement. criteria in goal statement, but criteria in goal statement. May incomplete.
goal is determined Does describe goal as met, does not describe goal as met, also not describe goal as met,
to be met, partially partially met, or not met. If partially met, or not met. May partially met, or not met. May
met, or not met. If
goal was partially met or not also not include revision or also not include revision or new
goal was not met or
met, includes revision new evaluation date/time. evaluation date/time.
partially met, plan
of care is revised or and/or new evaluation
continued and a date/time.
new evaluation
date/time is set.
Note: Each NCP carries 10 marks