NURSING CARE PLAN

Name of the Patient : _________________________________Age : ______ Sex : _________ Name of Student ___________________________________________
Civil Status : _______________Religion : ______________Rm/Bed No. _________________ Area : __________________________ Level/ Block : ______________
Address : _________________________________________________________________ Date Submitted : ___________________________________________
Date of Admission : _____________________ Diagnosis : ____________________________ Rating : ___________________________________________________

CUES Nursing Diagnosis Nursing Objectives Nursing Interventions Rationale Expected Outcomes
Subjective/ Objective