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UNIVERSITY OF SAN JOSE – RECOLETOS

School of Allied Medical Science


Nursing Department

NURSING CARE PLAN

Patient’s Name: ____________________________ Age: _______ Gender: _________________ Status: _________________________


Medical Diagnosis: _________________________________________ Physician: _________________________________________________
Date of Admission: _________________________________________ Hospital: __________________________________________________

SUBJECTIVE OBJECTIVE NURSING PLAN OF CARE


SCIENTIFIC REFERENCE IMPLEMENTATION RATIONALE EVALUATION
CUES CUES DIAGNOSIS / OBJECTIVES
SUBJECTIVE OBJECTIVE NURSING PLAN OF CARE SCIENTIFIC
IMPLEMENTATION RATIONALE EVALUATION
CUES CUES DIAGNOSIS / OBJECTIVES REFERENCE
SUBJECTIVE OBJECTIVE NURSING PLAN OF CARE SCIENTIFIC
IMPLEMENTATION RATIONALE EVALUATION
CUES CUES DIAGNOSIS / OBJECTIVES REFERENCE

REFERENCE/S:

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