Title of Case

Not the Disease

Prayer…
Assessment:( Subjective, Objective, History…)
Assessment:( Subjective, Objective, History…)
Assessment: (Subjective, Objective, Health History, PA through interview,
Diagnostic Tests and procedures…)
Nursing Diagnosis 1:
(Follow Format: Problem Etiology/ Problem Etiology, Signs and Symptoms)
Disease Process/ Pathophysiology/ Video Clip
Recognize and manage emergencies
Plan:
Goal: (General Statement)(Long Term and Short Term)
Nursing Outcomes Classification: (Follow SMART method)
Intervention and Scientific Rationale:
Medical and Surgical Management
Prosthesis, Nursing Procedures…
Nursing Interventions (Independent, Dependent, Collaborative)
Medication
FDAR/SBAR
Nursing Diagnosis 2:
(Follow Format: Problem Etiology/ Problem Etiology, Signs and Symptoms)
Disease Process/ Pathophysiology/Video Clip
Recognize and manage emergencies
Plan:
Goal: (General Statement)( Long Term and Short Term)
Nursing Outcomes Classification: (Follow SMART method )
Intervention and Scientific Rationale:
Medical and Surgical Management
Prosthesis, Nursing Procedures…
Nursing Interventions (Independent, Dependent, Collaborative)
Medication
FDAR/SBAR
Nursing Diagnosis 3:
(Follow Format: Problem Etiology/ Problem Etiology, Signs and Symptoms)
Disease Process/ Pathophysiology/Video Clip
Recognize and manage emergencies
Plan:
Goal: (General Statement)(Long Term and Short Term)
Nursing Outcomes Classification: (Follow SMART method )
Intervention and Scientific Rationale:
Medical and Surgical Management
Prosthesis, Nursing Procedures…
Nursing Interventions (Independent, Dependent, Collaborative)
Medication
FDAR/SBAR
Prognosis
References: