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College of Nursing

Nursing Care Plan

NAME: OLUSEGUN-OBIWUSI, OLUFUNKE DATE: _____________


BSN 3 Sec 1 Grp X
College of Nursing
ASSESSMENT EXPLANATION OF OBJECTIVES NURSING INTERVENTIONS RATIONALE Expected
THE PROBLEM outcome

Subjective: STO: Dx: STO:

Objective: SOURCE/S: Tx: LTO:

LTO: Edx:

Nursing
Diagnosis:

1.1 NCP Guidelines and Format


College of Nursing
Nursing Care Plan
Assessment Explanation Objective intervention Rationale Evaluation
of the /Expected
problem outcome
( narrative
or in
diagram)

s> covert discussed goals based dx- must be Scientific Statements


data(symptom) what caused on the based on the principles, stating if client
o > overt data the patient to nursing objectives theories or met the goals set
(signs, develop the diagnoses – and concepts for patient or
observable and problem should be subjective underlying not. Include
measurable) S-M-A-R-T tx – nursing proposed
A> nursing dx independent interventio modifications or
that best reference: Short term dependent n present plan for
describes the Long term collaborative/ improvement of
problem being supportive nursing care.
identified edx – based
on the
nursing
assessment

Actual ncp- stated in past tense potential ncp – stated in future tense
Last column – “evaluation” last column – “expected outcome”

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