Part I. CARE PLAN TEMPLATE
Data
Supportive data for diagnosis (only data related to the nursing diagnosis you have chosen)
Nursing Diagnosis
Outcomes (measurable, with due date appropriate to term)
Short-term
Intermediate-term
Long-term
Nursing Interventions (Be specific).
Minimum 3 interventions. One MUST be a teaching intervention with 3 resources for the resident/ family to learn from
Give rationale for each nursing action. Why or how will each nursing action help to relieve the problem? Cite the reference, author and page number, for each rationale.
1.
2.
3.
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3.
Evaluation: