Nursing Care Plan Medical Unit

Nursing 201/202 Care Plan Student Name: PT Initials: Age:

M

Diagnosis and Definition: F

Thurs: Wgt: T P T P Friday: Wgt: T P T P

RM#:

Activity Level: Diet: Allergies: Pathophysiological Dysfunction:

Lab Abnormalities: Expected:

Clinical Dates: Med/Surg History:

Signs and Symptoms and Related Patient Problems

VITAL SIGNS Scale: R BP R BP Scale: R BP R BP Nursing Diagnosis

Treatments:

Actual: Interventions for Each Problem/Diagnosis

Revised 8/08 MAT

Evaluation Criteria

Nursing 201/202 Care Plan Patient Teaching Implemented:

Discharge Planning: Consider: Long term goals, ADL assistance, Meals, Support person(s), Agency referral (s), Equipment

Documentation: Day 1:

Day 2:

Revised 8/08 MAT