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NCP Format

This document appears to be a nursing care plan template for a student at Bulacan State University College of Nursing. The template includes sections for the patient's name and details, nursing diagnosis, background knowledge on the diagnosis, goals and objectives, nursing interventions and rationale, and an evaluation section. It also includes spaces for the student's name, date, and the patient's bed number.

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raul_bsu
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657 views2 pages

NCP Format

This document appears to be a nursing care plan template for a student at Bulacan State University College of Nursing. The template includes sections for the patient's name and details, nursing diagnosis, background knowledge on the diagnosis, goals and objectives, nursing interventions and rationale, and an evaluation section. It also includes spaces for the student's name, date, and the patient's bed number.

Uploaded by

raul_bsu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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Name of Student: ___________________________________ Date of Assignment: __________________________

Name of Patient: ____________________________________ Civil Status: __________ Ward: ________________


Diagnosis or Clinical Impression: ______________________ Age: _________________ Sex: _________________
Bed No.______________
CUES NURSING DIAGNOSIS BACKGROUND KNOWLEDGE GOALS AND OBJECTIVES
(Defining Characteristics of
Nursing Diagnosis)
(Problem and Etiology
(Pathophysiologic/Physiological
explanation of consequences of the
nursing Diagnosis)
(Includes Long and Short term
Objectives)
NURSING INTERVENTIONS RATIONALE
Bulacan State University
COLLEGE OF NURSING
City of Malolos, Bulcan
NURSING CARE PLAN
EVALUATION
Bulacan State University
COLLEGE OF NURSING
City of Malolos, Bulcan
NURSING CARE PLAN

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