What is a Nursing Care Plan?
A nursing care plan is a written document that outlines the nursing care a patient will receive. It includes assessment, nursing diagnosis, goals, interventions, and evaluation.
Step 1: Assessment
Collect data about the patient's health status through observation, interview, and physical examination.
Step 2: Nursing Diagnosis
Use NANDA-approved nursing diagnoses to identify patient problems.
Step 3: Goals and Outcomes
Set SMART goals (Specific, Measurable, Achievable, Relevant, Time-bound).
Step 4: Nursing Interventions
Plan specific actions to achieve the goals.
Step 5: Evaluation
Assess whether the goals were achieved.