Online Work Study Nursing Plan of Care

Identify two (2) nursing diagnoses for your selected patient and
complete one form (below) for each nursing diagnosis.

Patient ID Dates of Care Student
Nursing Diagnosis
Related to
As evidenced by
Clustered Clinical Manifestations Indicate which are defining characteristics
 Contributing Causes OR Risk Factors --
A. Identify
and B. Label

Goals/Expected Outcomes (2 for each nursing diagnosis) Give specific behavior changes, relevant to this patient, with time frame

 Nursing Interventions Give 2 nursing interventions for each goal (e.g., Number: 1.1, 1.2, 2.1, 2.2)
Scientific Rationale State the principle supporting each intervention (numbered as above)

 Evaluation State if met or unmet for each goal. What criteria would you use? What reassessment data are needed? If unmet, how would you revise the goal?