Simple Nursing Action Plan Template

Download

Simple Nursing Action Plan

Prepared by: [YOUR NAME]
Email: [YOUR EMAIL]

Case 1: Pain Management

Date	Nursing Diagnosis	Goal/ Expected Outcome	Nursing Intervention	Evaluation/ Outcome
May 5, 2050	Acute Pain related to surgical procedure	Patient will report pain level less than 3 on a 0-10 scale	Administer prescribed pain medication as per orders	Pain level reduced to 2/10
May 6, 2050	Acute Pain related to surgical procedure	Patient will demonstrate improved comfort	Monitor vital signs and assess pain regularly every 4 hours	Patient reports pain relief after medication
May 7, 2050	Acute Pain related to surgical procedure	Patient will demonstrate ability to use non-pharmacological pain relief methods	Educate patient on relaxation techniques like deep breathing	Patient demonstrates deep breathing technique during pain
May 8, 2050	Acute Pain related to surgical procedure	Patient will report satisfaction with pain management	Reassess pain levels every 6 hours and adjust pain management plan as necessary	Patient states pain well managed with current regimen

Case 2: Post-Surgery Recovery

Date	Nursing Diagnosis	Goal/ Expected Outcome	Nursing Intervention	Evaluation/ Outcome
May 5, 2050	Risk for Infection related to surgical wound	No signs of infection present	Clean and dress surgical wound according to protocol	Wound dressing applied correctly
May 6, 2050	Risk for Infection related to surgical wound	Surgical site remains free from infection	Monitor surgical site for redness, swelling, or drainage	No signs of infection noted
May 7, 2050	Risk for Infection related to surgical wound	Patient will verbalize understanding of wound care	Educate patient on how to care for surgical wound at home	Patient demonstrates correct wound care technique
May 8, 2050	Risk for Infection related to surgical wound	Patient will exhibit no signs of infection	Continue monitoring wound and update care plan if necessary	Wound remains clean and dry

Case 3: Patient Education (Diabetes Management)

Date	Nursing Diagnosis	Goal/ Expected Outcome	Nursing Intervention	Evaluation/ Outcome
May 5, 2050	Knowledge Deficit regarding diabetes management	Patient will demonstrate understanding of diabetes care	Provide patient with educational materials on diabetes management	Patient can explain the importance of blood sugar control
May 6, 2050	Knowledge Deficit regarding diabetes management	Patient will correctly demonstrate blood glucose monitoring	Teach patient how to check blood glucose levels	Patient demonstrates correct blood glucose monitoring
May 7, 2050	Knowledge Deficit regarding diabetes management	Patient will show an understanding of medication administration	Educate on the proper timing and dosage of prescribed medication	Patient can correctly state when and how to take medication
May 8, 2050	Knowledge Deficit regarding diabetes management	Patient will report improved self-care behaviors	Discuss healthy eating habits and importance of exercise	Patient has improved blood glucose levels and dietary changes

This plan is designed to provide a clear, structured approach to nursing interventions. It ensures effective patient care and ongoing evaluation to achieve optimal outcomes.

Plan Templates @ Template.net