Printable Nursing Care Plan for Students
Printable Nursing Care Plan for Students
This nursing care plan template is designed to help nursing students organize and document patient care in a structured manner. It serves as a comprehensive guide for clinical practice, academic assignments, and skill development.
Student Information:
Prepared by: [YOUR NAME]
Email: [YOUR EMAIL]
Patient Information:
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Name: Lawrence Orn
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Age: 55
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Gender: Male
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Date of Admission: January 15, 2050
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Primary Diagnosis: Hypertension
Nursing Care Plan
|
Assessment Data |
Nursing Diagnosis |
Goals/ Objectives |
Nursing Interventions |
Evaluation |
|---|---|---|---|---|
|
BP: 160/95 mmHg |
Risk for ineffective tissue perfusion related to hypertension |
Reduce BP to 130/80 mmHg or lower within 48 hours |
Administer prescribed antihypertensive medications |
BP reduced to 135/85 mmHg on Jan 17, 2050 |
|
Complaints of headaches |
Monitor blood pressure every 4 hours |
Monitor BP and heart rate regularly, at least every 4 hours |
Educate patient on low-sodium diet and fluid management |
Headaches diminished by January 17, 2050 |
|
History of heart disease |
Educate patient on lifestyle changes to control hypertension |
Teach patient techniques for stress reduction |
Encourage daily physical activity (30 minutes, 5 days/week) |
Patient willing to follow exercise recommendations by Jan 16, 2050 |
This nursing care plan provides a comprehensive framework to assess, diagnose, plan, intervene, and evaluate patient care, helping nursing students enhance their clinical and academic skills.
