Free Home Nursing Care Plan Template
Home Nursing Care Plan
Prepared by: [YOUR NAME] | [YOUR EMAIL]
Case 1: Chronic Disease Management (Diabetes)
Date |
Intervention/ Goal |
Details |
Caregiver/ Responsibility |
---|---|---|---|
May 5, 2050 |
Blood Glucose Monitoring |
Monitor blood sugar levels 4 times daily (before meals and at bedtime). Target: 80-120 mg/dL. |
Lawrence Orn |
May 5, 2050 |
Medication Administration |
Administer insulin as per prescribed dosage (15 units, twice daily). |
Clint Renner |
May 6, 2050 |
Nutritional Support |
Ensure diabetic-friendly meals (low carb, high fiber). Example: grilled chicken with greens. |
Elvie Block |
May 7, 2050 |
Exercise Routine |
Encourage 30 minutes of walking after meals. |
Lester Nolan |
Case 2: Post-Surgical Recovery (Knee Replacement Surgery)
Date |
Intervention/ Goal |
Details |
Caregiver/ Responsibility |
---|---|---|---|
June 1, 2050 |
Wound Care |
Clean surgical site with antiseptic, change dressing, check for signs of infection (redness, swelling). |
Drake Feeney |
June 2, 2050 |
Pain Management |
Administer prescribed pain medications as needed (e.g., ibuprofen, 400 mg). |
Clint Renner |
June 3, 2050 |
Physical Therapy |
Assist with leg exercises twice a day to regain mobility (e.g., knee bends, ankle pumps). |
Floyd Cremin |
June 4, 2050 |
Mobility Assistance |
Ensure use of walker for support while walking, assist with getting in and out of bed. |
Elvie Block |
Case 3: Palliative and End-of-Life Care (Terminal Cancer)
Date |
Intervention/ Goal |
Details |
Caregiver/ Responsibility |
---|---|---|---|
July 10, 2050 |
Pain Management |
Administer prescribed opioids (morphine 5 mg every 4 hours) to manage pain. |
Elvie Block |
July 11, 2050 |
Emotional Support |
Provide companionship and listen to patient’s concerns. Offer support as needed. |
Porter Hoppe |
July 12, 2050 |
Symptom Management |
Monitor for signs of distress, manage nausea with antiemetics as prescribed. |
Drake Feeney |
July 13, 2050 |
Comfort Measures |
Ensure patient is in a comfortable position, reposition every 2 hours to prevent pressure sores. |
Davion Barton |
Case 4: Post-Hospital Discharge Care (Heart Attack Recovery)
Date |
Intervention/ Goal |
Details |
Caregiver/ Responsibility |
---|---|---|---|
August 1, 2050 |
Blood Pressure Monitoring |
Check blood pressure twice daily (morning and evening). Target: <130/80 mmHg. |
Elvie Block |
August 2, 2050 |
Medication Adherence |
Administer prescribed blood thinners (e.g., aspirin 81 mg daily) and beta-blockers. |
Clint Renner |
August 3, 2050 |
Cardiac Rehabilitation |
Assist with light exercises (walking 10-15 minutes) after meals to promote heart health. |
Barry Morar |
August 4, 2050 |
Dietary Support |
Provide low-sodium meals (e.g., grilled fish with steamed vegetables). |
Jerrell Lowe |