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

Plan Templates @ Template.net