Free NHS Nursing Care Plan Outline Template
NHS Nursing Care Plan Outline
Prepared by: [YOUR NAME]
Email: [YOUR EMAIL]
Patient Information
|
Field |
Details |
|---|---|
|
Patient Name |
Carmel Ryan |
|
Date of Birth |
April 15, 2025 |
|
NHS Number |
1234567890 |
|
Admission Date |
January 1, 2051 |
|
Care Plan Start Date |
January 2, 2051 |
Section 1: Identified Problems
|
Problem |
Description |
|---|---|
|
Chronic Illness Management |
Type 2 Diabetes – unstable blood sugar levels, occasional episodes of hypoglycemia. |
|
Post-Surgical Recovery |
Left knee replacement – pain, limited mobility, and risk of infection. |
|
Mental Health Support |
Reports of anxiety about mobility and long-term independence. |
Section 2: Goals
|
Problem |
Goal |
|---|---|
|
Chronic Illness Management |
Stabilize blood sugar levels to within normal range (70–140 mg/dL) by February 15, 2051. |
|
Post-Surgical Recovery |
Achieve independent walking with a frame by March 1, 2051. |
|
Mental Health Support |
Reduce anxiety symptoms by 50% by engaging in mindfulness and therapy by February 28, 2051. |
Section 3: Interventions
|
Problem |
Intervention |
Frequency |
Responsible Party |
|---|---|---|---|
|
Chronic Illness Management |
Monitor blood sugar levels before meals and administer insulin as prescribed. |
4 times daily |
Registered Nurse |
|
Educate the patient on dietary adjustments and portion control. |
Once a week |
Dietitian |
|
|
Post-Surgical Recovery |
Perform daily wound care for the surgical site using aseptic technique. |
Once daily |
Nursing Assistant |
|
Assist with physiotherapy exercises to improve range of motion. |
Twice daily |
Physiotherapist |
|
|
Mental Health Support |
Arrange one-on-one counseling sessions to discuss coping strategies. |
Weekly |
Mental Health Nurse |
Section 4: Evaluation
|
Evaluation Date |
Goal |
Outcome |
Next Steps |
|---|---|---|---|
|
February 15, 2051 |
Stabilize blood sugar levels |
Blood sugar levels within target range; patient managing dietary changes effectively. |
Continue current regimen. |
|
March 1, 2051 |
Achieve independent walking |
Patient can walk 10 meters with a frame; no signs of infection at the surgical site. |
Transition to cane use. |
|
February 28, 2051 |
Reduce anxiety symptoms |
Patient reports improved mood and reduced worry; participates actively in therapy. |
Maintain therapy. |
