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    NCP Form

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    Siergs Smith Gervacio
    The document outlines the requirements for a nursing care plan, including sections on assessment, diagnosis, goals, interventions, evaluation, and bibliography. Students are expected to identify cues to substantiate the nursing diagnosis, relate this to goals and a theoretical basis, provide appropriate interventions linked to outcomes, and evaluate progress based on subjective and objective data. Sources cited in the bibliography must be up-to-date and accurate. The rubric evaluates nursing care plans based on the comprehensiveness and accuracy of the assessment, diagnosis, goals, interventions, evaluation, theoretical basis, and quality of references.

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    NCP Form

    Uploaded by

    Siergs Smith Gervacio
    380 views4 pages
    The document outlines the requirements for a nursing care plan, including sections on assessment, diagnosis, goals, interventions, evaluation, and bibliography. Students are expected to identify cues to substantiate the nursing diagnosis, relate this to goals and a theoretical basis, provide appropriate interventions linked to outcomes, and evaluate progress based on subjective and objective data. Sources cited in the bibliography must be up-to-date and accurate. The rubric evaluates nursing care plans based on the comprehensiveness and accuracy of the assessment, diagnosis, goals, interventions, evaluation, theoretical basis, and quality of references.

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    Nursing Care Plan - Cebu Normal University

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    Ncp form

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    The document outlines the requirements for a nursing care plan, including sections on assessment, diagnosis, goals, interventions, evaluation, and bibliography. Students are expected to identify cues to substantiate the nursing diagnosis, relate this to goals and a theoretical basis, provide appropriate interventions linked to outcomes, and evaluate progress based on subjective and objective data. Sources cited in the bibliography must be up-to-date and accurate. The rubric evaluates nursing care plans based on the comprehensiveness and accuracy of the assessment, diagnosis, goals, interventions, evaluation, theoretical basis, and quality of references.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    380 views4 pages

    NCP Form

    Uploaded by

    Siergs Smith Gervacio
    The document outlines the requirements for a nursing care plan, including sections on assessment, diagnosis, goals, interventions, evaluation, and bibliography. Students are expected to identify cues to substantiate the nursing diagnosis, relate this to goals and a theoretical basis, provide appropriate interventions linked to outcomes, and evaluate progress based on subjective and objective data. Sources cited in the bibliography must be up-to-date and accurate. The rubric evaluates nursing care plans based on the comprehensiveness and accuracy of the assessment, diagnosis, goals, interventions, evaluation, theoretical basis, and quality of references.

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    RLE 002

    Cebu Normal University


    College of Nursing Cebu City
    Mission-Vision: Care Using Knowledge and Compassion Theory-based (Betty Neuman)

    NURSING CARE PLAN


    Assessment Diagnosis 3 points 3 points Goals Theoretical Basis 2 points 2 points Interventions Evaluation 4 points 1 point Bibliography 15 points

    Name of Student:__________________________________________ Clients Initials:___________________________________________ Age:______Gender: _____Civil Status:________Religion:_______ Allergies: ________________________________________________ Diet:_____________________________________________________ Date of Admission:________________________________________ Diagnosis/Impression:_____________________________________ lifespan)

    Stressor Classification: (Please check) ______ Physiological (body structure and functions) ______ Psychological (mental processes and emotion) ______ Socio-cultural (relationships, social expectations) ______ Spiritual (influence of spiritual beliefs) ______ Developmental (developmental processes over the

    NURSING DIAGNOSIS
    Assessment Subjective: Diagnosis

    NURSING GOALS
    Mutual Planning
    (Goal attainable within the shift)

    NURSING OUTCOME
    Interventions
    (with Rationale & Source)

    Actual Evaluation

    PRIMARY INTERVENTIONS Promotive:

    Objective:

    Preventive:

    Theoretical basis:

    SECONDARY INTERVENTIONS Curative

    TERTIARY INTERVENTIONS Rehabilitative

    Bibliography: _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________

    Nursing Care Plan Product Assessment Rubric


    Score Criteria
    Assessment Diagnosis

    3
    Cues are comprehensive and adequately substantiate the nursing diagnosis. It reflects the accurate interpretation of the subjective and objective data analyzed. Problem-Etiology (PE) format is observed.

    2
    Cues are comprehensive and inadequately substantiate the nursing diagnosis. The diagnosis selected reflects the adequate interpretation of the subjective and objective data analyzed but are not always the best choice from the possible diagnoses that could be interpreted from the data. PE format is used correctly. It sufficiently explained the nursing diagnosis. The identified goal reflects the timebounded measurable behavioral elements. The criteria identified generally are individualized and will lead to the control of the related factors that contribute to the nursing diagnosis. Interventions developed can be linked to specific outcomes but may be independent. The interventions may not be realistic and appropriate to the patient's current status.

    1
    Cues do not substantiate the nursing diagnosis. The diagnosis selected reflects that no effort to interpret information was applied resulting in a flawed plan of care. PES format is usually not complete or used correctly. It insufficiently explained the nursing diagnosis The identified goal barely reflects the time-bounded measurable behavioral elements. The criteria identified generally are individualized and will lead to the control of the related factors that contribute to the nursing diagnosis. Interventions developed are incomplete. Inappropriate interventions may be included in the plan of care.

    0
    No cues presented. No diagnosis identified.

    Theoretical Basis Goals

    No theoretical basis provided. No goal formulated.

    Intervention s

    Specific interventions can easily be linked to specific outcomes. The interventions are realistic and appropriate to the patient's current status.

    Specific interventions can be linked to specific outcomes. The interventions are realistic and usually appropriate to the patient's current status.

    No interventions to be implemented.

    Evaluation

    The subjective and objective data that measures the outcome is collected and analyzed correctly.

    Subjective and objective data is selected to reflect evaluation without consideration of the outcome criteria. Data collection is not subjected to analysis. References

    Bibliography

    Updated

    (within

    5-10

    years)

    and

    accurate references are provided.

    provided are not updated and inaccurate.

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