NCP Template

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NURSING CARE PLAN

Name of Patient: Chief complaint:


Age/ Sex: Diagnosis:
General Objective: Attending Physician:
EVALUATIO
CUES/CLUES NURSING Dx PLAN INTERVENTION RATIONALE
N

SUBJECTIVE: SHORT-TERM GOAL: INDEPENDENT:

DEPENDENT:

OBJECTIVE: LONG-TERM GOAL:

COLLABORATIVE:

LAROZA LYRA ANGELA C


Name of Student and Signature

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