Care Plan Table
| Physical Data: | |
| Subjective | |
| Objective | |
| Psychosocial Data | |
| Spiritual Data | |
| Cultural Data | |
| Developmental Data | |
| Priority Nursing Diagnosis
(3 part diagnosis) |
|
| Short Term Outcome (SMART) | |
| Interventions | Scientific Rationale for Intervention |
| 1. | 1. |
| 2. | 2. |
| 3. | 3. |
| Evaluation Plan:
(How do you know your outcome has been met? At what point will you measure the outcome? |
