Care Plan Format
Care Plan Format
Care Plan Format
-------------------------------------------------------------
FUNDAMENTAL OF NURSING
CARE PLAN
MYOCARDIAL INFRACTION
FRACTURE
DIARRHOEA
DIABETES MELLITUS
COPD
SUBMITTED TO: SUBMITTED BY:
SUBMITTED ON:-
TULZA BHAVANI COLLEGE OF NURSING
VIJAYAPUR – 586101
4. BATCH NO :___________________________
5. REGISTERED NO :___________________________
SIGNITURE OF EXAMONERS
1. EXTERNAL:_____________
2. INTERNAL :_____________
INDEX
S.NO CONTENT PAGE
NO
1
5
CARE PLAN
ON
MYOCARDIAL
INFRACTION
SUBMITTED TO : SUBMITTED BY:
Mr. Hanamant Bhatagunaki Mr. Rahul V Kyatannavar
Lecturer Department of 1st Year B.Bsc Nursing
Community Health Nursing Tulza Bhavani College of
Tulza Bhavani College of Nursing, Vijayapur.
Nursing, Vijayapur.
SUBMITTED ON:-
INDEX
S.NO CONTENT PAGE
NO
1
10
INTRODUCTION
MYOCARDIAL INFRACTION
INTRODUCTION:-
HISTORY
COLLECTION
DEMOGRAPHIC DATA:-
NAME:-
AGE: -
GENDER:-
RELIGION:-
OCCUPATION:-
MARTIAL STATUS:-
ADDRESS:-
DATE OF ADMISSION:-
IN-PATIENT NO:-
DIAGNOSIS:-
CHIEF COMPLAINTS:-
PRESENT COMPLAINTS:-
PERSONAL HISTORY:-
NUTRITIONAL HISTORY:-
FAMILY HISTORY:-
FAMILY TREE:-
ENVIRONMENTAL HISTORY:-
SOCIO-ECONOMICAL HISTORY:-
PHYSICAL
EXAMINATION
PHYSICAL EXAMINATION:-
GENERAL APPEARANCE:-
HEIGHT :-
WEIGHT :-
CONSCIOUSNESS :-
HEALTH :-
VITAL SIGNS:-
PULSE
RESPIRATION
BLOOD
PRESSURE
HEAD TO FOOT EXAMINATION
SKIN:-
HEAD:-
EAR:-
NOSE:-
MOUTH:-
NECK:-
CHEST:-
BACK:-
GENERAL AREA:-
INVESTIGATION
CHART
INVESTIGATION CHART:-
HAEMOGLOBIN
BLEEDING
TIME
CLOTTING
TIME
X-RAY OF
RIGHT HAND
Result: -
DRUG
CHART
DRUG DOSE ROUTE TIME ACTION SIDE NURSING
EFFECTS RESPONSIBILITY
IMPRESSION:
NURSING
DIAGNOSIS
NURSING DIAGNOSIS:-
ASSESSMENT NURSING PLANNING IMPLEMENTATION OBJECTIVES EVALUTION
DIAGNOSIS
ASSESSMENT NURSING PLANNING IMPLEMENTATION OBJECTIVES EVALUTION
DIAGNOSIS
ASSESSMENT NURSING PLANNING IMPLEMENTATION OBJECTIVES EVALUTION
DIAGNOSIS
HEALTH
EDUCATION
HEALTH EDUCATION:-
SUMMARY
AND
CONCLUSION
SUMMARY:-
CONCLUSION:-
TULZA BHAVANI COLLEGE OF NURSING
BIJAPUR
NAME: DATE:
YEAR: TIME:
TOPIC:
SUBMITTED ON:-
INDEX
S.NO CONTENT PAGE
NO
1
10
INTRODUCTION
FRACTURE
INTRODUCTION:-
HISTORY
COLLECTION
DEMOGRAPHIC DATA:-
NAME:-
AGE: -
GENDER:-
RELIGION:-
OCCUPATION:-
MARTIAL STATUS:-
ADDRESS:-
DATE OF ADMISSION:-
IN-PATIENT NO:-
DIAGNOSIS:-
CHIEF COMPLAINTS:-
PRESENT COMPLAINTS:-
PERSONAL HISTORY:-
NUTRITIONAL HISTORY:-
FAMILY HISTORY:-
FAMILY TREE:-
ENVIRONMENTAL HISTORY:-
SOCIO-ECONOMICAL HISTORY:-
PHYSICAL
EXAMINATION
PHYSICAL EXAMINATION:-
GENERAL APPEARANCE:-
HEIGHT :-
WEIGHT :-
CONSCIOUSNESS :-
HEALTH :-
VITAL SIGNS:-
PULSE
RESPIRATION
BLOOD
PRESSURE
HEAD TO FOOT EXAMINATION
SKIN:-
HEAD:-
EAR:-
NOSE:-
MOUTH:-
NECK:-
CHEST:-
BACK:-
GENERAL AREA:-
INVESTIGATION
CHART
INVESTIGATION CHART:-
HAEMOGLOBIN
BLEEDING
TIME
CLOTTING
TIME
X-RAY OF
RIGHT HAND
Result: -
DRUG
CHART
DRUG DOSE ROUTE TIME ACTION SIDE NURSING
EFFECTS RESPONSIBILITY
IMPRESSION:
NURSING
DIAGNOSIS
NURSING DIAGNOSIS:-
ASSESSMENT NURSING PLANNING IMPLEMENTATION OBJECTIVES EVALUTION
DIAGNOSIS
ASSESSMENT NURSING PLANNING IMPLEMENTATION OBJECTIVES EVALUTION
DIAGNOSIS
ASSESSMENT NURSING PLANNING IMPLEMENTATION OBJECTIVES EVALUTION
DIAGNOSIS
HEALTH
EDUCATION
HEALTH EDUCATION:-
SUMMARY
AND
CONCLUSION
SUMMARY:-
CONCLUSION:-
TULZA BHAVANI COLLEGE OF NURSING
BIJAPUR
NAME: DATE:
YEAR: TIME:
TOPIC:
SUBMITTED ON:-
INDEX
S.NO CONTENT PAGE
NO
1
10
INTRODUCTION
DIARRHOEA
INTRODUCTION:-
HISTORY
COLLECTION
DEMOGRAPHIC DATA:-
NAME:-
AGE: -
GENDER:-
RELIGION:-
OCCUPATION:-
MARTIAL STATUS:-
ADDRESS:-
DATE OF ADMISSION:-
IN-PATIENT NO:-
DIAGNOSIS:-
CHIEF COMPLAINTS:-
PRESENT COMPLAINTS:-
PERSONAL HISTORY:-
NUTRITIONAL HISTORY:-
FAMILY HISTORY:-
FAMILY TREE:-
ENVIRONMENTAL HISTORY:-
SOCIO-ECONOMICAL HISTORY:-
PHYSICAL
EXAMINATION
PHYSICAL EXAMINATION:-
GENERAL APPEARANCE:-
HEIGHT :-
WEIGHT :-
CONSCIOUSNESS :-
HEALTH :-
VITAL SIGNS:-
PULSE
RESPIRATION
BLOOD
PRESSURE
HEAD TO FOOT EXAMINATION
SKIN:-
HEAD:-
EYE:-
EAR:-
NOSE:-
MOUTH:-
NECK:-
CHEST:-
BACK:-
SKIN:-
IMPRESSION:-
INVESTIGATION
CHART
INVESTIGATION CHART:-
BILIRUBIN-T
BILIRUBIN-D
S.G OT
S.G PT
ALBUMIN
PROTEIN
USG ABDOMEN
Result: -
DRUG
CHART
DRUG DOSE ROUTE TIME ACTION SIDE NURSING
EFFECTS RESPONSIBILITY
IMPRESSION:
NURSING
DIAGNOSIS
NURSING DIAGNOSIS:-
ASSESSMENT NURSING PLANNING IMPLEMENTATION OBJECTIVES EVALUTION
DIAGNOSIS
ASSESSMENT NURSING PLANNING IMPLEMENTATION OBJECTIVES EVALUTION
DIAGNOSIS
ASSESSMENT NURSING PLANNING IMPLEMENTATION OBJECTIVES EVALUTION
DIAGNOSIS
HEALTH
EDUCATION
HEALTH EDUCATION:-
SUMMARY
AND
CONCLUSION
SUMMARY:-
CONCLUSION:-
TULZA BHAVANI COLLEGE OF NURSING
BIJAPUR
NAME: DATE:
YEAR: TIME:
TOPIC:
SUBMITTED ON:-
INDEX
S.NO CONTENT PAGE
NO
1
10
INTRODUCTION
DIABETES MELLITUS
INTRODUCTION:-
HISTORY
COLLECTION
DEMOGRAPHIC DATA:-
NAME:-
AGE: -
GENDER:-
RELIGION:-
OCCUPATION:-
MARTIAL STATUS:-
ADDRESS:-
DATE OF ADMISSION:-
IN-PATIENT NO:-
DIAGNOSIS:-
CHIEF COMPLAINTS:-
PRESENT COMPLAINTS:-
PERSONAL HISTORY:-
NUTRITIONAL HISTORY:-
FAMILY TREE:-
ENVIRONMENTAL HISTORY:-
SOCIO-ECONOMICAL HISTORY:-
PHYSICAL
EXAMINATION
PHYSICAL EXAMINATION:-
GENERAL APPEARANCE:-
HEIGHT :-
WEIGHT :-
CONSCIOUSNESS :-
HEALTH :-
VITAL SIGNS:-
PULSE
RESPIRATION
BLOOD
PRESSURE
HEAD TO FOOT EXAMINATION
SKIN:-
HEAD:-
EAR:-
NOSE:-
MOUTH:-
NECK:-
CHEST:-
BACK:-
GENITAL AREA:-
IMPRESSION:-
INVESTIGATION
CHART
INVESTIGATION CHART:-
HEAMOGLOBIN
BLEEDING
TIME
CLOTTING
TIME
ALBUMIN
PROTEIN
Result: -
DRUG
CHART
DRUG DOSE ROUTE TIME ACTION SIDE NURSING
EFFECTS RESPONSIBILITY
IMPRESSION:
NURSING
DIAGNOSIS
NURSING DIAGNOSIS:-
ASSESSMENT NURSING PLANNING IMPLEMENTATION OBJECTIVES EVALUTION
DIAGNOSIS
ASSESSMENT NURSING PLANNING IMPLEMENTATION OBJECTIVES EVALUTION
DIAGNOSIS
ASSESSMENT NURSING PLANNING IMPLEMENTATION OBJECTIVES EVALUTION
DIAGNOSIS
HEALTH
EDUCATION
HEALTH EDUCATION:-
SUMMARY
AND
CONCLUSION
SUMMARY:-
CONCLUSION:-
TULZA BHAVANI COLLEGE OF NURSING
BIJAPUR
NAME: DATE:
YEAR: TIME:
TOPIC:
SUBMITTED ON:-
INDEX
S.NO CONTENT PAGE
NO
1
10
INTRODUCTION
COPD
INTRODUCTION:-
HISTORY
COLLECTION
DEMOGRAPHIC DATA:-
NAME:-
AGE: -
GENDER:-
RELIGION:-
OCCUPATION:-
MARTIAL STATUS:-
ADDRESS:-
DATE OF ADMISSION:-
IN-PATIENT NO:-
DIAGNOSIS:-
CHIEF COMPLAINTS:-
PRESENT COMPLAINTS:-
PERSONAL HISTORY:-
NUTRITIONAL HISTORY:-
FAMILY TREE:-
ENVIRONMENTAL HISTORY:-
SOCIO-ECONOMICAL HISTORY:-
PHYSICAL
EXAMINATION
PHYSICAL EXAMINATION:-
GENERAL APPEARANCE:-
HEIGHT :-
WEIGHT :-
CONSCIOUSNESS :-
HEALTH :-
VITAL SIGNS:-
PULSE
RESPIRATION
BLOOD
PRESSURE
HEAD TO FOOT EXAMINATION
SKIN:-
HEAD:-
EAR:-
NOSE:-
MOUTH:-
NECK:-
CHEST:-
GENITAL AREA:-
IMPRESSION:-
INVESTIGATION
CHART
INVESTIGATION CHART:-
HEAMOGLOBIN
BLEEDING
TIME
CLOTTING
TIME
X-RAY OF
HEART
PULMONARY
FUNCTION TEST
Result: -
DRUG
CHART
DRUG DOSE ROUTE TIME ACTION SIDE NURSING
EFFECTS RESPONSIBILITY
IMPRESSION:
NURSING
DIAGNOSIS
NURSING DIAGNOSIS:-
ASSESSMENT NURSING PLANNING IMPLEMENTATION OBJECTIVES EVALUTION
DIAGNOSIS
ASSESSMENT NURSING PLANNING IMPLEMENTATION OBJECTIVES EVALUTION
DIAGNOSIS
ASSESSMENT NURSING PLANNING IMPLEMENTATION OBJECTIVES EVALUTION
DIAGNOSIS
HEALTH
EDUCATION
HEALTH EDUCATION:-
SUMMARY
AND
CONCLUSION
SUMMARY:-
CONCLUSION:-
TULZA BHAVANI COLLEGE OF NURSING
BIJAPUR
NAME: DATE:
YEAR: TIME:
TOPIC: