Nursing Care Plan Sheet (Suggested Form) Resident's Name:RN NameMedical Diagnosis:
Assessment NANDA from Definition of diagnosis (copy and paste from NNN Linkages or, see NANDA):Subjective DataObjective Data Planning NOC Goals:
Nursing Activities NIC Nursing Intervention Group (checkmark) (see chart below):2.Physiological: Complex (Classes G-N)5.Family (Classes W, X, Z) 3.Behavioral (Classes O-T) 6.Health System (Classes Ya-Yb) 7
.Community (Classes Yc-Yd) Definitions for each intervention
(copy and paste from
Quarter 2 Quarter 3 Quarter 4 Quarter Annual References (APA style) NIC Groups 1 Physiological: Physiological: 3 Behavioral Safety 5 Family System 7 Community A Activity & Exercise Mgt.Electrolyte & Acid-Base Mgt.O Behavior Therapy W Childbearing System Yc Community Health Promotion B Elimination Drug Mgt P Cognitive Therapy Z Childrearing System Yd Community Risk Mgt C Immobility Neurological Mgt Q Communication Enhancement
X Lifespan Care Yb Mgt
D Nutrition Support J Care R Coping Assistance E Physical Comfort Respiratory Mgt S Patient Ed.F Self-Care Facilitation Skin/Wound Mgt T Psychological Comfort Promotion Thermoregulation Tissue Perfusion.