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ARCHANA COLLEGE OF NURSING

PANDALAM, KERALA -689 501


CARE PLAN EVALUATION FORMAT

Name of the student: Date: …../……/……..

Subject: Fundamentals of Nursing

SL. Item to be evaluated Marks Marks Remarks


NO awarded
1 Introduction 1
2 Patient History 2

3 Physical Examination 3

4 Investigation 2

5 Medication 2

6 Nursing Process
a. Assessment
b. Nursing Diagnosis
c. Objective 6
d. Intervention &
Rationale
e. Implementation
f. Evaluation
7 Health Education 2
8 Summary 1

9 Bibliography 1

TOTAL 20

Comments:

Signature of the Student Signature of the Teacher

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