LECTURE FOR NCP
 First you must follow the seven column
(Assessment, Nursing Diagnosis, Scientific
Explanation, Objective/Planning,
Intervention, Rationale and Expected
Outcome)
 Under the table write “Problem #1”
Ex. Problem #1: Acute Pain
ASSESSMENT
 Constant Headings: Subjective, Objective,
and May Manifest
Subjective
 Symbol for Subjective is S>; no other signs
must be input such as -, ., and < etc.
 If the given scenario does not include
verbatim from the patient use the symbol null
(Ø)
Ex. S> Ø
 If the patient verbalized words you will use
S> "_____"
 Ex. S> “I have pain on my left shoulder”
Objective
 Symbol for Objective is O>
 Examples:
O> T= 39.5'C /per axilla
> swollen
 Write the value of the temperature not
feverish e.g. O> T= 39.5'C / per axilla
May manifest
 Possible sign and symptoms that was not
mentioned by the patient
NURSING DIAGNOSIS
 May stated the:
Problem alone
Problem and Etiology
PES/PSE
 As evidenced by is a way of justifying
 "Use your Nanda well" "BFF MO DAPAT
ANG NANDA"
 Limit your evidences as much as possible
provide only one and avoid redundancy, this
is also goes with secondary to
SCIENTIFIC EXPLANATION
 Do not copy paste rather rephrase it
 It should be patient-centered level
 Do not write any source below
 Paraphrase it in order not to cite it
 It could be your knowledge
OBJECTIVE/PLANNING
 No abbreviated words as much as possible
e.g. "STO" "LTO"
 SMART
 Be specific on time
 Short term is only for one day, good for eight
hours (based on your shift/duty) other than
eight is considered as long term e.g. After 30
mins...
 For pain the short term is only 30 mins then
maximum is one hour then later it might be
change depending on the situation
 TAKE NOTE: The use of short/long term
depends on situation
INTERVENTION
 Independent, Dependent and
Interdependent
 Only to Sir Nabong: Independent-Inter-Dep;
if this heading will not be written it should be
organize accordingly
RATIONALE
 Level with intervention
EXPECTED OUTCOME
 Level with Planning/Objective