BUKIDNON STATE UNIVERSITY

FORTICH ST. SAYRE HIGHWAY,

MALAYBALAY CITY, BUKIDNON

Name of Client:
NURSING CARE PLAN

Date Formulated:
Problem 1 (PE Format):
Level of Prioritization:
Cause Analysis:

Goals:

CUES DESIRED OUTCOMES INTERVENTIONS RATIONALE EVALUATION

SUBJECTIVE SHORT TERM INDEPENDENT SHORT TERM

“Ga ubo-ubo ko nga na’ay

plema mag duha ka
semana karon.”

“Galisod pud ko
ginhawa, murag ga
kulangon akong
gininhawaan og medyo
sakit iginhawa labi na og
pag ubo.” LONG TERM

“Anad ko exercise everyday DEPENDENT/COLLABORATIVE

pero karon ga-hanguson
gyud ko bisan ga lingkod
lang ko

Reference: Student’s Name and Signature:

 labi na og gahigda ko. Luya LONG TERM
akong paminaw. Galisod
pud ko og tulog tungod sa
akong ubo.”

“Sakit pud inig-ginhawa.

Gahapon, murag gi hilanat
ko kay init kayo ko,
gapanugnawon, og
ga kurog kurog ko.”

OBJECTIVE:

Temperature, 39.4 o C
(103 o F);

Pulse, 92;

Respirations, 30;

Blood pressure, 120/80

mm Hg,

Oxygen Saturation of 84%

on room air; 98% on 4L
Nasal Cannula

Reference: Student’s Name and Signature:

Reference: Student’s Name and Signature: