Delaware Technical Community College

NUR 320 Health Assessment

RN to BSN program: Plan of Care Chart

STUDENT NAME: Brianna Niggebrugge DATE: 02/15/2024

Nursing plan of care

Identified Identified goal Plan/ Interventions: Projected Community
problem/need: or outcome: (Provide rationale/ Evaluation/ Resources/
(include and cited evidence Outcomes: Referrals: (Must
supporting to justify the (How will be actual
subjective and rationale) you measure resources from
objective data) that it the client’s
worked?) community.
Include Name,
address, web
address, and
phone number)
Identified A goal for SM A plan and After a Resource:
problems SM has can be to do intervention for SM week, so Rebalance
shared and I have neck exercises for neck pain exercising Physical
assessed include before bed. As includes starting out SM neck Therapy
neck pain.SM has well when she slow with controlled muscles she
&
shared she has get up. An movements for her can scale her
been experiencing outcome can not to improve her sore neck pain Wellness
neck pain after to improved and weak neck. A getting up. 1601 Walnut St
waking up. neck mobility. plan can be for Based on #1504,
about 5-10 minutes that level, Philadelphia, PA
before bed and she can 19102
when she wakes up adjust her
to do 3 neck posture with Rebalancept.co
movements devices or go m
exercises. get PT. (267) 282-1301
Exercises for

neck muscle

and joint
 problems.

(n.d.). NHS

Inform.

https://www.

nhsinform.sc

ot/illnesses-a

nd-condition

s/muscle-bo

ne-and-joint

s/exercises/e

xercises-for-

neck-proble

ms/

Identified A goal for SM An intervention for SM can

problems SM has is to decrease SM would for her to measure https://www.phil
shared and I have her anxiety when she feels what works adelphiawellnes
assessed include levels without anxious to count to by seeing stherapy.com/he
anxiety. SM has medication. An 3, name 3 thing she how much alth-care-profess
shared she outcome is can smell, 3 things her anxiety ionals
struggles with decreasing she can feel, and she improves
anxiety associated anxiety levels things she can see. with that
with work. before work or SM would try to do technique. Philadelphia
about work by this for a week Wellness
talking to a whenever she feels
Therapy
manager or anxious and to see
talking to a how it helps her.
 mental health mhbernsteinlpc
resource.
@gmail.com

2158012098

Identified A goal and an A goal for SM is SM can Rittenhouse

problems SM has outcome for SM too put sticky notes measure her Psychiatric
shared and I have includes taking around her outcome by Associates
assessed her medication apartment to stay seeing if she 1528 Walnut St
psychological the same time and a friendly is Suite 1414,
medications. SM regularly. This reminder to take her consistently Philadelphia, PA
has shared she is could help her medication taking her 19102
inconsistent with other problems consistently. medication. Rittenhousepa.c
taking her addressed If she is, the om
medications that above. intervention (267) 358-6155
help her mentally. worked.