Delaware Technical Community College

NUR 320 Health Assessment

RN to BSN program: Plan of Care Chart

STUDENT NAME: Amanda Nordberg DATE: _______________________

Nursing plan of care

Identified problem/need: Identified goal or Plan/ Interventions: Projected Evaluation/ Community Resources/
(include supporting outcome: (Provide rationale/ and Outcomes: (How will you Referrals: (Must be actual
subjective and objective cited evidence to justify measure that it worked?) resources from the
data) the rationale) client’s community.
Include Name, address,
web address, and phone
number)
Pt will maintain an oxygen Medication management Family observation https://dhss.delaware.gov
Ineffective breathing of 95%-100% such as albuterol Pt will completely quit /dph/dpc/quitline.html
pattern R/T hx of smoking Smoking cessation smoking within 3 months 1-866-409-1858
and obesity AMB Mouth Pt will decrease smoking Weight loss Pt will lose at least 4 Delaware health and
breathing, gradually until over the pounds a month until at a social services
next 3 months until healthy/goal weight 546 S Bedford street
complete cessation georgetown DE 19947

Pt will see doctor annually
Cancer prevention as a Pt will have cancer
secondary measure due screening and lab work
to prominent cancer hx done as needed
Cancer screenings Pt will schedule annual Bayhealth
Smoking cessation appointment with PCP 302-430-5173
exercise/healthy weight and determine secondary 100 wellness way milford
prevention measures for de 19963
cancer prevention https://www.bayhealth.or
Pt will cite back the g/services/cancer
information provided to
clarify understanding of
materials.
 Pt will demonstrate how
Medical Administration and when to use
and Pharmacologic medications for asthma
Support such as beta-2 inhaler and
anticholinergics.
Pt will monitor respiratory
depth and rate during
exacerbation and know
when to seek help
Pt will be able to obtain Pt will not run out of Delaware health and
asthma medication and medication/rescue inhaler social services
demonstrate proper Pt will have a decrease in 546 S Bedford street
administration hospitalizations georgetown DE 19947
1-844-245-9580 and
press 0
https://dhss.delaware.g
ov/dmma/dpap