1.2 Care Plan Table
Physical Data:
Subjective
Objective
Psychosocial Data
Spiritual Data
Cultural Data
Developmental Data
Priority Nursing Diagnosis
(3 part diagnosis)
Short Term Outcome (SMART)
Interventions
Scientific Rationale for Intervention
1.
1.
2.
2.
3.
3.
Evaluation Plan:
(How do you know your outcome has been met? At what point will you measure the outcome?
