Simple Nursing Action Plan
Prepared by: [YOUR NAME]
Email: [YOUR EMAIL]
Case 1: Pain Management
Date | Nursing Diagnosis | Goal/ Expected Outcome | Nursing Intervention | Evaluation/ Outcome |
|---|
May 5, 2050 | Acute Pain related to surgical procedure | Patient will report pain level less than 3 on a 0-10 scale | Administer prescribed pain medication as per orders | Pain level reduced to 2/10 |
May 6, 2050 | Acute Pain related to surgical procedure | Patient will demonstrate improved comfort | Monitor vital signs and assess pain regularly every 4 hours | Patient reports pain relief after medication |
May 7, 2050 | Acute Pain related to surgical procedure | Patient will demonstrate ability to use non-pharmacological pain relief methods | Educate patient on relaxation techniques like deep breathing | Patient demonstrates deep breathing technique during pain |
May 8, 2050 | Acute Pain related to surgical procedure | Patient will report satisfaction with pain management | Reassess pain levels every 6 hours and adjust pain management plan as necessary | Patient states pain well managed with current regimen |
Case 2: Post-Surgery Recovery
Date | Nursing Diagnosis | Goal/ Expected Outcome | Nursing Intervention | Evaluation/ Outcome |
|---|
May 5, 2050 | Risk for Infection related to surgical wound | No signs of infection present | Clean and dress surgical wound according to protocol | Wound dressing applied correctly |
May 6, 2050 | Risk for Infection related to surgical wound | Surgical site remains free from infection | Monitor surgical site for redness, swelling, or drainage | No signs of infection noted |
May 7, 2050 | Risk for Infection related to surgical wound | Patient will verbalize understanding of wound care | Educate patient on how to care for surgical wound at home | Patient demonstrates correct wound care technique |
May 8, 2050 | Risk for Infection related to surgical wound | Patient will exhibit no signs of infection | Continue monitoring wound and update care plan if necessary | Wound remains clean and dry |
Case 3: Patient Education (Diabetes Management)
Date | Nursing Diagnosis | Goal/ Expected Outcome | Nursing Intervention | Evaluation/ Outcome |
|---|
May 5, 2050 | Knowledge Deficit regarding diabetes management | Patient will demonstrate understanding of diabetes care | Provide patient with educational materials on diabetes management | Patient can explain the importance of blood sugar control |
May 6, 2050 | Knowledge Deficit regarding diabetes management | Patient will correctly demonstrate blood glucose monitoring | Teach patient how to check blood glucose levels | Patient demonstrates correct blood glucose monitoring |
May 7, 2050 | Knowledge Deficit regarding diabetes management | Patient will show an understanding of medication administration | Educate on the proper timing and dosage of prescribed medication | Patient can correctly state when and how to take medication |
May 8, 2050 | Knowledge Deficit regarding diabetes management | Patient will report improved self-care behaviors | Discuss healthy eating habits and importance of exercise | Patient has improved blood glucose levels and dietary changes |
This plan is designed to provide a clear, structured approach to nursing interventions. It ensures effective patient care and ongoing evaluation to achieve optimal outcomes.
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