Student’s name:

Concept Map: Plan of Care – Norwalk Community College

Client’s Reason for seeking Medical care (Medical/ Surgical Dx) and other medical diagnoses:

Client’s initials: Age: Gender: Diet: Activity order:

Nursing Skills Done:

Anticipated priority problem: Assessment:

Nsg. Dx.:

Outcome:.

Interventions:

1.

2.

3.

4.

Based on your pathophysiology map and your physical assessment list four nursing diagnoses, in order of priority, that apply to THIS client.
1.

2.

3.

1
4.

Develop a care plan for the top two nursing diagnoses. You may use each approved nursing diagnosis only twice. If you have already used the nursing
diagnoses for the two priority problems, develop a plan of care using the other nursing diagnoses.

Actual Nursing Problems and Nursing Diagnoses

Problem # 1: Problem # 2:
Assessment: Assessment:

Nsg Dx: Nsg Dx:

Outcome: Outcome:

Interventions
Interventions
1.
1.

2.
2.

3.
3.

4.
4.
Documentatiom/Nursing note:
Documentation/Nursing note: