64295-9

LOINC 2.82

Nurse Plan of care note

Definition

  • A nursing plan of care is a document that outlines the nursing care to be provided to an individual/family/community. It is a set of actions the nurse will implement to resolve/support nursing diagnoses identified by nursing assessment. The creation of the plan is an intermediate stage of the nursing process. It guides in the ongoing provision of nursing care and assists in the evaluation of that care. It includes a) nursing diagnosis including related and risk factors, b) expected outcomes (e.g. goals), and c) nursing interventions.

Component

  • Plan of care note

Specimen / system

  • {Setting}

Class

  • DOC.ONTOLOGY

Property

  • Find

Scale

  • Doc

Method

  • Nurse

Related names

  • Care plan; DOC.ONT; Document; Encounter; Evaluation and management; Evaluation and management note; Finding; Findings; notes; nursing; Point in time; Random; Treatment plan; Visit note

Index terms

  • Care plan
  • DOC.ONT
  • Document
  • Encounter
  • Evaluation and management
  • Evaluation and management note
  • Finding
  • Findings
  • notes
  • nursing
  • Point in time
  • Random
  • Treatment plan
  • Visit note