This document is a completed sample care plan, specifically designated as “MS2,” created by a student, Latonya Bell, for the Adult Nursing I (NUR 163) course at Jersey College Nursing School. It was submitted on June 22, 2022.
This type of assignment is crucial for nursing students to demonstrate their ability to assess a patient, identify potential health concerns, and formulate a basic plan of care. It’s typically used as a graded exercise to evaluate understanding of fundamental nursing principles and documentation skills. This sample serves as an example for other students in the course.
This care plan *does not* represent a complete or exhaustive patient assessment, nor does it provide definitive medical guidance. It is a student work product and should not be used for actual patient care.
This document provides a completed RAM (Recall, Assess, Monitor) assessment form, including sections on vital signs, past medical history, nutrition, neurological, respiratory, cardiovascular, skin, wounds, IV access, mobility, GU/elimination, and psycho-social status. It includes documented findings for each area. However, it *does not* include the rationale behind the assessments, potential nursing diagnoses, or detailed interventions. This preview only shows the completed form itself.
