Update
Intervention Or implementation is the specific care given of action taken
Evaluation Is an appraisal of the response and effectiveness of the plan
Revision Includes the changes that may be made to the original plan of care
Subjective Information is what the patient states or feels only the patient can provide this
information
Objective Information is what the nurse can measure or factually describe
Assessment Refers to an analysis or potential diagnosis of the cause of the patients
problem or need
Plan Is the general statement of the plan of care to be given or action to be taken