Patient/Family Comfort Care Plan

Name: Family _________________, Pt. _______________, Medical Diagnosis _________________ Caregiver _______________

Alpha Press Beta Press Unitary Trend
Comfort Needs of Patient Comfort needs of Family Interventions Intervening Variables Pt's Perception of Comfort What Next? Health Seeking Behavior
Physical

 

Psychospiritual

 

Environmental

 

Sociocultural

Physical

 

Psychospiritual

 

Environmental

 

Sociocultural

The nurse...   Objective

 

Subjective

 

Supporting

Objective

 

Subjective

 

Supporting

The patient/family will ...

Note: For more writing space, please enlarge on 11 X 14" paper.