What is the first step of preparing a care plan?


Editorial team Published on

The first step that must be completed to write a patient care plan is a comprehensive assessment.

Assessment Process

  • Data collection: Gather both subjective data (patient statements or feelings) and objective data (measurable signs like vital signs, lab results, and physical exam findings).
  • Review history: Examine the patient's medical history, current medications, imaging, and psychosocial factors.
  • Establish baseline: Form a complete clinical picture of the patient's current health status before identifying any problems or setting goals.