study, or a guess you can call it a Case mangement, Are there any website that anyone can suggest that will show me how to do this paper that is due? IM confused!

Is this a Care Plan you're working on? Did they give you any examples or anything?

NO they didnt give us any examples... I dont know where to begin.. Its almost like a nursing care plan but with more information...

Is it a case study? or a care plan? Do you have an actual client? I would have to know these answers before I could help you one way or another. :)

We had to do one of these every semester. It included all patient assessments objective and subjective, med list with what the

meds are and their action, why they are being used, the pathophysiology of their disease, rationale for the Dr's orders, their developmental level according to Erickson, comprehensive nursing diagnosis list, and 3 nursing diagnosis worked through to evaluation and modification with rationale for interventions.

By the time I completed this paper it was 10-15 pages long. I have several that I have completed, if you want, PM me and I will e-mail you a copy of one of them to give you an idea.

I am suprised that your instructor has not given you a rubric to follow, I woud inquire as to what she is looking for, it's not fair to the student to assign something and not say what she is looking for.

I did a paper very similar to RN2Be's last semester - everything from soup to nuts on the patient, his diagnosis, meds, etc., but our instructor wanted emphasis on the discharge plan, i.e. pt. teaching, after care plan, etc. As above, mine got quite lengthy also, at least a dozen pages.

*A* paper? Are you kidding me? WE do these EVERY SINGLE WEEK of last semester and this semester!! The night before clinicals we go pick out our client. We prepare history, epidemiology of each diagnosis, nutrition info, labs that are already done and ones that we think should be done(including abnormals and what they mean and 2 interventions for each), pathophysiology of each diagnosis, generalized subjective and objective data out of the client's chart and from a brief interview, a nursing diagnosis, short term goal, 3 interventions and rationale to each one. PLUS all of our drug cards written out with side effects, nursing implications, action, trade and generic names and we must memorize 3 side effects, 2 nursing implications and 1 teaching implication, and the action of every drug the client is taking. Then we go to clinicals. After clinicals we write out a holistic nursing list and prioritize them. The #1 on our list is what we write our STG over etc. If we are lucky and we chose what is their number one problem then we are almost done, otherwise we may have to redo the whole nursing process page. We also have to turn in a physical assessment sheet and a journal every week. :) So, not everyone has to do all this???

To Twintoo:

My sentiments exactly! I wrote so many of these, I felt I knew each and every patient I took care of WAY TOO WELL. Looking back, I'm glad for the experience, but at the time it was very stressful.

Twintoo:

yep...I do them every week as well. Sound very much like yours indeed. They average about 13 pages or so. Pick up our patient info the day before clinicals and get prepared the same way you do. Then the report is broken down into systems where we have to list *everything*.... and an intervention that we did and a rationale from our book r/t the patient and list the reference. Also the meds, s/e, etc. etc. etc. Basically spend my whole weekend doing this.

we had to do one of these every semester. it included all patient assessments objective and subjective, med list with what the

meds are and their action, why they are being used, the pathophysiology of their disease, rationale for the dr's orders, their developmental level according to erickson, comprehensive nursing diagnosis list, and 3 nursing diagnosis worked through to evaluation and modification with rationale for interventions.

by the time i completed this paper it was 10-15 pages long. i have several that i have completed, if you want, pm me and i will e-mail you a copy of one of them to give you an idea.

i am suprised that your instructor has not given you a rubric to follow, i woud inquire as to what she is looking for, it's not fair to the student to assign something and not say what she is looking for.

one each semester? oh my gosh, every single one of our care plans follow this format. it takes hours to complete one of these. by the end of the semester, we're supposed to be doing four a week. they're called dhats, daily holistic assessment tools and are the bane of my existence. there's a general assessment sheet, a medication sheet that gives the rationales, a lab sheet that gives the rationales, the results and the normal values and there is the nursing diagnosis sheet with three 3-part diagnoses and that whole 9 yards.