[Daytonite]

Hi, motan_shmecker, and welcome to allnurses!

There are weblinks to case studies that are on the Internet on post #68 of this thread. Please look at them to see how a case study is done. A case study is actually a nursing care plan that is presented in a narrative form. You can find information on care planning not only on this thread, but also on this one on allnurses: http://allnurses.com/forums/f50/careplans-help-please-r-t-aeb-121128-7.html - CAREPLANS HELP PLEASE! (with the R\T and AEB) (in General Nursing Student Discussion Forum). I also encourage you to post a thread with any questions you have with your case study(ies) and I will help you get through the process of putting them together.

The purpose of doing case studies is for students to learn as much as they can about certain medical diseases. Nursing school isn't just learning about giving nursing care. We also have to learn about the major medical diseases, their signs and symptoms, how the doctors go about diagnosing them, what tests they order, how they treat the symptoms the patient has, how they sometimes are able to cure the underlying cause of the disease and what drugs and therapies are commonly ordered. Why? Because in many cases, we are going to be giving those drugs and monitoring, giving or overseeing the institution of the treatments that are being ordered by the doctor. To NOT learn this information would be shortchanging yourself and your future patients. And our goal is to be the best nurse we can be, isn't it?

Some of this medical disease and lab/x-ray and other test information can be found in many different textbooks and in the websites posted on this thread of allnurses:
http://allnurses.com/forums/f205/medical-disease-information-treatment-procedures-test-reference-websites-258109.html - Medical Disease Information/Treatment/Procedures/Test Reference Websites. This particular list of websites, by the way, originally came from an LPN school website. I just greatly expanded and added to it.

See you on the allnurses forums!

[homieboi]

anyone here has or have NCP's for pneumonia...? thankz!!!

[Tampagirl]

Originally Posted by homieboi

anyone here has or have NCP's for pneumonia...? thankz!!!

You wouldn't be able to use one if someone did because you have to format the careplan for your patient. If you don't hve a care plan book I recommend getting one because it'll make writing them out much easier.

[homieboi]

i was asked to do NCP's for pneumonia even without a patient. So any NCP's for pneumonia will do. Thankz in advance.

[Tampagirl]

Originally Posted by homieboi

i was asked to do NCP's for pneumonia even without a patient. So any NCP's for pneumonia will do. Thankz in advance.

OH. I don't have one but if you have or can get your hands on a care plan book there should be some in there.

[homieboi]

Thankz Tampagirl... but if somebody has or have NCP's of Pneumonia can u post it here.. thankz...

[Daytonite]

Originally Posted by homieboi

Thankz Tampagirl... but if somebody has or have NCP's of Pneumonia can u post it here.. thankz...

You know, I've watched and read each of these 3 posts you've made to this thread. With all the effort you are taking to FIND a care plan on pneumonia you could have constructed one already using the information from this thread as well as these other two threads:

• http://allnurses.com/forums/f50/careplans-help-please-r-t-aeb-121128-7.html - CAREPLANS HELP PLEASE! (with the R\T and AEB) (in General Nursing Student Discussion Forum)
• http://allnurses.com/forums/f50/help-care-plans-286986.html - Assistance - Help with Care Plans (in the General Nursing Discussion Forum)

In the above threads are links to sample care plans. I can't tell you what posts they are on exactly. You'll have to read through the posts to find them. There is probably a link to a care plan for pneumonia there.

You would learn a great deal about what a nursing care plan is and about critical thinking if you constructed this care plan yourself. The first care plan efforts that you make are always going to be the most difficult and take the longest time to do. That is part of learning. It gets easier with each care plan you do. But you have to have the courage to take the first steps. Care planning is intimately tied in to problem solving as an RN. It is merely the written documentation of your ability to problem solve. If you don't learn how to problem solve and think critically, you'll never be a good RN. You're not going to learn it by copying someone else's care plan.

You need to look up the signs and symptoms of pneumonia. Then, match those signs and symptoms with appropriate nursing diagnoses. Your goals and nursing interventions address the signs and symptoms that the patient is having. It's as simple as that. Read the information on the Assistance - Help with Care Plans thread on how to construct a care plan.

[agdmarie]

When doing your care plans, always the priority one's should be addressing the pt's. physiological needs, then address their psychosoical needs (EX. knowledge defecit, anxiety, and so on).

Also when doing your outcomes, always make sure they are measurable.
-Pt. will maintain adequate oxygention throughout shift as evidence by: skin warm and pink, Oxygen saturation > 90%, PaO2 between 80-100, no shortness of breath, no cyanosis, etc.........

Hope this helps, I know when I was just starting nursing school, care plans were an entire new language. Feel free to message me if you have any further questions.

[agdmarie]

Originally Posted by HM3 S. Collins, SPN

DX prioritization....Desperately need help with careplans
permalink

HELP!
I have a pt admitted for interstitial pneumonia, and has anemia- low H&H and metastatic cancer of unknown origin, he has low prealbumin, protein malnutrition, hyponatremia, crackles in RLL, inspiratory wheezes in RUL, LUL, and LLL. He is on 12L O2 NC and has a O2 sat of 90-93%.

I have some nursing dx's thought of but not sure about the r/t part and which ones to use and in which order I need 3.
impaired gas exchange - What is the r/t part that I should include ?
Ineffective airway clearance- What is the r/t?
imbalanced nutrition less than body requirements- What is the r/t part? the man has a normal bmi but has protein malnutrition!
deficient knowledge r/t ? aeb pt asking why he is on steroids,
activity intolerance r/t ?
Chronic pain is r/t chronic disease process okay? he has met Ca in his bones- high WBC, low RBC, low H&Hbarely low Na+, and slightly high glucose- non fasting.

Can I use infection as a nursing dx or only risk for infection?
Any help would be greatly appreciated!

Okay, don't get too stressed here! This is an easy one. If you learn anything from nursing school, PLEASE let it be Airway Breathing Circulation!!!!!! I can't emphasize that enough. This applies to everything you do, assessment, care plans, prioritizing care, prioritizing which pt. to see first, test questions, and even your interventions.

You're on the right track, you just have to trust your intuition here. By what you have here I would go in this direction.....
#1 Ineffective airway clearance (remember airway!) r/t unable to remove secrections effectively

#2 Impaired gas exchange r/t the secretitions

#3 Imblanced nutrition: less than body requirements

#4 What about an infection diagnosis? The pt. does have an elevated WBC, what about his temp? Was it high as well??? Go with the infection diagnosis here.

#5 Chronic pain r/t disease processes

I also noticed that your pt. is on 12 liters of O2 per nasal canula. That is way too much. It sounds like to me that he needs to be on a non-rebreather mask. His sat's should be much higher than that, with that much oxygen. You really have to be careful with administering oxygen, you can cause oxygen intoxication in some pts., especially ones with COPD. What about his ABG's, did he have any? That will tell you if this pt. is compensating for his defecit. Also, a slightly high fasting glucose is normal in someone that has an infection. It is the body's natural way to react to an insult.

I hope this helps, if you have any other questions please feel free to message me. I try to answer messages as soon as I can. Stay with it, it will come to you, just takes some practice.

[Daytonite]

This student post:

Originally posted by HM3 S. Collins, SPN:

HELP!
I have a pt admitted for interstitial pneumonia, and has anemia- low H&H and metastatic cancer of unknown origin, he has low prealbumin, protein malnutrition, hyponatremia, crackles in RLL, inspiratory wheezes in RUL, LUL, and LLL. He is on 12L O2 NC and has a O2 sat of 90-93%.

I have some nursing dx's thought of but not sure about the r/t part and which ones to use and in which order. I need 3.
impaired gas exchange - What is the r/t part that I should include ?
Ineffective airway clearance- What is the r/t?
imbalanced nutrition less than body requirements- What is the r/t part? The man has a normal bmi but has protein malnutrition!
deficient knowledge r/t ? aeb pt asking why he is on steroids,
activity intolerance r/t ?
Chronic pain is r/t chronic disease process okay? he has met Ca in his bones- high WBC, low RBC, low H&Hbarely low Na+, and slightly high glucose- non fasting.

Can I use infection as a nursing dx or only risk for infection?
Any help would be greatly appreciated!

was also responded to and answered on this thread: http://allnurses.com/forums/f205/nursing-diagnosis-help-patient-interstitial-pneumonia-mets-bone-276459.html

Please. . .do not go assigning nursing diagnoses to patients without following the steps of the nursing process. Do your thorough assessment first. Develop a list of the patient's abnormal data (symptoms) and use that to determine your nursing problems (nursing diagnoses). Remember that every nursing diagnosis has a set of signs and symptoms and your patient must have one or more of these symptoms (NANDA calls them defining characteristics) in order to assign any nursing diagnosis to a patient.