[Daytonite]

If you are having difficulty choosing a nursing diagnosis or you need to see what the related factors (causes, "related to" part of your diagnostic statement) or defining characteristics (symptoms, "as evidenced by" part of your diagnostic statement) for a specific nursing diagnosis and don't have a care plan book or nursing diagnosis handbook to use as reference, you can check the websites I've listed below for the nursing diagnosis listings on these sites for that information. They are part of the companion care plan constructor sites for two of the cares plan books that Elsevier publishes. Remember that each of your nursing diagnoses must have at least one related factor and one or more defining characteristics in order for you to properly be able to assign that nursing diagnosis to your patient. Many of these nursing diagnosis listings will also contain the official definition of the nursing diagnosis, outcomes and nursing interventions specific to that diagnosis as well as suggestions for patient teaching and rationales. Briefly reading through what is provided for these nursing diagnoses will tell you almost instantly if you've chosen the right nursing diagnosis or you need to keep on looking for something else.

http://www1.us.elsevierhealth.com/MERLIN/Gulanick/Constructor/index.cfm - this is a list of the nursing diagnoses that are available for viewing of the website. Just click on one for the accompanying page to come up.

http://www1.us.elsevierhealth.com/Evolve/Ackley/NDH6e/Constructor/ - you want to know which nursing diagnosis you want to look for, or have a specific symptom the patient is experiencing in mind. In the area where is says "Start New Plan" you want to to #1 and click on the alphabetic range that the diagnosis or symptom you are looking for will be and click on those letters. A page of links will come up. Clicking on symptoms will give you a list of potential nursing diagnoses. Clicking on a nursing diagnosis will take you to that particular nursing diagnosis page.

[msmaximus]

Use the Care plan builder, free, online. Type in Ackley + care plan, and then you pick your diagnosis alphabetically, the builder does the rest, it will save you a ton of time flipping through the books. Good luck.

[Daytonite]

Originally Posted by msmaximus

Use the Care plan builder, free, online. Type in Ackley + care plan, and then you pick your diagnosis alphabetically, the builder does the rest, it will save you a ton of time flipping through the books. Good luck.

Dude! That's the same link I just posted above the other day! No searching involved.

[nursingcareer4me]

YOU ARE MY HERO'S ! ! ! ! ! ! Thanks

[L&DRN08]

This could quite possibly be the best post I've ever read on here!!!!!!
THANK YOU!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!

Originally Posted by ELKMNin06

Trust me it gets easier! Try this website, its an online care plan consructor..just put in your dx!

http://www1.us.elsevierhealth.com/ME...H/Constructor/

[L&DRN08]

THANK YOU!!! I was battling myself with this just a little while ago...thinking how can I use AEB with at risk for!!! Although still struggling with my care plan...I do feel better knowing that my thought process was on the right track...somewhat!!



"AEB CAN "NOT" BE USED WITH AN AT "RISK FOR" DX."

[Daytonite]

Originally Posted by TaraRN07

THANK YOU!!! I was battling myself with this just a little while ago...thinking how can I use AEB with at risk for!!! Although still struggling with my care plan...I do feel better knowing that my thought process was on the right track...somewhat!!



"AEB CAN "NOT" BE USED WITH AN AT "RISK FOR" DX."

Just to clarify for anyone who might read this. . .AEB's are the symptoms that are the cause of a person's nursing diagnosis. Because a nursing diagnosis that begins with the words "Risk for" is not an existing nursing diagnosis, but one that we are attempting to prevent from happening, there are NEVER going to be any AEB's in that kind of diagnostic statement--EVER. This is a NANDA guideline.

The only exception to this would be specific directions from your instructors to do this. But, please don't assume that all other students in the country are supposed to do this also. Most nursing instructors teach their students to follow the NANDA guidelines.

[TamRN2Be]

hey! i'm in my 3rd semester of nursing and i've had problems with care plans too!! they suck! anyways...here's a tip ..this helps me...

example:

impaired physical mobility r/t (pathophysiology)...

in otherwords, after r/t, think of it as describing what's going on in the body. so, if impaired physical mobility was the nursing dx, an example could be...

*impaired physical mobility r/t diminished muscle tone, acute pain in joints, limited range of motion, ordered bed rest secondary to (surgery/sickness?)....
OR
*risk for falls r/t confusion, poor eye sight, unsteady balance, ...

you're just taking your nursing dx and breaking it down into whats literally going on in the body to cause this, without using a medical dx.

as for the "aeb", at our school, we use as evidenced by in our goal statements...so ...

"Patient will have improved physical mobility within 24-48 hours. AEB: displaying increased range of motion, verbalizes <2 level of pain in joints, etc..." so i go back thru my r/t statements and show an improvement in them for the AEB statements. Does that help??? I sure hope so.

[MD1211]

Originally Posted by Daytonite

Just to clarify for anyone who might read this. . .AEB's are the symptoms that are the cause of a person's nursing diagnosis. Because a nursing diagnosis that begins with the words "Risk for" is not an existing nursing diagnosis, but one that we are attempting to prevent from happening, there are NEVER going to be any AEB's in that kind of diagnostic statement--EVER. This is a NANDA guideline.

The only exception to this would be specific directions from your instructors to do this. But, please don't assume that all other students in the country are supposed to do this also. Most nursing instructors teach their students to follow the NANDA guidelines.

That's what I thought. Thanks for the clarification. I suppose I will just continue with it until I finish my class.

[emeraldbutterfly,RN]

you can check the back of the Taber's med dictionary, there's a section labeld NDX (nursing diagnosis). If your pt has pneumonia, CHF, HTN, hypoglycemia etc look it up, and then it will give you a great nursing dx.
Also getting a nursing care plan book is very helpful, I have the Ackley Ladwig 6th ed. nursing diagnosis handbook. well worth the money. Nursing dx, interventions, gaols etc are in there. Look into it, hope this was helpful!