[RNinJune2007]

Hello! I did very well my first unit, taught by a certain teacher. This unit is taught by another and the majority of my class is COMPLETELY lost! When the teacher gives examples, it makes sense but when we're left on our own, it's extrememly difficult to know where to start!

It will be the nursing DX r\t (what it's related to), aeb (then the signs and symptoms)

Does anyone have any pointers to make this easier??

Thanks in advance!!

[psalm]

...do they have to be NANDA? Did you have a book you needed to purchase for care plans? Your med-surg book should have some cases that include care plans so check those that would correspond with the medical & nursing diagnoses. What is the pt in the hosp for? The dr's diagnosis of pneumonia would point you to Airway and Breathing problems...

ie Impaired gas exchange r/t aeb

You fill in the blanks with what is going on with this individual pt.

[stressgal]

Here is an example:
Knowledge, deficient regarding condition, treatment, and self-care R/T lack of information AEB patient’s comments about reason for hospitalization.

Nursing DX ( from the Nanda approved list): Knowledge deficient
RT (why is the client deficient): lack of information
AEB (how do I know the client meets the diagnosis) : patient’s comments

Here's another one

Skin/Tissue Integrity, impaired R/T surgical procedure AEB presence
of incision

Nursing DX: Skin/tissue integrity impaired
RT(why is the skin/tissue integrity impaired): surgical procedure
AEB (how do I know the skin/tissue is impaired): presence of incision

I would reccommend a good care plan book. There are many available. You do not need to "create" these out of thin air.
Hope that helps.

[MIA-RN1]

The orange dx book put out by Ackley is great because in the front it lists medical dx's with their corresponding nursing dx's/

[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/

[NRSKarenRN]

:Melody: ELK, thanks for the link. What a FANTASTIC resource.

Bookmarking site and stickying thread. :hatparty:

[NRSKarenRN]

P.S.:
New term for us oldtimers-- guessing AEB short for "as exhibited by"

[chuckc]

Don't know if this will help, but I read my care plans back to myself backward to check it, from nursing interventions back to nurse dx, and each should relate to one another and make sense. Works for me. On the r/t I usually use s/sx and secondary to med dx. I use AEB on my desired pt outcome, it says how I will know it was effective RE: Pt skin integrity will remain intact AEB no skin breakdown during shift. Not a great example, but you get the picture. Hope this helps

[almostthere07]

I don't know if this helps but we use the PES format
Problem, Etiology, Sx

Example Problem, related to (cause), mainfested by (signs and symptoms). I agree with reading it back to yourself backwards. It helps

[cardiacRN2006]

We use AMB-as maniested by..
I love that link. I never had problems with making care plans, but that website practically does it for you!!!! Awesome!