This is advice I've read on here time and time again.. And it seems like sound advice, so I go by it. Obviously you'll probably learn more by taking care of a patient with CHF vs one with cellulitis. However, I'm starting to regret this week's choice. We have to write a care plan with the patho, analyze the labs, and all the patient's meds. We have 36 hours to turn it in, and that includes sleeping time. I also have a job and have to work on Thursdays.
This week, I chose the toughest patient. This person's admitting dx were neutropenia and pneumonia. Welllllllll...
The person has metastatic bone and prostate cancer and is receiving radiation for it, which caused his neutropenia. Because of the low WBC count, he acquired C. diff.
He also has CHF with chronic generalized edema. He has 3+ pitting edema in the lower extremities and 1+ generalized. Along with that, because of the CHF and pooling of fluids, he has atelectasis (I may have spelled that wrong but I'm too tired to look it up at the moment) that caused the pneumonia.
Now I have to write the patho of all of that, address all the abnormal labs, and write a care plan addressing all the issues. Yes, picking the toughest patient will cause you to learn A LOT, it's true. However, for the sake of my sanity, I may go with a mediocre patient next time.
This was just a vent, because I'm tired and not going to bed anytime soon because of this, so I needed to get it out, no better place than the lovely internet