- 2Nov 17, '13 by SarahhrahhI really enjoy creating and writing out care plans. Am I insane? I get excited about the interventions and rationales that go right along with patient care goals and I don't even mind spending hours on one care plan. I feel like I learn much more about disease processes and critical thinking while creating care plans than I do just from reading out of my textbooks. I guess I use this time as an extension of the clinical day?
Does anyone else feel this way about care plans?!
- 0Nov 17, '13 by sjalvQuote from elieth478We aren't either. I feel like our school scrutinizes every little detail instead of focusing on whether or not we understand and can apply the knowledge we are presenting in the care plan.You like them now, wait until they're 30+ pages of research articles supporting your diagnosis and interventions. In my school, were not allowed to use the nanda care plan book at all.
- 0Nov 18, '13 by TrevyRNI didn't mind them ... WHEN I HAD TIME TO DO THEM (in other words, never during school LOL). Even though I received decent grades, I felt there was a lot of arbitrariness in how they were graded. Each teacher at my school had different opinions about how they should be completed. Glad school is OVER!
- 0Nov 19, '13 by elieth478Quote from sjalvMy school definitely does. The care plan is like a paper that needs to be written, I learn from it but I don't think it needs to be that crazy. NANDA book explains everything but we cannot use it.We aren't either. I feel like our school scrutinizes every little detail instead of focusing on whether or not we understand and can apply the knowledge we are presenting in the care plan.
- 0Nov 19, '13 by elieth478Quote from Esme12We can look at it and use it as a guide, but we cannot do the interventions and rationales from it. I use it as a guide to pick the interventions still, but I look for research articles that have the rationales for doing those things.How can you do a care plan without using the NANDA I book?
- 1Nov 19, '13 by GrnTea, BSN, MSN, RNQuote from elieth478There seems to be some miscommunication here. There is no such thing as a "nanda care plan book." I sometimes hear students say things like, "I need two nandas." There is no such thing as "a nanda."You like them now, wait until they're 30+ pages of research articles supporting your diagnosis and interventions. In my school, were not allowed to use the nanda care plan book at all.
There are care plan handbooks (like Ackley or Carpenito), there are nursing intervention and outcomes resources (like NANDA, NOC, and NIC Linkages: Nursing Diagnoses, Outcomes, and Interventions), and there is the NANDA-I 2012-2014 nursing diagnosis reference (which you must have if your nursing diagnoses are to be remotely accurate).
I can understand your faculty not wanting you to just copy and paste interventions and outcomes-- you ought to have a decent handle on those already, and they want to see if you have learned enough nursing process and critical thinking to do that. But not to use the NANDA-I 2012-2014 to make and verify accurate diagnoses, that's ... irrational.
- 0Nov 26, '13 by chasingyouoldsSo we are gearing up for another semester of clinicals - and doing care plans on our residents/patients is a huge part of clinical paperwork. One of our instructors said to take the things from our Physical Assessment such as Poor Skin Turgor or Immobility and find a way to shape that as one of your Nursing Dx's, even if it's not your PRIMARY Nursing Dx, then add those in and also the interventions you would use in order to make your care plan shape out and cover all of your bases. Am I wrong? Did I explain that right?