Care plans- student nursing - page 3

Hi All, How have you been doing with Care Plans? Want to share any comments or opinions? Thanks, Marie:)... Read More

  1. by   2003rn
    I'm a second year student also,this semester instead of doing careplans we are doing concept mapping.They don't take as much time.
  2. by   FranEMTnurse
    I sure wish we had the option of doing that. My homework experience was overwhelming. The care plan was three very large pages long, and we had to provide the nursing diagnosis, three interventions, and three outcomes, plus three tests that matched the diagnosis, and why those tests, andthree different medications used and why they were chosen.
    I felt braindrained when graduation time appeared,
    but I received a perfect attendence award, even though I had a (reported, but dismissed)50 centimeter rotator cuff injury that I had repaired soon after graduation.
  3. by   Mkue
    Originally posted by Frances LeMay
    I sure wish we had the option of doing that. My homework experience was overwhelming. The care plan was three very large pages long, and we had to provide the nursing diagnosis, three interventions, and three outcomes, plus three tests that matched the diagnosis, and why those tests, andthree different medications used and why they were chosen.
    I felt braindrained when graduation time appeared,
    but I received a perfect attendence award, even though I had a (reported, but dismissed)50 centimeter rotator cuff injury that I had repaired soon after graduation.
    You do deserve a AWARD for that ! Congrats on your graduation and welcome to the BB

  4. by   Mkue
    Originally posted by kittyw
    Here's a sample from one of my peds patients (she was such a sweet little girl) ... just the info for one system and one intervention .... I didn't include the background patho, ECO, goals, & the other interventions I wrote up.....

    At risk for alteration in cardiac output: decreased r/t incompetent aortic valve secondary to Cornelia De Lange Syndrome s/s loud S2, fatigue, capillary refill > 3 sec., cyanosis, cool skin temperature, and decreased blood pressure.

    Cornelia de Lange syndrome is a genetic abnormality that involves anomalies in the cardio-vascular system. An incompetent aortic valve forces the heat to pump and repump the same blood because the valve does not close properly and blood backflows. Inadequate emptying of the ventricles results in increased pressure in the cardiac chambers, which leads to decreased pulmonary and systemic venous return and subsequent vascular congestion. To compensate for decreased cardiac output, there is an increase in sympathetic nervous system activity, ventricular dilation to accommodate the increased volume of blood remaining in the ventricles, stimulation of renin-angiotensin-aldosterone output and ADH release, and eventual ventricular hypertrophy. These compensatory mechanisms temporarily aid in maintaining an adequate cardiac output but eventually have a deleterious effect on the heart. (Marieb)
    Intervention 1.) The nurse will promote a calm, quiet environment. Rationale: Stress causes a higher output of glucocorticoid hormone - cortisol. Cortisol promotes Na+ and water retention and potentates the actions of epinephedrine. Epinephedrine can over stimulate the beta1 receptors causing and increase in heart rate and contractility thus increasing the workload of the heart. The increase in Na+ and water also increases the workload of the heart by providing an increase in SVR that the heart has to pump against. (Moore)


    I do agree ... cut & paste is one of the best features of the computer!!!
    Thanks kittyw, did you cut and paste that post?? very good, thanks again Great sample !!
  5. by   kittyw
    Cut and paste from my 1st careplan for my peds rotation....
    Thanks (taking a bow) :chuckle
  6. by   GPatty
    I used a book that I bought. It was very thorough and I got an "Excellent" on my first care plan that I used that book!
  7. by   Vsummer1
    originally posted by julielpn
    i used a book that i bought. it was very thorough and i got an "excellent" on my first care plan that i used that book!
    okay -- out with it!! which book!!!
  8. by   Mkue
    originally posted by vsummer1


    okay -- out with it!! which book!!!
    yes, would you care to elaborate julielpn?? lol. :d
  9. by   Nurse K-Bear
    we do concept mapping to for our second year. Much easier. when we did care plans we only had to write them on one patient each week. The patho, goals etc are all on the cncept map as well. The concept map is easier for me because I am a visual learner.

    I had a care plan book from mosby's it came with a cd rom as well.
    you can also do a search for nursing care plan sites on the internet

    Where I work, we have a check off care plan/flow sheet. Much easier which we could use these from school.
  10. by   Rena RN 2003
    http://search.barnesandnoble.com/tex...sbn=0803609469


    this is absolutely the best care plan guide out there, imo. i have care plan books by 4 different authors. this is by far the most comprehensive, easiest to use, and has gotten me nothing but satisfactory grades when it comes to care plans.

    i have bought the doenges med/surg, maternity, and psych care plan books and love them all.
  11. by   FranEMTnurse
    Thanks Nurse-2003. It was nice of you to respond to my reply, and to welcome me to the BB.
    Good luck in your new career in 2003.
  12. by   Mkue
    Originally posted by Frances LeMay
    Thanks Nurse-2003. It was nice of you to respond to my reply, and to welcome me to the BB.
    Good luck in your new career in 2003.
    Welcome Frances LeMay glad to have you here !

  13. by   FranEMTnurse
    Yes, those CAREPLANS are a real PAIN! But they do have their benefits. They teach us the proper form or nursing.
    But honestly speaking mKue, I am glad I don't have to deal with them any longer.
    I had a severe anaphylactoid reaction to of all things, Niacin; a water-soluble vitamin, and it left me disabled. I had a CVA.

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