Care plans-Useful tool or evil spawn of Satan

  1. Fellow sufferrers,

    Do you think anyone has ever anticipated a nursing diagnosis?

    "Looks like my patient could be bummed out about the six-months-to-live thing Frank, I'm just waiting for the nursing diagnosis so I can write my consult."

    No,not likely.

    Or how about.

    "once he was diagnosed with emphysema,it was only a matter of time before we had the breakthrough about his inability to clear secretions being related to his dyspnea...........If it wasn't for the fact they take common sense and try to twist it into an aberration of English syntax to make it look like rocket science.....well,we never would have stumbled upon the pursed lip breathing teaching either.brilliant! "

    I know,I know,care plans build a foundation of whatever.......well,why can't nurses just treat those problems with accepted courses of action.

    For instance:
    DX of COPD TX course,
    Ensure adequacy of secretion clearence.
    Teach orthopnic breathing with emphasis on pursed lip method for use in times of exertion/distress.

    Monitor for cyanosis,wheezing,rales,disorientation...ETC

    Who needs to have a philisophical methodology to do that?
    All you need is a list of "interventions" for each disease.

    Individualized care?......Sure as heck is,that individual has COPD ,I don't need to involve his childhood for gawds sakes!!

    Does anyone else feel like a pet psychic? I think I'll have trouble convicing anybody(especially myself)that this is helping me learn something of value.
    Why waste time with science courses in pre reqs? Why not just require full-on psych courses?

    Glad I could get you all pumped up for clinicals
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  2. 22 Comments

  3. by   babynursewannab
    BWAHAHAHAHAHA! Too funny!

    I completely agree with you.

    Evil spawn of Satan!

    -Alyssa
  4. by   essarge
    Hi! Rocket Scientist to be here. You are right. I think these go into the same category as APA format papers!! Whatever happened to the good old fashioned way of doing things...remember those? The who, what, where and when answers?

    I agree Peeps!! Perhaps they should make nursing diagnosis/APA/rocket scientist a new college degree.....just think of the money they'd make then!! LOL!!
  5. by   spineCNOR
    Well, maybe not so much Spawn of Satan as they are Spawn of academians with WAY TOO MUCH time on their hands, and WAY TOO LITTLE actual clinical experience!!!!!

    By the way, Peeps-love your avatar!
  6. by   NurseAngie
    Definitely.....EVIL SPAWN OF SATAN!:chuckle

    ~Angie
  7. by   hoolahan
    Originally posted by NurseAngie
    Definitely.....EVIL SPAWN OF SATAN!:chuckle

    ~Angie
    Absolutely agree!

    Peeps I love to read your posts about nursing school. However I am afraid you suffer from a knowledge deficit. Your expectations are incongruent with your developmental (nursing school) level.

    In other words, you make sense, nursing school doesn't...period!!

    Care plans are the attempt to make nursing into it's own science. It isn't even taken seriously in the hospitals, If the have care plans, they are pre-done checklist types, now how "individualized" is that? It is an evil exercise for nursing students. Think about this, I was a nurse for 17 years before I went back for BSN and had to waste a few more years doing them again.

    Just try to humor them to get through it Peeps, you already show good ligic and critical thinking IMHO, so you'll make a great nurse when you are through!
  8. by   adrienurse
    I am a firm believer that careplans were meant to be individualized. My facility uses standardized care plans -- and I think this is the stupidest idea in the world (for my client base anyway). They just aren't appropriate for everyone. Because they are so non-user friendly, nobody even looks at them once they are filled out (a policy requirement). It's all just a make-work project.
  9. by   Love-A-Nurse
    originally posted by babynursewannab
    bwahahahahaha! too funny!

    i completely agree with you.

    evil spawn of satan!

    -alyssa
    you "guys" are too funny! :chuckle
  10. by   meownsmile
    OH definately the spawn of saten,, just hang in there,,

    When you get done,, the first lesson on orientation is,, enter,, enter,, 1 enter,, enter,, 2 enter,, give them a date and hit enter again.. LOL,,,
    Geez,, so much ado about nothing, hours of obcessing and writers cramp,, and a feeling of wanting to set fire to the darn care plan book and med reference,,,just to get finished with school pass your boards and find out all you have to know is your numbers and how to hit ENTER!!!!!!

    OH and maybe that your comotose patient cant reach a 2+ on their teaching plan. Funny isnt it,, you spend hours writing those darn things,, and it took me a total of 10 min to whip out 3 care plans tonight before i left work.
  11. by   CountrifiedRN
    I vote for evil spawn!!!
  12. by   farmmom
    I have to agree also however,ask the hospital or nursing home why this is in effect and they and the doctors will refer you to the insurance company that handles lawsuits because lulu belle on the 13 floor care was insufficient and the insurance company can say WRONG here is the proof
  13. by   Peeps Mcarthur
    Posted by Meownsmaile

    When you get done,, the first lesson on orientation is,, enter,, enter,, 1 enter,, enter,, 2 enter,, give them a date and hit enter again..
    I submitted that one to my clinical this AM and she was awstruck by its professional theme,however she cautioned that I'm not quite ready to do care plans in such an advanced form and that I should just concentrate on the appropriate interventions regarding drool for now.

    I realized I was waaaaay ahead of the curve so I wrote a step-by-step plan for walking while chewing gum instead...............Bit my lip anyways......gee,I'm lucky to be learning so much.
  14. by   Lausana
    Thanks Peeps & the gang for a good laugh I need today...

    Satan: "hmm, how can I torture these already on the verge students and push them one step closer..." <rubbing chin devilishly in thought> "Muhahahaah I've got it!....." :angryfire

    Happy care planning and studying y'all!

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