CAREPLANS HELP PLEASE! (with the R\T and AEB) - page 10

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... Read More

  1. by   Smckee1009
    Hey I had the same problem until it got broken down to me. You would use your NANDA. Impaired Skin Integrity r/t 1)immobility or 2) cacheria or 3)back brace aeb a) absence of redness, wounds, scrapes, aceration Maybe this will help some.
  2. by   nursey23
    helo guys.. i hope i can get some help regarding the diagnosis of my assigned situation. i have the nanda book but this is the first time im making a care plan and i am not certain which problem should be diagnoses/focused first.

    the situation goes like : patient is a female, admitted from a mva. her bf who was with her died in the accident. when you, the nurse attended to her, you noticed that both her legs were in a cast. she won't talk to anyone or eat anything.

    thanks guys
  3. by   Daytonite
    Quote from nursey23
    helo guys.. i hope i can get some help regarding the diagnosis of my assigned situation. i have the nanda book but this is the first time im making a care plan and i am not certain which problem should be diagnoses/focused first.

    the situation goes like : patient is a female, admitted from a mva. her bf who was with her died in the accident. when you, the nurse attended to her, you noticed that both her legs were in a cast. she won't talk to anyone or eat anything.

    thanks guys
    you need to review the information on this thread on allnurses:
    i wrote two rather lengthy posts today to questions on how to write care plans. i would just be repeating the information. please read these threads:
    after reading this information, if you are still having trouble, ask a specific question and post it in it's own thread on the student assistance forum (http://allnurses.com/forums/f205/).
  4. by   alexis_astig_simple
    help

    im a incoming student of bsn

    and im having a hard time
  5. by   Daytonite
    Quote from alexis_astig_simple
    help

    im a incoming student of bsn

    and im having a hard time
    what specifically about writing a care plan are you having a hard time with?

    did you read all the other posts on this thread? some of the answers to questions you have might been already been given. there's also another thread with help on writing care plans on allnurses. here's a link to it: http://allnurses.com/forums/f205/des...ns-170689.html

    by the way, welcome to allnurses!
  6. by   arual56
    Quote from 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!!
    If you ask at your local bookstore or Med school book store, they should have "Sparks and Taylor's Nursing Diagnosis Cards." These are cards, seperated by diagnosis that give you easily accessible Nursing Diagnosis. They are not very expensive, a lot less than the books, and are much easier to work with in my opinion.
  7. by   Pbe
    Sorry RNinJune2007. That part of class thru me too but I always tried to do one part at a time. I think that stressgal has the best examples to go by but I do understand you when you say thats all good until you have to do it yourself. Try to get the first part before you start thinking about the second part. Just break it down alittle at a time.........Good Luck!
  8. by   nursing twin
    I was required to buy Nursing Diagnosis Handbook by Ackely and Ladwig seventh edition and it's great for diagnosis b/c say your person has a hip fracture...you just go to that hip fx in the beginning and it will give you a list of potential diagnosis for that condition. Then I prioritize what is most important for that patient. Remember ABC's these should be a top priority. Did that person complain of their pain all shift and rate it high? then I would give acute pain r/t injury as manifested by pt reports pain 8/10. My instructor would ask us to give one diagnosis we think is important and one the patient thinks is important. I think it's helpful to consider what the patient is concerned about because I think we tend to concentrate on our own viewpoint. I don't know what policy your hospital has but we can bring labs and other data home as long as it has no identifiers on it. I usually go to the copy machine and then take scissors to cut the info out. It saves you time from writing down numerical data. I usually go through the nursing notes on that patient and look at their chart to get their past med hx and all that stuff you need to fill out depending on your care plan. I usually have to look at my assessment book and then I use the internet to pull information about a disease, type of surgery or pathopysiology quickly. It takes alot of time for a good care plan so spread it out in days if you can. Learn from the feedback your instructor gives you. Lastly I think it's helpful to remember that you need to mention a medical condition throughout your care plan. Say a person had a cardiac issue and you mentioned in their history. don't forget to say it again in other areas that pertain to it such as assessment...etc.
  9. by   nursing twin
    oh yeah forgot to mention cut and paste is your friend. saving drug info that is used for almost everyone...ducostate, acetaminophen... assessment that is normal. my teacher gave me this great advice to save time. we had soo many hip fx that were similar.
  10. by   Daytonite
    Quote from nursing twin
    i don't know what policy your hospital has but we can bring labs and other data home as long as it has no identifiers on it. i usually go to the copy machine and then take scissors to cut the info out. it saves you time from writing down numerical data. i usually go through the nursing notes on that patient and look at their chart to get their past med hx and all that stuff you need to fill out depending on your care plan. i usually have to look at my assessment book and then i use the internet to pull information about a disease, type of surgery or pathophysiology quickly. it takes a lot of time for a good care plan so spread it out in days if you can.
    this pretty much describes step #1, the process of assessment, when putting together a care plan. all the information is the foundation that is needed to put together the nursing diagnosis, outcomes and interventions. this past week another student asked what information they should be collecting from their patient's charts. i gave a very lengthy reply based on information from a number of resources since there seems to be some confusion about what actually constitutes assessment data. you can find that information on this thread on post #5 on the nursing student assistance forum: http://allnurses.com/forums/f205/hel...ay-227507.html.
  11. by   tinesia
    Boy careplans careplans, I know i had such a difficult time with those I do remember my instructor saying that you may not always have AEB or AMB because the Dx may be risk for or potential for so the patient may not be showing evidence/manifestations of the issue. For example the dx may be Risk for infection r/t invasive procedure, decreased immune response etc, etc, however if it was an Actual infection r/t invasive procedures, decreased immune response AEB diarrhea, increased WBC count of #, positive bacterial culture etc etc.
  12. by   Beads4u
    care plans are exactly that when the patient comes under your care... For example:

    Alteration in Comfort:Pain r/t surgical incision as evidenced by pt pain level 8/10 Wong Baker scale

    one place that helped me my 1st semester was the following website..

    http://www.rncentral.com/nursing-library/careplans
  13. by   mahaljea
    wow...awesome..i got new ideas from here...by the way im a 4th year nursing student from philippines...i really love the links you shared....GOD bless us all.....

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