CAREPLANS HELP PLEASE! (with the R\T and AEB) - page 2

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   Love4Me
    We use the Ackley book. It helps with activities and rationales but not all that great with the related to.

    Our instructor explained it to us that the related to is like the cause of the diagnosis. But the related to has to be in the present nothing in the past. It can't be a medical diagnosis and it has to be something that the nurse can do something about. For example, Disturbed sleep pattern r/t pain. Pain is in the present, not a medical diagnosis and something that nurses can do something about.

    The AEBs are your signs and symptoms of your NANDA. A bunch of students in my class would get mixed up with the AEBs. The would give s/s of the r/t and not the NANDA. For example, Disturbed sleep pattern r/t pain AEB client states "I only sleep 3 hours per night".
  2. by   tx2007
    The AEBs are your signs and symptoms of your NANDA. A bunch of students in my class would get mixed up with the AEBs. The would give s/s of the r/t and not the NANDA. For example, Disturbed sleep pattern r/t pain AEB client states "I only sleep 3 hours per night".[/QUOTE]


    We do ours like you atated above. We use nursing diagnosis refrence book by sparks and taylor http://search.barnesandnoble.com/boo...24&TXT=Y&itm=6 I think its great cause it gives you the Dx and R/T basically everythign you need.
  3. by   Momto3andNurse2B
    Quote from ELKMNin06
    Trust me it gets easier! Try this website, its an online care plan consructor..just put in your dx!

    http://www1.us.elsevierhealth.com/ME...H/Constructor/
    Wow, this really is great! I have a care plan due on Tuesday, and I think this will help me. It's funny, most of our books are from Elsevier, except the care plan book (Cox). Thanks for the great resource, ELK!
  4. by   MissBrn
    [font=Georgia]We used AEB- as evidenced by............. (whatever!)
    [font=Georgia]Here is an awesome book, it has been my bible for nursing school and I will never give it up! It is The Lippincott Manual of Nursing Practice, 7th ed. It is worth every penny (not as $ as some of the books I have bought through school. I found it when I was desperate for help my first year/semester and needed a careplan & concept map for a patient w/ kidney transplant rejection. When I saw this book--I kissed it!!!!!!
  5. by   aoutz
    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!!
    My teacher now is all about care plans and nursing dx. He says that related to part is objective information and the evidence by is related to what you see and what is causing the problem. I hope this helps
  6. by   GrnHonu99
    welcome guys

    We are doing "mini mind maps" but basically the same thing as a care plan....

    I have several saved on my computer if anyone is interested, the few dxs I can think of off the top of my head are:

    gastric bypass
    total knee replacement
    metatastic cancer..or cancer
    intestinal blockage

    so if anyone wants to see the care plans/mini mind maps I have for those just let me know
  7. by   uncled
    [Hello

    Here in Texas we no longer do careplans, but now were are doing concept care mapping, I think it is the same thing.

    Did you find someone to help you?

    Uncled
    QUOTE=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!![/QUOTE]
  8. by   uncled
    We are doing concept care mapping here in Texas, Do thing you can help me?
    Quote from ELKMNin06
    welcome guys

    We are doing "mini mind maps" but basically the same thing as a care plan....

    I have several saved on my computer if anyone is interested, the few dxs I can think of off the top of my head are:

    gastric bypass
    total knee replacement
    metatastic cancer..or cancer
    intestinal blockage

    so if anyone wants to see the care plans/mini mind maps I have for those just let me know
  9. by   NeoNurseTX
    anyone know where i can find nanda dx for healthy newborns online?
  10. by   Christian_SN
    CARE PLAN THAT I WROTE, HOPE IT HELPS SOMEONE. IT IS NOT ONE OF MY BEST, BUT HOPE IT HELPS!

    AEB CAN "NOT" BE USED WITH AN AT "RISK FOR" DX.

    ASSESSMENT AND EVALUATION MUST GO WITH THE NURSING DX.

    NURSING INTERVENTIONS MUST HAVE TIME PERIOD (EXAMPLE IS PRN OR Q4H PER MD ORDER)

    Assessment

    Sudden onset; shaking chill; rapidly rising fever of >101. Cough productive of purulent sputum (pink, thick).
    Pleuritic chest pain aggravated by respiration/coughing
    Dyspnea on exertion, no nasal flaring, or use of accessory muscles. all pulse sites palpable. IV antibiotics administered to patient as ordered by physician of vancomycim 0.5gm q6h
    Oxygen per cannula, 5L with nebulizer q4h. Respirations 28 and shallow. Apical pulse is
    weak at rate of 92. Pale and dry oral mucosa. Diaphoretic. Checks flushed, and hot. Inspiratory crackles in upper and lower chest. Fatigue and anxiety expressed. Non-smoker. no Hx of asthma. Hx of chest cold x2 weeks. Husband not at bed side. Side rails up x4. Call light within reach.


    Nursing Diagnosis

    Infection related to invading bacterial/viral organisms secondary to pneumonia as evidence by sputum pink and tick, Dyspnea, crackles in upper and lower field.


    Desired Outcome
    Throughout the hospital stay, the patient skin will:
    Improvement of infection aeb , normal WBC, negative sputum culture on repeat culture

    Nursing Intervention
    Assess for predisposing factors; medication chronic illness
    Assess vital signs closely monitoring temperature fluctuations
    Obtain freash sputum for gram stain, and culture and sensitivity
    Monitor gram stain, sputum, culture and sensitivity
    Monitor WBC count
    Assess hydration, Rationale
    High doses of some medications have reduced resistance to infections
    Continued fever may caused by drug allergy, drug resistant bacteria, super infections, inadequate lung drainage.
    Determines correct antibiotics coverage for pt
    Determines correct antibiotics for resistant bacteria
    > levels indicate infection
    Water loss is > with fever.


    Evaluation
    No change in the following:
    Sudden onset; shaking chill; rapidly rising fever of >101. Cough productive of purulent sputum (pink, thick).
    Pleuritic chest pain aggravated by respiration/coughing Dyspnea on exertion, no nasal flaring, or use of accessory muscles. all pulse sites palpable. IV antibiotics administered to patient as ordered by physician of vancomycim 0.5gm q6h Oxygen per cannula, 5L with nebulizer q4h. Respirations 28 and shallow. Apical pulse is weak at rate of 92. Pale and dry oral mucosa. Diaphoretic. Checks flushed, and hot. Inspiratory crackles in upper and lower chest. Fatigue and anxiety expressed. Non-smoker. no Hx of asthma. Hx of chest cold x2 weeks. Husband not at bed side. Side rails up x4. Call light within reach.

    Goal NOT met
    As evidence by:
    No lab values obtained for ABG, WBC, sputum culture.
  11. by   AnnieJac
    I'm not sure when you first wrote this. Did you find the help you need? I have the Ackley orange book someone mentioned. I love it. It helps alot. I have done a few care plans if you'd like to see them. Its hard at first. The floor I'm doing my clinicals on doesn't even do a full care plan. They have a paper they mark off. Its interesting how different it is from floor to floor. Good luck!
  12. by   bm28083
    i also go to nursing school in the charlotte area except i finish in june of 06. and we use the R/T and AEB. I look at the R/T as what is the cause. that us usually the med DX so i just turn it into no med DX by strectching it out. apendicitis = infammation of the apendix. not the best example but the best i can come up with at 3 am. and the AEB are my symptoms.
  13. by   AnnieJac
    I have the Ackley book that some of them have mentioned here. I really like it because it also has NIC and NOC in it. I have the 6th edition and I know there is a 7th edition, but 6 seems to have everything the same. I really like it. We hand in care plans every week after clinicals. What amazes me is the floor I'm on doesn't use care plans like this. They have a sheet with lists and you just go thru and check stuff off. So I'm not quite sure how they actually do a plan of care. I can send you a sample of mine if you'd like. I'm not sure how to check my mail on here, but if you'd like, you can email me and I'll send it. Send me something on here and hopefully I'll get it. For something that sounds simple, its not that easy. So many technicalities. Good luck! Ann

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