CAREPLANS HELP PLEASE! (with the R\T and AEB) - page 3
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
Nov 25, '05I always use a care plan book to write my nursing dx. It makes it so much easier. Usually the care plan books include a list of problems r/t to the patient's main complaint and they even include goals and interventions.
Nov 25, '05i should have included in my last post that i use the ackley (orange) book also. but we are asked to make the care plan fit the pt we cared for.
Nov 26, '05We use the same Care plan reference (Cox). I find it quite sufficient. You can't expect to find everything you need in a book. You have to be able to formulate things on your own. I'm not saying you don't...please don't get me wrong. I'm just so frustrated with students trying to find the easy way put and trying to short-circut the learning process. If you're a new student I can understand why you would need to reference more often. But looking for a care plan ready to turn in to be graded without your own thoughts and the nursing process behind itself is fruitless and will lead to nothing but failure, whether in school or on the floor. It takes time to learn this....and your own mental energy. I've seen too many people flunk out of our nursing program due to the same problem. It does come in time. And soon it becomes like breathing---completely involuntary. To be a nurse is to think like a nurse. Ask instructors for help--that's what they are there for.
Nov 27, '05gr8nurse,
you are so right, i purchased the book i have now when i was in my second semester and having a lot of trouble with . but now i find myself using it very little, more as a reference when i get stuck. i will also use it to make sure i have a comprehensive nursing diagnosis list to turn in for my patient diagnosis. we have to write a care plan for our top three problems. and, yes instructors are a very good resource. i could not begin to count the times i have shown them my problem list and have them say "have you thought about this..." and the light bulb goes off in my head.
Nov 27, '05Here is a website that will construct a concept map for you. I found it while searching for interventions for a careplan I was working on. I discovered it as part of the website for my med-surg book. (you should always check out the cds and online websites for your book, sometimes they yield invaluable info like practice questions or careplans!) You still have to type in you DX and interventions but it will arrange all your info for you in a concept map form. Where was this web page when I needed it for my concecpt map? Oh well! Hopefully someone else will need it and find it helpful...
Nov 30, '05Well, you need a book to give you the NANDAS for your Dx's. I've been using the Nurse's pocket guide to Dx, interventions, rationales by Doenges. And your textbooks should be giving you interventions for specific diagnoses. I know some people use the online careplan builders, but I think you will learn a lot more doing it yourself. And that will pay off immediately with better grades-because you will really understand it. Just a couple,tips, and sorry if they are really obvious:
Dx=Nanda, it must be Nanda usually, DON'T get creative. There are defining characteristics for each Nanda Dx, and your patient should be manifesting at least a 2-3 of those to get the Dx. You get your defining characteristics by doing a good assessment, clustering the data according to body systems, and seeing what problems pop out.
Related to=etiology, but NOT the medical diagnosis. Think of what the signs and symptoms are of the medical Dx that got the person that Dx. If they have pneumonia it could be impaired gas exchange related to thick mucuous secretions in lungs or something like that.
Manifested by/As evidenced by: your medical diagnosis can go there, but all the signs and symptoms that you would want to see normalize after your interventions should go here. Your outcomes should specifically address each and every one of these manifested bys, except maybe the medical Dx. If you write good, exhaustive manifested bys (or aebs as you call them) in your diagnosis, they literally lead you all the way through the care plan to evaluation. The normal/healthy version of all your manifested bys become your outcomes, and your interventions are directly related to those outcomes, and you evaluate your interventions in relation to whether the manifested bys/aebs from the Dx got normalized into the outcomes or not.
Dec 22, '05Hi June07, I think the RNotes have NANDA approved Dx in it and also there are some things in the back of Tabers. I am in the LPN program and struggle with careplans all the time. It does get better as you go along. Your AEB is what s/s the patient presents with or c/o. I was taught that you don't use AEB for "Risk for" NDX. I don't know if this is the same across the boards. Springhouse publications has these NDX cards that you can carry along, and they are great to use to. Hope this helps and good luck to ya;-)
Dec 22, '05Quote from ELKMNin06Yes, thanks so much for this website. I needed it too!Trust me it gets easier! Try this website, its an online care plan consructor..just put in your dx!
Jan 2, '06Thank you for making this a sticky! This thread is going to help me when I get to this particular part of my education. So, thanks again!!!
Jan 5, '06Quote from ELKMNin06Here's the website for the newest edition (6th ed) http://www1.us.elsevierhealth.com/Ev...nstructor/#NewTrust me it gets easier! Try this website, its an online care plan consructor..just put in your dx!
Jan 6, '06I also use the Doenges book which is helpful. BUT, when doing careplans, don't forget to use Maslow's heirarchy of needs, or basically the ABC's of prioritizing. It will help you with your NCLEX if you start to go by it now. Good Luck!
Jan 6, '06Try to think of the related to as something you as an RN can treat
Ie Impaired skin integrity R/T immobility AEB 2cm reddened area on coccyx
You as a RN can treat the immobility. Hope that helps!!! Also Ackley book is great for !! Good Luck in your upcoming semester.
Jan 17, '06Hello there...Lets just say that CARE PLANS ARE THE DEVIL BOBBY BUSHAY :roll :chuckle
I like Mosbys Nursing Care plans and I like doenges, moorhous and geissler-murr care plans...all of which can be purchased at Borders or books a million or something like that.
oh and another really good one is ackley ladwig Nursing Dx Handbood a guide to planning care
Look at all the things wrong with them...if they have a hip fracture...go to back of ackley ladwig..look up hip fracture then go to the pages it says this gives you a NANDA nursing dx then look that up in the meaty part of the book and this will give you some of the R/t and AEB and you take that and pick what applies to your patient...until you get a little better at it.
Then sorta cross reference with the other books and you will soon get the hang of it.
You will learn to tailor them more for you patients and not go strictly by whats in the book.
RN in 2007 too....power to the students haha