nursing care plans

  1. Hi Everyone,

    I just finished my first semester in the BSN program. I can say that it was very fun, yet stressful. I didn't have much time for a social life. I have a bf of 2 1/2 yrs and I try to spend a lot of time with him, but next semester we're going to start nursing care plans and I heard they take up a lot of our time...that we have no time for a social life. Can anyone tell me any more info about nursing care plans. Also, next semester we're going to be working with 4 patients during clinical, as opposed to only one this semester. Will my social life be affected that much? Any comments or advice would be greatly appreciated...thanks.
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  2. 3 Comments

  3. by   angelaADSN
    Hi NVsGirl! When I first started nursing school my life has been put on hold! I am 23, married with 3 kids. I will be in my 4th semester of ADN program in Jan! yah!! Graduation in May!!!! Careplans were hard when I first started. It use to take me at least 3 hours to do one and that was if I was lucky. Now, I can do one in less than 10 min. Studying is what I do all the time. That is why my life is being put on hold. I have a web page with some careplan web addresses. Might be alot of help for next semester. Good luck!
    www.geocities.com/ajax_clean/StudentNurse.html
  4. by   crna2be
    Hi. I know the feeling of "I can't wait until I'm done with school so I can be human again"!!! Care plans help guide our practice--they are tools that we can use based on individualized assessments of a patient's needs. It helps us to prioritize our duties. Nursing diagnoses are the foundations for care plans. Using the nursing process is what it's all about.

    How this pans out in the real world is dependent upon many things, I think. Let me give you an example.

    If a patient's medical diagnosis is Congestive Heart Failure or CHF, you can think of some nursing diagnoses right away based on your knowledge of patho/physio that would be appropriate for your care plan. Here are some potential nursing diagnoses--without even knowing or having seen the patient:

    Decreased Cardiac Output
    Fluid Volume Excess
    Potential for impaired gas exchange
    Alteration in Fluid and Electrolyte Balance

    You would then develop a plan of care for this patient based on these diagnoses. In the real world (off of paper) you would be listening to the patient's heart and lungs (to evaluate fluid status), measuring oxygen saturation, evaluating intake and output, perhaps giving diuretics and lyte replacement, perhaps giving meds to improve heart function.

    Get a care plan book to help.
  5. by   ShannonB25
    You've gotten some really good advice here. I know how intimidating those care plans can be. My first semester doing care plans I felt practically glued to my books. The second semester with them seemed much easier and this last semester they were a breeze. Believe me, it will click for you and after awhile you will be able to hear about a patient and think of 2 or 3 nursing diagnoses off the top of your head plus pertinent nursing implications. Be sure to get a good nursing diagnosis book and cross-reference that with your med/surg book (this method helped me out a lot, as there are many sample care plans listed for different diseases/illnesses). And if all else fails, post here and ask for help. That's what we're here for

    Best wishes,
    Shannon



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    "The highest reward for man's toil is not what he gets for it, but what he becomes by it."-Johan Ruskin

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