hi, mel2067, and welcome to allnurses!
from reading your two posts i have the feeling that you are approaching this care plan in the wrong way. the writing of a care plan follows the steps of the nursing process.
- assessment (collect data and separate out the abnormal data)
- nursing diagnosis (group your abnormal assessment data, shop and match your abnormal assessment data to likely nursing diagnoses, decide on the nursing diagnosis to use)
- planning (write measurable goals/outcomes and nursing interventions)
- implementation (initiate the care plan)
- evaluation (determine if goals/outcomes have been met)
the whole care plan, and that includes all your goals and interventions, is dependent upon the patient's signs and symptoms
(nanda calls them defining characteristics). to use a nursing diagnosis of knowledge deficit of fluid volume related to cognitive and physical limitations you must have defining characteristics (symptoms) that support the cognitive limitations. the defining characteristics for this particular diagnosis are:
you need to go back through your assessment information for any symptoms the patient displayed that fit this criteria. they then need to be listed as your aeb items in your diagnostic statement. they also become the focus of your goals and interventions. physical limitations would be inappropriate, in my estimation, to use as a related factor for this diagnosis. if the patient has physical limitations then they have a impaired physical mobility
and that needs to be addressed in it's own diagnosis.
a doctor doesn't put a medical diagnosis on a patient until he has done a thorough assessment and considered the symptoms that the patient has. plumbers do the same thing when determining what the problem is with a toilet that is overflowing or a drain that is backing up. and, so too, do nurses who are classifying a patient with a nursing diagnosis--especially if you are using a particular diagnosis for the first time. you need to use a nursing diagnosis reference so you make sure you are diagnosing correctly. i've given you two weblinks to nursing diagnosis information on the diagnosis of deficient knowledge
. please take the time to read them.
you will find care plan and nursing diagnosis information in the posts on these two sticky threads of allnurses:
i don't think that anyone can give you any appropriate interventions unless we know what your patients symptoms are in relation to the knowledge deficit. it would all just be taking wild pot shots. it would be like a kid going to a doctor and the doc seeing only his red nose and saying, "oh, he just has a cold. do this, this and this," without doing any further questioning or assessment. how bogus and incompetent is that?