Hi everyone. I am so thankful that I just found this forum, and I'm really hoping that someone who has been through this already can offer words of advice, etc.
I started my full-time, 10 month LPN program in January and am now out on my first clinical rotation in the afternoons (class in the a.m.) In class, I have been maintaining a 90+ average and although it's been difficult, somehow I have exceeded my expectations for myself. Now our class has gotten full swing into the nursing process module and while in clinical we have an assignment to write two care plans, each with 5-7 interventions for two physical, 1 psychosocial, and 1 spiritual diagnosis. Also, we only started our first clinical rotation this past week, and on Monday we are already expected to have our own patient, do a complete assessment and document. It is this patient that we are basing our first care plan off of for an exam grade.
I'm lost! I feel so inadequate. I do my assessment, come out of the exam room and am at a complete loss of words for proper documentation. This is not coming easy for me. Some others seem to have no problem. I'm started to become scared to death that I will not be able to be a nurse if I can't get this. Has anyone else who made it through ever felt this way? Does it get easier? Will it ever just click? I'm kinda freaking out right now. Any help would be appreciated!!
for prioritizing i was taught to go by maslow's hierarchy of needs. the trick is to know which need each nursing diagnosis addresses so you classify it correctly. the appendix of nursing diagnosis handbook: a guide to planning care
by betty j. ackley and gail b. ladwig does classify all the nursing diagnoses into the 5 major maslow tiers, but no further within the tiers themselves. here is a weblink to maslow's pyramid:
this is the hierarchy:
- physiological needs (in the following order)
- the need for oxygen and to breathe [the brain gets top priority for oxygen, then the oxgenation of the heart followed by oxygenation of the lung tissue itself, breathing problems come next, then heart and circulation problems--this is based upon how fast these organs die or fail based upon the lack of oxygen and their function.]
- the need for food and water
- the need to eliminate and dispose of bodily wastes
- the need to control body temperature
- the need to move
- the need for rest
- the need for comfort
- safety and security needs (in the following order)
- safety from physiological threat
- safety from psychological threat
- lack of danger
- love and belonging needs
- self-esteem needs
- sense of self-worth
- recognition and realization of potential
Last edit by Daytonite on May 13, '08
]Ms. Williams is a 68 year old patient with 3 married children and 6 grandchildren. Ms. Williams has a history of cigarette smoking, but quit 20 years ago when her first grandchild was born. She is married. She underwent a lobectomy for lung cancer six months ago. She underwent aggressive treatment with radiation therapy and chemotherapy. On her most recent visit to the oncologist, she is told that despite the treatments, there is evidence of metastatic disease in her spine. The physician explains that there are no further treatment options, and refers Ms. Rogers to Hospice for continuing care. After the visit with the physician, Ms. Williams looks at you and begins to cry. She says, “I just don’t understand, why me, why now? I quit smoking! What am I going to tell my family? What do I do now?”
]what is the best care plan i can choose for this scenario???? help please ASAP
Last edit by cadette on Jul 11, '11
: Reason: wrong info.