chicagrl 1,240 Views
Joined: May 29, '08;
Posts: 24 (4% Liked)
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i was also going to recommend the cherokee top that is 28.5 inches. One of my fave scrub tops!
UIMC NIDCAP Training Center
Not sure how many practicing nurses check this discussion board but this conference may be of interest to anyone who cares for infants.
I am so confused by it too. As a first year nursing student who is overwhelmed by info overload, I find it very frustrating that all of our clinical paperwork must be filled out according to the Roy Model yet NO ONE has explained it very well. In fact I am beginning to wonder if any of my instructors understand it.
I did find the article Daytonite linked while doing my own research - it is helpful but I still can't grasp how it all applies to our Nursing Process Worksheet and four mode assessment sheet that must be filled out for clinicals.
thanks for listening to my rant
Thanks so much for your explanation and guidance! I don't think I have enough objective (or subjective either) data from my assessment to support the care plan for Ineffective gas exchange. (at least not the way I think my instructor will analyze it) I am going to focus on the Imbalanced Nutrition diagnosis. I feel more comfortable working with that.
I am 2nd semester nursing student and we are not too advanced on care plans yet.
but i don't see any NANDA diagnosis that would pertain to this situation....
nevermind , i see there is a section of them under safety. i will post again with anything i come with to see if i am going in the right direction...
She had a fire in her kitchen. I did not see a NANDA listing for that type of thing : safety, evaluation of her living situation etc.
I am hoping for a bit of guidance. I have to do a care plan and can't come up with anything so far. My pt was 84 and in for smoke inhalation. She was fine by the time my clinical day arrived. Her vitals were within range, and she had no IVs or oxygen. Her hosp care plan was impaired gas exchange. I have no objective data that points to that. She was ambulatory and able to carry out ADLs. She had low Hgb and Hct levels that were being investigated. Can I write a care plan on that ? I don't really see any NANDA entries related to that though. She seemed most concerned about her futute living conditions. Can I do a care plan on that?
I am just feeling stuck . Any advice is MUCH appreciated.
anyone on allnurses taking RN to BSN coursework in ILLINOIS?
I would love some info from those with firsthand experience.
Do any hospitals pay for ADN TO BSN completion?
The problem is , I don't have any answers. I was only with her for about 5 hours this am. She had just finished the blood transfusion and SAID she felt better - they drew blood to check her levels but I don't have the results.
She had a painful swollen ankle previously, her uric acid levels are in normal range but I guess she good still have gout - they don't really know. She does not currently have and S&S for gout.
She was going for some type of gyne stuff to see if there were fibroids. She did not complain of any symptoms, has not had any S&S either but they are trying to rule everything out.
Vitals, all within normal ranges.
Don't really know where to go with this....
step #2 determination of the patient's problem(s)/nursing diagnosis - match your abnormal assessment data to likely nursing diagnoses, decide on the nursing diagnoses to use –
acute pain?better: acute pain r/t abdominal distensionabdominal painlast bm 2 days agopain averaged 7-8, and after dilaudid, 5 at bestnutrition less than requirements r/t bypass
better: nutrition: less than body requirements r/t inability to ingest adequate amounts of food secondary to gastric bypass surgery6 lb weight loss in past 4 daysnauseavomitingdeficient fluid volume r/t fluid volume loss (these are symptoms of anemia)
rbc: 3.75hgb: 10.4hct: 31.0impaired tissue integrity r/t surgical intervention
5 small incisions in abdomenr/f infection r/t incisions?
better: risk for infection r/t surgical interventionneut abs: 6.9lymph abs:0.8neut: 87.4lymph: 10.0risk for injury r/t anticoagulation (on heparin therapy)
well from my 6 weeks in clinical I just wonder...Why are these pts. here and who is covering all their expenses...i hear whispers of medicaid and medicare. who is taking care of these people when they are not in the hospital? if they are older .....
those are mostly the pts. i worry about. it is part of our nursing education to ask if they have family etc. and we check the chart, but some of the pts i saw today , obviously have noone caring for them ...they are hopeless in my mind . i feel so bad, no family comes to see them , they seem to be transfers from LTC ....
for example 64yo male,feeding tube, wounds , full precautions. I have no idea what i am dealing with,he was awake but non communicative , combative but helpless. please someone help ....
How about something along the lines of:
Caregiver Role Strain
Relocation Stress Syndrome (or risk for)
My class is full of a lot of younger students that all brag that they Ace their exams and never study...and of course are full of confidence; like they are trying to show each other up...the competition does not end once in nursing school...
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