aimes.k559

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1. Help with Nursing diagnoses

   aimes.k559 replied to aimes.k559's topic in Student Assist

   Hi! Sorry I have had exams and haven't been on for a while! Thanks so much for all your help, and no I am not in the US, I'm in New Zealand. Our clinical instructor isn't a tutor at school so your right I might talk to someone at school and tell them...

2. Is my pt in heart failure??

   aimes.k559 replied to aimes.k559's topic in Student Assist

   I do have a NANDA diagnoses book, but I'm not allowed to use the more complex diagnoses because it's an aged care setting and apparently the NANDA diagnoses are too medical sounding for this environment as caregivers must be able to read the care pla...

3. Is my pt in heart failure??

   aimes.k559 replied to aimes.k559's topic in Student Assist

   I couldn't palpate the pedal pulses or his apical pulse. My clinical instructor told me that was to be expected, radial pulse was weak and very irregular. I did put in my care plan to avoid sitting for long periods of time with legs in dependant posi...

4. Is my pt in heart failure??

   aimes.k559 replied to aimes.k559's topic in Student Assist

   Also I did auscultate his lung fields when I first met him because his SOB was probably the first thing I noticed, they were nice and clear though, and his notes backed this up when I read them later. Are the 3 nursing Dxs I have come up with ok?

5. Is my pt in heart failure??

   aimes.k559 replied to aimes.k559's topic in Student Assist

   He has had a stroke which is why he is in the rest home now. I'm guessing it was possibly the atrial fibrillation that caused that? Anyway he has L) sided hemiparesis. He is allergic to ACE inhibitors but takes a B-blocker and a anti-arrhythmic. He h...

6. Is my pt in heart failure??

   aimes.k559 replied to aimes.k559's topic in Student Assist

   He has pitting oedema, SOB, cool, bluish peripheral extremities. He has a history of IHD, hypertension (though this is medicated) and PAF. Should I go with ischemic heart disease? As I guess that's chronic? And PAF comes and goes, don't think that is...

7. Is my pt in heart failure??

   aimes.k559 replied to aimes.k559's topic in Student Assist

   I am writing a care plan, prioritizing 3 nursing diagnoses and I also have to describe the pathophysiology of a medical condition that has been confirmed and describe the signs and symptoms of this medical condition that the pt is exhibiting

8. Help with Nursing diagnoses

   aimes.k559 replied to aimes.k559's topic in Student Assist

   That's what I thought. Our instructors at school tell us to use NANDA, but my clinical instructor isn't a part of the teaching facility .. An instructor from school was filling in for a few days on clinical placement and even she said his peripheral ...

9. Help with Nursing diagnoses

   aimes.k559 replied to aimes.k559's topic in Student Assist

   Haha I probably wouldn't say it in that exact way but I think I have a valid point so I will bring it up with her

10. Help with Nursing diagnoses

    aimes.k559 replied to aimes.k559's topic in Student Assist

    No care plan book, not allowed to use NANDA Dxs either

11. Help with Nursing diagnoses

    aimes.k559 replied to aimes.k559's topic in Student Assist

    I would have thought anxiety r/t to dyspnea? But when I mentioned to my pt he seems like he's short of breath all the time he just said it was fine, sometimes it gets much worse than that, he seemed to accept SOB as part of his life, does this have t...

12. Help with Nursing diagnoses

    aimes.k559 replied to aimes.k559's topic in Student Assist

    I'm just going to say to my instructor look lady my assessment was cardiovascular, so if I'm basing my care plan on my assessment it's going to have to be cardiovascular. PLUS the HEAD OF NURSING at our school said priorities are what will kill them ...

13. Help with Nursing diagnoses

    aimes.k559 replied to aimes.k559's topic in Student Assist

    My assessment showed dyspnea,weak irregular pulse, pitting oedema, cool, slightly bluish feet compared to rest of lower legs. If I can't use anything cardiac as a priority what can I use? We can only choose one physical assessment and I did cardiovas...

14. Help with Nursing diagnoses

    aimes.k559 replied to aimes.k559's topic in Student Assist

    Ok back to the school work then. Wouldn't the edema and dyspnea be related to decreased cardiac output?

15. Help with Nursing diagnoses

    aimes.k559 replied to aimes.k559's topic in Student Assist

    I didn't "arrive" at asthma, I am only stating what I read in his notes. And after researching his medical history I read inhalers are sometimes wrongly prescribed to people who have "cardiac asthma". I'm not even talking about care plans and nursing...