Quote from keyz75
i did my intervenions, my outcomes, my assessment and evaulations are done already i had to only put the nursing diagnosis for seizure in and didnt know how to word the nursing diagnosis and not a medical diagnosis the care plan is basiclly done
how is that possible? if you looked at what i posted for you, the outcome, interventions and evaluation are based on the abnormal data that comes from your assessment of the patient. the abnormal data that falls out of the assessment data is
the foundation of the care plan. the abnormal data (defining characteristics/signs and symptoms) is the evidence upon which the nursing problems (nursing diagnoses) are based. interventions target and treat these abnormal data items. every nursing diagnosis consists of a list of defining characteristics and your patient must match at least one or more of them. you need to go back through your assessment data and pick out these abnormal assessment items and list them out. look at some of the replies i have given students on http://allnurses.com/forums/f50/help...ns-286986.html
- assistance - help with care plans
so you can see how i have done this diagnosing. if you had listed this information i could have helped you diagnosed this patient. unfortunately, you have done the nursing process backwards.