care plan rationale?

[shock-me-sane]

I am going into my second quarter in january and I have heard rumors that we will be required to do a care plan once a week. I don't find them horribly difficult, but I always have such an issue dealing with the rationale for my interventions.

My plan is to get some good resources saved to my computer for repeated use before the quarter actually starts so I will have less leg work once crunch time begins with school. I was hoping that someone had some good journal articles they know of for this use and could possibly share title's/author/etc. I have had such a difficult time using our library's online resources to actually come across quality information in a decent amount of time.

Thanks for any help!

EDITED TO ADD:

I am talking about needing sources that justify each intervention I plan on using, such as a study that was completed saying that semi-fowlers position is helpful in breathing facilitation. our rationale's must include a credible journal article.

[sophie126]

i am really confused with a document that im having to cover with my placement it says provide a rationale for the nursing care delivered which takes account of social, cultural, spiritual and economic influences ??????

[kristandrews]

textbooks are my best friends when finding rationales. i look up my patients' medical conditions in my textbook and a lot of times, there are interventions and rationales in it that i can use! you could also go to the library at your school and see if there are any nursing books you can check out. i'd definitely recommend borrowing books before buying any if you can!

[lvnlrn]

The Ackley and Ladwig book is excellent! What you do, is use the index to look up your patient's condition(s). Each one lists a bunch of nursing diagnoses that might apply.

Look up the dx's in the book. Lists interventions that would be helpful and each one has a rationale. So the book would be one reference for your rationale. Then open your med-surg book and look up the condition. Between the both of them, you should be able to make sense of it and come up with a specific set of interventions and rationales in your own words to back up what you did or are going to do. Voila, you'll also automatically have two references.

This book was my bible in school. The rationale's are actually referenced with peer-reviewed studies, so you can just look in the index and cite the study instead of citing the book if your teacher is a stickler for that. This is the easiest way to do it...don't waste your time and effort looking up studies online...just go buy a care planning book or two that has peer-reviewed rationales.

Good luck :)