COPD/Pneumonia Care Plan - page 2

by swimmin4fun247

11,233 Visits | 17 Comments

Struggling to find a good care plan for a patient with COPD and Pneumonia. Thoughts...Impaired Gas Exchange....but unsure of related to? It's near the end of the semester. I just need some guidance. Looking for 2... Read More


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    I wish school was like that for us, but we have to formulate our care plan the night before clinicals. When we get there, we have 5 Nursing diagnosis and of them we can change them and rearrange them to fit our patient as far priority. We are taught (in my school) to take the diagnosis and come up 5 nursing diagnosis and do a careplan on 3 of them all the night before we actually meet the patient.
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    i was not recommending impaired comfort as a diagnosis for this patient but as an example of how to use the nanda-i 2012-2014 to determine a diagnosis. i am sorry if i did not make that clear enough.

    i stand by my opinion that you cannot diagnose what you have not assessed, or for which you do not have assessment data. if you want (or your faculty wants) a hypothetical care plan, be sure you are clear on that and can document how it really is/was appropriate.

    of course it's not contractural; it is, however, the nursing process and not just a random exercise in handwriting.
  3. 0
    That's what the evaluation step of the nursing process is. It is required in a care plan (at least ours, anyway). Even if you have assessed first, you have to document appropriateness via evaluation.

    So, out of curiosity...you wouldn't consider reading patient chart/history/kardex to be a form of assessment?
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    FORTHELOVEOF...that's what we do, minus the three care plans. We just work up one, which we can rewrite prn.
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    I agree with KatePasa. In school, we are given hypothetical situations in the form of case studies. But, usually, we have plenty of data to go off of.
  6. 0
    "so, out of curiosity...you wouldn't consider reading patient chart/history/kardex to be a form of assessment? "

    of course i'd consider that data. so often people think that, for example, a medical diagnosis cannot be referenced in a nursing care plan. that's horsepucky-- pick up the nanda-i 2012-2014 (which you should all have anyway) and almost every nursing diagnosis there references a medical disease diagnosis. floridatrail notes that her school gives her hypothetical patients for case studies, but includes nursing assessment data with which to work. this is appropriate.

    what i object to is the idea that you can write a nursing plan of care for a medical diagnosis without any nursing assessment data. there is no such thing as a nursing plan of care based solely on a medical diagnosis, and i do not think that any school of nursing should be using that structure to teach nursing.
  7. 0
    Quote from grntea
    "so, out of curiosity...you wouldn't consider reading patient chart/history/kardex to be a form of assessment? "

    of course i'd consider that data. so often people think that, for example, a medical diagnosis cannot be referenced in a nursing care plan. that's horsepucky-- pick up the nanda-i 2012-2014 (which you should all have anyway) and almost every nursing diagnosis there references a medical disease diagnosis. floridatrail notes that her school gives her hypothetical patients for case studies, but includes nursing assessment data with which to work. this is appropriate.

    what i object to is the idea that you can write a nursing plan of care for a medical diagnosis without any nursing assessment data. there is no such thing as a nursing plan of care based solely on a medical diagnosis, and i do not think that any school of nursing should be using that structure to teach nursing.
    by the way, i'm a guy grntea. also, where does your screen name come from? do you simply like green tea?
  8. 1
    sorry, ft. they used to give us little icons with our names to indicate things like that to avoid this sort of faux pas. :d

    name comes from the old aol communities-- i was a community leader and ran some biweekly live chats on the rn and student nurse communities, and wrote in green. fun times.
    Esme12 likes this.


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