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- by LadyA13 Feb 13I've been racking my brain to come up with some ideas, but I'm feeling tapped out...
Basically, I need to come up with a Dx, goal, and at least 5 interventions for a perfectly healthy 2 year old girl. I think I can do "At risk for illness r/t developmental age, physiological a/e/b wiping nose with hand" but I honestly don't even know if that sounds right. She is not sick and is developmentally on track... So about the only intervention I can come up with is "wash her hands before and after bathroom, meals, and seeing her wipe her nose" that's all I got but it's not enough.... Help?!
- Feb 14 by Esme12Welcome to AN! The largest online nursing community!
Care maps are all about the assessment of the patient....there isn't enough information aboutnthis patient to help you. Where have you have an onteraction with the patient. Was this a well baby visit? The ED? An admission to the hospital?
What semester are you? Is this a real patient? tell me about this child.Last edit by Esme12 on Feb 14
- Feb 14 by LadyA13This is my second semester for clinicals... I did just a one day visit to a day care facility and was assigned to the two year old room for the day. None of the children have anything really wrong with them, but I was told to pick one and to a general assessment on them (not physical) so there were not meds to give, no vitals to check. She is completely healthy and on track in development (growth, psychosocial, and cognitive). However, I'm still expected to come up with a Dx and care plan for the child. I was given a hint by my instructor that 'risk for injury' and 'risk for illness' are always appropriate for children. But again, there's nothing wrong with her, and the only thing I can say is that I saw her wipe her nose once with her hand. There aren't any problems to work off of...
- Feb 14 by lucki_star7I don't know how all schools teach writing a nursing dx. We were taught using the PES format (Problem, Etiology, and Signs/Symptoms). It would be written as such Problem r/t Etiology AEB Signs/Symptoms, when writing an Actual dx; however, when writing a Risk dx you would write it with only the P and E (Problem r/t Etiology). A good risk dx would be Risk for injury r/t psychosocial development. I hope this helped! Good luck!
- Feb 14 by StephalumpWhat about her developmental stage a la Erikson? How is she doing on that level?
- Feb 14 by LadyA13Well she is completely potty trained, but she through a tantrum or two, and has trouble getting along with other children for periods of time. Cannot share at all... but i'm not really sure what I could use under NANDA if I went in that direction.
- Feb 16 by chibiRNSafety is a major concern for children in this age group. They are mobile but lack the experience and judgement skills to stay safe and rely almost 100% on their parents for safety, nutrition, etc.
What are her parents like? Is there anything you can educate them on? What is their home life like? Any safety concerns at home (electrical outlets, chemicals, pets)? How is their economic status and how might this affect the child?