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last med surg care plan



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Nov 05, 2009 08:41 PM

last med surg care plan

by mfatony

I have a patient who was assaulted. She is only 36 yrs old. If she has a rt orbital fx, hematoma in rt eye, quite a bit of bruising, she has several broken ribs, hx of asthma and depression, and she has a chest tube on each side does any one have any suggestions for good diagnoses for this pt?? I can think of a few but we have to have 10! plus 10 interventions and 1 goal for each diagnoses.... thanks for any help! i also have her labs if you want to know them..


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6 Comments
No. 1
Old Nov 06, 2009, 04:51 PM

Default Re: last med surg care plan
What are her vitals and assessment details?

Off the top of my head I can think of,

Ineffective breathing pattern
Acute Pain
Anxiety
Risk for infection
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No. 2
from mfatony
Old Nov 06, 2009, 08:26 PM

Default Re: last med surg care plan
same thing i got... thanks
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No. 3
Old Nov 07, 2009, 12:34 PM

Default Re: last med surg care plan
fear
Risk for compromised human dignity
interrupted family processes
Risk for post trauma syndrome
impaired skin integrity
knowledge deficit
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No. 4
from amy323red
Old Nov 07, 2009, 01:11 PM

Default Re: last med surg care plan
Impaired physical mobility
alteration in nutrition: less than body requirements (she will need more protein to heal fractures) probably not going to eat as well due to depression and what she has been through
Activity intolerance.

You can google free care plans and come up with more diagnoses and goals and interventions. I am LPN enrolled in RN ADN program and use some great nursing care plan books also.
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No. 5
from mfatony
Old Nov 08, 2009, 03:11 PM

Default Re: last med surg care plan
Thanks. I got pretty much everything all of you guys said. I have a care plan book also and i definitly use google! thanks
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No. 6
Old Nov 08, 2009, 03:27 PM

Default Re: last med surg care plan
What book are you using? The book I used with my careplans is called Nursing Diagnosis: Application to Clinical Practice Edition 12. I owe it my life. Without it.. I would have probably failed each and every careplan(except for OB because OB material was very easy to me). I showed it to one of my clinical instructors one day and they were amazed by it.


http://search.barnesandnoble.com/boo...-9780781781213
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