Quote from studentrnjgonzalez
hello. i am doing a nursing care plan for a uti patient. any advise
hi, studentrnjgonzalez and welcome to allnurses!
in doing any care plan you should follow the nursing process. a care plan ultimately begins with the assessment (step #1 of the nursing process) that you perform. this includes the review you made of the patient's medical record and the physical examination you did on the patient. from that information you list out everything you found that was abnormal. this brings you to step #2 of the nursing process. these abnormal assessment items can now be called the patient's symptoms. these are the things you are going to be addressing in your care plan. nanda (north american nursing diagnosis association) calls these symptoms defining characteristics
. to assign any nursing diagnoses to your patient, his/her defining characteristics must match with the defining characteristics for the nursing diagnoses you will end up using. every nursing diagnosis has a unique list of defining characteristics just like every medical diagnosis has a unique list of symptoms. since you are new at doing this, you will need a nursing diagnosis or care plan reference of some sort to help you with this. even though you assign one or more nursing diagnoses to the patient, your goals and nursing interventions are still, ultimately, aimed at those abnormal assessment items (symptoms, defining characteristics) that you initially found when assessing your patient.
there are two threads on the student forums that you can review the posts on to help you with writing care plans
if you are still in need of help, start a new thread in the nursing student assistance forum where i will see it and i will give you more help with this.