priorities/ goals - page 2

by fitore

1,829 Views | 18 Comments

I realized that in most of the ncp, in planning phase are: Nursing Goals and Outcomes. But, in other I saw and nursing priorities. So my question is, why? do they put in the same category priorities and goals? I have... Read More


  1. 1
    Quote from Esme12
    I do....once you switch 1 and 2. That is how we do it in the US....what does your instructors say????
    Subjective data: Client N.N 80 years old, male, widowed, weight: 71 kg and length 1.65cm, retired lives in city, in a 4-member family with average incomes.
    Current data:he was admitted to Hospital on.... . N. N.’s son found him lying on the floor confused, and soaked in urine.

    Objective data: When W. K. was admitted to the hospital, laboratory findings were all normal.
    His vitals signs were all normal except BP: 143/86
    oxygen levels between 95% and 100%

    I tried to write some of key things.

    I hope that his will give you a better reflection of my case.

    once again, thank you for and sharing your valuable time to help me.
    Esme12 likes this.
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    now what was his assessment...what did they find...where was the CVA...what is your assessment in a short paragraph. Where are you in your program?
  3. 0
    Quote from Esme12
    now what was his assessment...what did they find...where was the CVA...what is your assessment in a short paragraph. Where are you in your program?
    my pt was diagnosed with CVA, , hemiparesis lat.dex. HTA

    The scan revealed unilateral infarct in cerebellum.
    when he was admitted he was somnolent ,he had a doop on the left of his face. Babinski's reflex positive .

    I almost finished my case study and I am correcting my mistakes, but unfortunately this is takeing me more time than I thought, cos I have made some concessions inadvertently......
    Last edit by fitore on Jan 16, '13
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    Is this your first care plan? I think you said it was.....these are very time consuming. You will get better as you gain experience. You are particularly challenged because of the lack of availability of a good care plan book to you. I think you are doing a great job
  5. 1
    Quote from Esme12
    Is this your first care plan? I think you said it was.....these are very time consuming. You will get better as you gain experience. You are particularly challenged because of the lack of availability of a good care plan book to you. I think you are doing a great job

    No I have done so many ncp before, but never in this "frame". Cos I've told you that our Nursing University has begun working a few yeas ago. Indeed maybe they didn't do ncp in this frame. or they just passed this part of teachings us.
    We have done simple NCP, not involving priorities, and outcomes, and never mention Rationale, ore, Evaluate - met, partially met, not met.
    And we never did a NCP, interventions of every nursing dg, only the main thing that we the thought is important.
    That's why it's taking me a long time to understand.
    But, I almost finished, only I must correct writing mistakes and complete putting references.

    And another problem is that, in my university we don't have adequate nursing books, all we do is some medical books and some scripts which our teachers have translated from english or german language.

    I would like, to have teachers like you who teach a student very well. So it wouldn't be a problem to do a simple plan care of any disease.

    All thinks would be different.
    Esme12 likes this.
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    I'm sorry I meant first care plan in this format....it's all good. I'm glad I can help out a fellow nurse to be....and I good nurse I might add...for the circumstances and disadvantages you have to deal with. I think you show amazing insight and initiative to seek out what you need even if it is on the other side of the ocean..((HUGS))

    Like the picture of the Kitty.
  7. 1
    Quote from fitore
    I tried to use Maslow's hierarchy of needs, and I put nursing diagnosis by using that, I don't know if I've done right. by the way

    these are my pt nursing dg:
    actual dg:

    1.Ineffective cerebral tissue perfusion
    2.Ineffective airway clearance
    3.Impaired physical mobility
    4.Disturbed sensory perception (seeing)
    5.Impaired verbal or written communication
    6.Self-care deficit
    7.Knowledge deficient (learning need) regarding condition, prognosis, treatment regimen, self-care, and discharge needs

    potential dg:

    8.Risk for ineffective airway clearance
    9.Risk for skin integrity
    10.Risk for injury
    Good list.
    Esme12 likes this.
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    A doubt about, during placing nursing dg.

    An explanation of establishing an unconscious patient diagnoses
    and a consciousness pt.
    A the same diagnosis valid?
    ex. Disturbed sensory perception (seeing)

    is that by Glasgow coma scale and Monitoring pupil size and reactivity. ??
    Last edit by fitore on Jan 18, '13
  9. 0
    I would think so.


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