Syncope

  1. 0
    I had a pt with the admitting diagnosis syncope. What are some priority assessment for syncope?
    I chose the nursing dx, risk for injury, ineffective tissue perfusion
    What Im having trouble with is what I need to include in my nursing notes.
    I would love a point in the right direction
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  3. 9 Comments so far...

  4. 0
    you already picked your nursing diagnoses and now you want to know what to assess? here's a pointer for you. . .start again. you're doing this the wrong way. assess first, then choose nursing diagnoses. nursing diagnoses are based upon the defining characteristics the patient has!

    you will find all kinds of assessment guidelines on this thread:
    Last edit by sirI on Mar 31, '08
  5. 0
    Quote from daytonite
    you already picked your nursing diagnoses and now you want to know what to assess? here's a pointer for you. . .start again. you're doing this the wrong way. assess first, then choose nursing diagnoses. nursing diagnoses are based upon the defining characteristics the patient has!

    you will find all kinds of assessment guidelines on this thread:
    maybe i was not explaining myself. i am a student i didnt come ready made with all nursing knowledge
    Last edit by sirI on Mar 31, '08 : Reason: quoted/referred to edited post
  6. 0
    what daytonite is trying to say is that you cannot make an appropriate nursing dx without assessing your patient first. you need to base your diagnosis on signs, symptoms and assessment findings... ADPIE

    but i will say this, whenever i have a patient with syncope, i always assess orthostatic v/s (while standing there and holding on to the patient, of course.)

    good luck!
  7. 0
    Quote from flightnurse2b
    what daytonite is trying to say is that you cannot make an appropriate nursing dx without assessing your patient first. you need to base your diagnosis on signs, symptoms and assessment findings... ADPIE

    but i will say this, whenever i have a patient with syncope, i always assess orthostatic v/s (while standing there and holding on to the patient, of course.)

    good luck!
    I see but we have to think of Diagnosis b4 seeing the patient Im trying to write things down that I need to be aware of so I dont forget what I should be doing for the patient during clinical
  8. 1
    what you do is look up the signs and symptoms of syncope (part of step #1 of the nursing process). use those symptoms to determine nursing diagnoses (step #2 of the nursing process). a diagnosis can only be made after you have a list of the facts; every nursing diagnosis has a list of symptoms. then, proceed on to step #3. after your clinical day you evaluate and change the plan as necessary based on more assessment data you collected. you never choose the nursing diagnosis first without having some kind of data to back it up. never. data is everywhere. you just need to know where to look for it. that comes with time and experience. your worth over someone who isn't educated is knowing where to find data. this is part of what you are being trained to learn. you want to know what symptoms of syncope to look for in the patient anyway when you see them so you can start evaluating for them, so you need to know something about syncope before you walk into the patient's room. nursing school is not just learning about nursing care. you also have to learn about all kinds of medical diseases and conditions.

    the nursing process is something you need to burn into your brain. it is not only practical in constructing care plans, but will help in making answer choices on exams and solving puzzling situations. it is a problem solving method and if you learn anything in nursing school, learn the steps of the nursing process and what goes on in each of them. it is critical thinking. and everything starts and builds on step #1, assessment. a crummy foundation/start results in a crummy product.

    see the information on http://allnurses.com/forums/f50/help...ns-286986.html - assistance - help with care plans (in the general nursing discussion forum)
    Angie O'Plasty, RN likes this.
  9. 0
    Quote from daytonite
    what you do is look up the signs and symptoms of syncope (part of step #1 of the nursing process). use those symptoms to determine nursing diagnoses (step #2 of the nursing process). a diagnosis can only be made after you have a list of the facts; every nursing diagnosis has a list of symptoms. then, proceed on to step #3. after your clinical day you evaluate and change the plan as necessary based on more assessment data you collected. you never choose the nursing diagnosis first without having some kind of data to back it up. never. data is everywhere. you just need to know where to look for it. that comes with time and experience. your worth over someone who isn't educated is knowing where to find data. this is part of what you are being trained to learn. you want to know what symptoms of syncope to look for in the patient anyway when you see them so you can start evaluating for them, so you need to know something about syncope before you walk into the patient's room. nursing school is not just learning about nursing care. you also have to learn about all kinds of medical diseases and conditions.

    the nursing process is something you need to burn into your brain. it is not only practical in constructing care plans, but will help in making answer choices on exams and solving puzzling situations. it is a problem solving method and if you learn anything in nursing school, learn the steps of the nursing process and what goes on in each of them. it is critical thinking. and everything starts and builds on step #1, assessment. a crummy foundation/start results in a crummy product.

    see the information on http://allnurses.com/forums/f50/help...ns-286986.html - assistance - help with care plans (in the general nursing discussion forum)
    thanks
  10. 0
    Quote from flightnurse2b
    what daytonite is trying to say is that you cannot make an appropriate nursing dx without assessing your patient first. you need to base your diagnosis on signs, symptoms and assessment findings... ADPIE

    but i will say this, whenever i have a patient with syncope, i always assess orthostatic v/s (while standing there and holding on to the patient, of course.)

    good luck!
    Right! Im thinking more in the direction of my assessment besides just the dizziness, light headedness, and drop in blood pressure. I just don't want to miss anything!
  11. 0
    Look up the possible causes of syncope, then you can narrow down what assessments are priority (as a general rule of thumb, start with your ABC's).
  12. 0
    Hi Im Patito and Im still a rokie on my first semester and I too have to do Syncope, but I am in a dilema cause I looked up the symptoms, but I cant figure out the recommended nursing care. Please help help help!


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