I have a CAT tool due tomorrow and I ALWAYS have problems with care plans. My pt is on vent dept and is in a vegitative state. Can anyone help me with a good care plan for trach? I need 5 interventions and rationales for each?
It works the other way here. You give us your ideas and then we can help you from that; but we do not do homework here for anyone. You need to be the active participant in the learning end of what you are to be doing.
And if you are having issues with care plans then this is more of a reason for you to come up with the initial part of it.
Having a trach is far from the only part of your carre plan, it is actually only a small little detail of it. Start with that and lets see what you can come up with.
a tracheostomy and ventilator are medical treatments. a vegetative state is a medical condition. a nursing care plan contains your strategies to treat the patient's nursing problems. nursing problems are determined by applying the nursing process to what is happening to the patient. the medical condition (vegetative state) will need to be converted into nursing problems. you have not provided the information for me to show you how to do that. you can see examples on this sticky thread: http://allnurses.com/forums/f50/help...ns-286986.html - assistance - help with care plans. here is how you can use the steps of the nursing process to help you with that:
assessment (collect data from medical record, do a physical assessment of the patient, assess adl's, look up information about your patient's medical diseases/conditions to learn about the signs and symptoms and pathophysiology)
a physical assessment of the patient
assessment of the patient's ability and any assistance they need to accomplish their adls (activities of daily living) with the disease
data collected from the medical record (information in the doctor's history and physical, information in the doctor's progress notes, test result information, notes by ancillary healthcare providers such as physical therapists and dietitians
knowing the pathophysiology, signs/symptoms, usual tests ordered, and medical treatment for the medical disease or condition that the patient has. this includes knowing about any medical procedures that have been performed on the patient, their expected consequences during the healing phase, and potential complications. if this information is not known, then you need to research and find it.
determination of the patient's problem(s)/nursing diagnosis (make a list of the abnormal assessment data, match your abnormal assessment data to likely nursing diagnoses, decide on the nursing diagnoses to use). it helps to have a book with nursing diagnosis reference information in it. there are a number of ways to acquire this information.