Published Apr 22, 2012
Pagel
1 Post
Having a difficult time with care plans. Please help. Diagnosis is acute pain but I'm having a problem with r/t since it can not be medical terms. Patient is having pain due to his PEG tube. Anyone have any ideas?
joshua.scholz
Good way to do r/t is use the patho behind it.. Example: acute pain r/t inflammation of the bronchioles secondary to decreased pleural space m/b dyspnea, guarding while coughing and verbal c/o pain 6 /10 "most of the time" ..... Something like that.....
guest042302019, BSN, RN
4 Articles; 466 Posts
Acute Pain r/t abdominal incision. Like the above says, the pathophysiology is great way to determine r/t factors.
Esme12, ASN, BSN, RN
20,908 Posts
This is a PEG tube not a chest tube.
Percutaneous endoscopic gastrostomy is an endoscopic medical procedure in which a tube (PEG tube) is passed into a patient's stomach through the abdominal wall, most commonly to provide a means of feeding when oral intake is not adequate.
OP.........you are falling into the same trick bag that many students fall into. You are picking a nursing diagnosis and trying to make your patient fit into it because you like it. That is not what you do.
The biggest thing about a care plan is the assessment, of the patient. The second is knowledge about the disease process. First to write a care plan there needs to be a patient, a diagnosis, an assessment of the patient which includes tests, labs, vital signs, patient complaint and symptoms.
The medical diagnosis is the disease itself. It is what the patient has not necessarily what the patient needs. The medical diagnosis is what the patient has and the nursing diagnosis is what are you going to do about it, what are you going to look for, and what do you need to do/look for first.
Care plans when you are in school are teaching you what you need to do to actually look for, what you need to do to intervene and improve for the patient to be well and return to their previous level of life or to make them the best you you can be. It is trying to teach you how to think like a nurse.
Think of them as a recipe to caring for your patient. Your plan of care, what you will do for them that day to make them feel better or what to look out for that is special to them.