Can I Make Sezure As A Nursing Diagnosis

Published

i need to do my care plan and my patient had seizure ( a slient one at that) with no movement so how do i organize my cre plan fr this.. i need help asap its due tomorrow :confused:

Up Vote Up Vote ×

Nobody can do your care plan for you, what do you have so far?? If you told us what you had so far maybe we can help you once we see what you have come up with. Use you care plan book and let us see what Diagnosis you are using. By the way, it's due tomorrow!!!! What were you thinking? It takes me a week to get a good care plan done.:nono:

Up Vote Up Vote ×
I need to do my care plan and my patient had seizure ( a slient one at that) with no movement so how do i organize my cre plan fr this.. I need help asap its due tomorrow :confused:

A seizure is a medical diagnosis, so you cannot use that.

Can you give a short list of what is wrong with your patient?

If we have that, we can help you.

Up Vote Up Vote ×

Here is a website that may help you...I wished I had found this in my first semester....

http://www1.us.elsevierhealth.com/MERLIN/Gulanick/Constructor/

Up Vote Up Vote ×

its a medical condition & not a response w/c is where we based our nsg care plan. what are your assessment s?px with seizure can be at risk for injury.

Up Vote Up Vote ×
Specializes in med/surg, telemetry, IV therapy, mgmt.

the way you organize a care plan is, first of all, to follow the steps of the nursing process:

  1. 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.

[*]planning (write measurable goals/outcomes and nursing interventions)

  • goals/outcomes are the predicted results of the nursing interventions you will be ordering and performing. they have the following overall effect on the problem:
    • improve the problem or remedy/cure it
    • stabilize it
    • support its deterioration

    [*]how to write goal statements: https://allnurses.com/forums/2509305-post158.html

    [*]interventions are of four types

    • assess/monitor/evaluate/observe (to evaluate the patient's condition)
      • note: be clear that this is assessment as an intervention and not assessment done as part of the initial data collection during step 1.

      [*]care/perform/provide/assist (performing actual patient care)

      [*]teach/educate/instruct/supervise (educating patient or caregiver)

      [*]manage/refer/contact/notify (managing the care on behalf of the patient or caregiver)

[*]implementation (initiate the care plan)

[*]evaluation (determine if goals/outcomes have been met)

a seizure, even one with only slight to no movement, has a classification. you need to look up the pathophysiology of seizures and what is happening to cause them. that is part of your responsibility as a nursing student. you also need to look up what the treatment and nursing care are for people who have seizures. there are also social implications involved with seizures (not being able to get a driver's license) so coping may be a nursing problem that this patient may need to deal with. as nurses, we help the patient go about the work of living their daily lives. your job is to determine what problems the patient might have doing that. so, assess the patient to see what those problems are going to be.

for other direction and examples in writing care plans, see

Up Vote Up Vote ×

we were taught by a clinical instructor that after you make ur nursing diagnosis, if your basing it on the patient medical diagnosis, then you can use the definition of the medical diagnosis as your "related to".

Up Vote Up Vote ×

I did my intervenions, my outcomes, my assessment and evaulations are done already i had to only put the nursing diagnosis for seizure in and didnt know how to word the nursing diagnosis and not a medical diagnosis the care plan is basiclly done

Up Vote Up Vote ×
Specializes in med/surg, telemetry, IV therapy, mgmt.
i did my intervenions, my outcomes, my assessment and evaulations are done already i had to only put the nursing diagnosis for seizure in and didnt know how to word the nursing diagnosis and not a medical diagnosis the care plan is basiclly done

how is that possible? if you looked at what i posted for you, the outcome, interventions and evaluation are based on the abnormal data that comes from your assessment of the patient. the abnormal data that falls out of the assessment data is the foundation of the care plan. the abnormal data (defining characteristics/signs and symptoms) is the evidence upon which the nursing problems (nursing diagnoses) are based. interventions target and treat these abnormal data items. every nursing diagnosis consists of a list of defining characteristics and your patient must match at least one or more of them. you need to go back through your assessment data and pick out these abnormal assessment items and list them out. look at some of the replies i have given students on https://allnurses.com/forums/f50/help-care-plans-286986.html - assistance - help with care plans so you can see how i have done this diagnosing. if you had listed this information i could have helped you diagnosed this patient. unfortunately, you have done the nursing process backwards.

Up Vote Up Vote ×
I did my intervenions, my outcomes, my assessment and evaulations are done already i had to only put the nursing diagnosis for seizure in and didnt know how to word the nursing diagnosis and not a medical diagnosis the care plan is basiclly done

risk for injury related to (definition of seizure)Unbalance electrical activity in the brain

Up Vote Up Vote ×
Specializes in Telemetry/Med Surg.

first you say you need help for a care plan due tomorrow...

how to organize it...

then you say the care plan is 'basically done'

...never mind

Up Vote Up Vote ×

??How can you do your interventions and outcomes without a diagnosis??

Up Vote Up Vote ×
+ Join the Discussion