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Care Plan - All these Nursing Dx opposite of what I want

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by adnrnstudent adnrnstudent (Member)

adnrnstudent has 5 years experience .

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Why are all of the Nursing Dx the exact opposite of what I want?

Had patient in for Chemotherapy. He has not had any nausea, but receiving meds prophylactically.

I'd like to make a Nursing Dx - Risk for Nausea, but risk for nausea not listed, only a Dx of Nausea.

Patient has a Infection, but no Dx for that, but there is Risk for Infection.

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adnrnstudent has 5 years experience.

9,688 Visitors; 345 Posts

Just to elaborate a little more and let me focus in on Nausea.

There isn't a "Risk for Nausea" but there is a "Nausea".

If I select Nausea then I have to have a "as manifested by", but patient doesn't have nausea so there is no AMB I can say.

Edited by adnrnstudent

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1 Like; 5,093 Visitors; 455 Posts

Yeah, it'd be nice to make up some diagnoses....

For chemo, consider things that can be caused by nausea, not the nausea it self, such as:

Imbalanced nutrition

Risk for deficient fluid volume

Fatigue

Edited by Turd Ferguson
s

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adnrnstudent has 5 years experience.

9,688 Visitors; 345 Posts

I appreciate your reply, but here's the problem.

We 1st list several potential N Dx and I have all those listed, and we put them in an order of priority. Then we take the top 2 priorities and elaborate on them.

The problem is, the pt doesn't have any of those issues and Nausea would still be a higher priority in my mind.

Nursing Dx is just bullcrap to sell books and make Leaders in Nursing that promote this crap feel special and like they're the ones elevating the profession. It is all actually meaningless busy work and that's EXACTLY how I feel about it.

What cracks me up, I thought for my other one I had it easy with his delayed wound healing from surgery. I started out with that as my top priority but then I started reading the interventions and one of them was a warming blanket during surgery. I'd like to call whoever comes up with this BULLCRAP that the patient has already had surgery and I don't have a time machine to go back to the surgery.

Just like George Carlin says, "It's all BS and it's bad for ya!"

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Pneumothorax works as a Flight Nurse.

17,599 Visitors; 1,178 Posts

i appreciate your reply, but here's the problem.

we 1st list several potential n dx and i have all those listed, and we put them in an order of priority. then we take the top 2 priorities and elaborate on them.

the problem is, the pt doesn't have any of those issues and nausea would still be a higher priority in my mind.

nursing dx is just bullcrap to sell books and make leaders in nursing that promote this crap feel special and like they're the ones elevating the profession. it is all actually meaningless busy work and that's exactly how i feel about it.

what cracks me up, i thought for my other one i had it easy with his delayed wound healing from surgery. i started out with that as my top priority but then i started reading the interventions and one of them was a warming blanket during surgery. i'd like to call whoever comes up with this bullcrap that the patient has already had surgery and i don't have a time machine to go back to the surgery.

just like george carlin says, "it's all bs and it's bad for ya!"

i totally agree.

1. i could probably write a nursing dx /care plan book... one intervention that cracks me up

nursing dx: risk for latex allergy response; intervention: remove all latex products from pt room to reduce risk of allergic reaction.

uh duhhh you dont say?...

2. i dont like that in some cases its hard to individualize these care plans to our pts sometimes such as the trouble youre having.

i just find it overall irritating lol.

do you actually follow ur careplan when u have pt contact?...we do ours the nightbefore but i have yet to use it bc pt statuses change on a daily basis... i cant be tied to a stupid plan (that is stating the obvious anyways) lol

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JROregon has 5 years experience and works as a Nurse.

7,119 Visitors; 710 Posts

Okay, work with whatcha got. How bout some of the psychosocial stuff.

fear

anxiety

powerlessness

I know these nursing diagnosis books are not the best but it is what it is. This patient may not have nausea today but might in a few days, along with mouth sores, diarrhea, difficulty eating and receiving adequate nutrition, and unable to do perform in their usual role.

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all4ofus works as a RN.

5,376 Visitors; 99 Posts

I don't have an answer, but I feel your pain! I have posted a similar thread in the past, asking about Risk for Electrolyte Imbalance vs an actual electrolyte imbalance, as well as your Risk for Infection question. Some people pointed out that if it is a medical diagnosis (infection), then it can't be used for a nursing diagnosis. But that wouldn't apply to your question about the Nausea nursing diagnosis being valid, but not Risk For. I mean really, if nausea is valid, then then it should only follow that there is "risk for" nausea. And one member made the point on my past thread that if Infection can't be used because it is a medical dx, but Risk for Infection CAN be used, then why can't we just use Risk for (any medical dx)? I agree with you 100% - this is circular stuff that is invented to create an income for somebody somewhere! The nurses in the hospital that I work at all just laugh and shake their heads when I vent about care plans.

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1,142 Visitors; 29 Posts

Is the pt nauseous if they aren't on the med? If so then it is a legit Nursing Dx, and the med is one of your interventions.

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