Care Plan Help! Please (=

Esme12, ASN, BSN, RN · Dec 1, 2012

There is not enough information to help you....why are they getting chemo...what is the chemo? What are the co-morbidities? What is your assessment of the patient?

We have discussed this before.........Let the patient/patient assessment drive your diagnosis. Do not try to fit the patient to the diagnosis you found first. You need to know the pathophysiology of your disease process. You need to assess your patient, collect data then find a diagnosis. Let the patient data drive the diagnosis.

What is your assessment? What are the vital signs? What is your patient saying?. Is the the patient having pain? Are they having difficulty with ADLS? What teaching do they need? What does the patient need? What is the most important to them now? What is important for them to know in the future. What is YOUR scenario? Again........TELL ME ABOUT YOUR PATIENT...

Look up Hyponatremia.....Hyponatremia is an important and common electrolyte abnormality that can be seen in isolation or, as most often is the case, as a complication of other medical illnesses. http://emedicine.medscape.com/article/242166-overview requires registration but it is free.....

http://www.mayoclinic.com/health/hyponatremia/DS00974

nurseprnRN, BSN, RN · Dec 1, 2012

What's the most common intervention for hyponatremia? Why is that?

If you aren't looking in your pathophysiology textbook, you're looking in the wrong place.

StudentOfHealing · Dec 1, 2012

We go the day before to pick our pt.

My clinical professor does not allow us to speak or interact with our pt ... unlike some others who allow them to: -meet/greet -take vitals -observe -let them know you'll be there student nurse.

My pts file had very little information. Look through all the doc orders and labs and questions others have asked her. No specifications.

Well my pt was discharged that same day when I came back ... around the end of my clinical shift. The Hyponatremia was stablelized.

When I actually interacted with my pt... it was evident the main issue was edema in the alveoli ...

I listened to the lungs and there was rhonci.

She was diabetic ... she had HTN... I found out more info when I actually got to be with the pt.

nurseprnRN, BSN, RN · Dec 1, 2012

What did you find out?

What's the relationship between hyponatremia and weakness?

How did you (or anyone) know her hyponatremia was stabilized?

What's the difference between rhonchi and rales?

These are some of the things you ought to have learned on this clinical day.

Esme12, ASN, BSN, RN · Dec 3, 2012

We go the day before to pick our pt.
My clinical professor does not allow us to speak or interact with our pt ... unlike some others who allow them to: -meet/greet -take vitals -observe -let them know you'll be there student nurse.
My pts file had very little information. Look through all the doc orders and labs and questions others have asked her. No specifications.
Well my pt was discharged that same day when I came back ... around the end of my clinical shift. The Hyponatremia was stablelized.
When I actually interacted with my pt... it was evident the main issue was edema in the alveoli ...
I listened to the lungs and there was rhonci.
She was diabetic ... she had HTN... I found out more info when I actually got to be with the pt.

What is her diagnosis...Why is she getting chemo? Does edema of the alveoli cause rhonchi? What does hyponatremia cause? What was her main complaint? other than rhonchi...what was your assessment?

To help guide you on your next patient and what information you need.......

critical thinking flow sheet for nursing students

student clinical report sheet for one patient