Care Plan Help

[KIMYNURSE2B]

I need help with a care plan for a 24 year old female with Neutropenia following chemo.

I need 5 Nursing diagnoses(NANDA Aproved) in order of importance .

I have a few but I could use some ideas

I always have a problem with long and short term goals and time frames any help would be greatly appreciated.

TIA

[Daytonite, BSN, RN]

I can't help you with the only information that you have given being "24 year old female with Neutropenia following chemo". The first step in sitting down to writing a care plan is to make a list of all the data you collected about this patient that was not normal. If she has neutropenia, what were her labs, specifically her WBC counts? Does she have any symptoms of an infection? Did you assess her ability to perform ADLs? What cancer does she have that she was getting chemotherapy for? What signs and symptoms of the cancer does she have? All that information is needed to determine what her nursing problems are. A care plan is about addressing and treating a patients nursing problems. Just like a detective must go about finding clues to prove that a crime was committed, you must also find the signs and symptoms of the nursing problems to prove that they exist. Every nursing diagnosis has a set of defining characteristics (signs and symptoms). Diagnosing them is not a mystery but you do have to put some work into it. Goals are based upon the nursing interventions you develop; interventions target those signs and symptoms (abnormal data you collected about the patient) that you find during your assessment of the patient. This is a very logical and customized process for each patient.

[KIMYNURSE2B]

That is the only information we were given

Thank you for trying

[Daytonite, BSN, RN]

you look up nutropenia. you want to find out what the signs and symptoms of it. a care plan is always based upon the symptoms that a person has. just like doctors treat a patient's symptoms, we do the same thing. nursing diagnoses, if you are being asked to use them (although it doesn't matter) all are based upon symptoms that the patient exhibits. so, you need to find resources that are going to give you this information. you might try looking on the national cancer institute website (http://www.cancer.gov/) or on the website of the american cancer society (http://www.cancer.org). having had chemo myself, but not the associated wbc problems, i can tell you that fatigue is one of the problems. there are others. think about what others there are for someone who is very, very tired and has very few wbcs left in their system. so, there are adl issues. some of them will probably be addressed on the american cancer society website if you search there for information about support during chemotherapy or complications of chemotherapy (neutropenia is a complication of chemotherapy).

https://allnurses.com/forums/f205/medical-disease-information-treatment-procedures-test-reference-websites-258109.html - medical disease information/treatment/procedures/test reference websites