care plan- smart (specific, measureable, accurate/achievable, realistic, timeframe

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:Dhi , i am a late bloomer, need to do a care plan using SMART including three strategies per nursing diagnosis. Here goes...55 year male self-employed, home renovations. married, five children, with two children from previous marriage with no contact. client not a sporty person coaches 10yr old son soccer team on weekend. hobbies: likes to go fishing when can. Weight 90kg. Height 180cm. thinks he as carried his weight well. Diabetic (niddm) for 2yrs.BSL 16mmol when last checked with GP.Gave up smoking 5 yrs ago. Father died from heart attack age 50yrs. Doesn't understand about the tablet thing for his diabetes, Gp keen to address this issue with him. has asthma mild, well controlled, with preventers only. Wife has concerns for client eg. weight being an issue.

The Question is to Contribute to planning care for client in a community setting

. one nursing diagnosis relating to client's management of his physical conditiion

. one nursing diagnosis relating to client's psychological needs

. one nursing diagnosis relating to client's nutritional needs

. one nursing diagnosis relating to diagnosis of asthma

I really hope you can help me? HELP ME! HELP ME!

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Specializes in Gerontological, cardiac, med-surg, peds.

Moved to Nursing Student Assistance Forum.

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No one will do your homework for you. Post a few nursing diagnoses on here to get feedback. You're more likely to get help that way.

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There are no more nursing diagnosis - that's it.

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There are no more nursing diagnosis - that's it.

I really want to help but I don't get it...You have not stated one nursing Dx. Honestly, you need a care plan book and some other resources. You are not going to get homework answers requiring that amount of depth from this site. Not because no one is interested or doesn't care, but because if you don't do the work yourself now you will never be able to make it in this profession.

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Thanx for the insight, only nursing diagnosis is type 2 diabetes, for two years BSL 16mmol doesn't take his medication, and mild asthma well controlled with preventer. Sorry if not enough information. So I thank you, as I have now finished the case study with the information that was available to me.

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i seem to be posting this a lot lately, but it's early in the school year and students really don't seem to have a handle on what nursing diagnosis is, where it comes from, and what they are supposed to do to make one. here it is again.

please, all students, realize that nursing diagnoses are not to be found in some mythological chart with the first column being medical diagnoses and the second giving nursing ones, with the implication that nursing diagnoses are somehow derivative, secondary, or subordinate. nothing could be farther from the truth.

medical diagnoses are derived from medical assessments-- diagnostic imaging, laboratory studies, pathology analyses, and the like. this is not to say that nursing diagnosis doesn't use the same information, so read on.

nursing diagnoses are derived from nursing assessments, not medical ones. so to make a nursing diagnosis, a nursing assessment has to occur. for that, well, you need to either examine the patient yourself, or (if you're planning care ahead of time before you've seen the patient) find out about the usual presentation and usual nursing care for a given patient.

medical diagnoses, when accurate, can be supporting documentation for a nursing diagnosis, for example, "activity intolerance related to (because the patient has) congestive heart failure/duchenne's muscular dystrophy/chronic pulmonary insufficiency/amputation with leg prosthesis." however, your faculty will then ask you how you know. this is the dread (and often misunderstood) "as evidenced by."

in the case of activity intolerance, how have you been able to make that diagnosis? you will likely have observed something like, "chest pain during physical activity/inability to walk >25 feet due to fatigue/inability to complete am care without frequent rest periods/shortness of breath at rest with desaturation to spo2 85% with turning in bed."

i hope this is helpful to you who are just starting out in this wonderful profession. it's got a great body of knowledge waiting out there to help you do well for and by your patients, and you do need to understand its processes.

op, what you have is a medical diagnosis, type ii dm. what you need to do to complete this assignment is to learn a lot more about what diabetes is, usual medical plan of care, what its effects and complications are, and what nursing usually does to assess for them and treat them in addition to the actions in the medical plan of care.

you need to work on this and get answers, and asking an online forum is not the way to do it. for one thing, we are always willing to help out a student who says something like, "i read that a means that b, and xyz leads to qrs, but when i read author m, it said that a doesn't necessarily lead to b but to qrs, and i'm having a hard time putting that together." that we are happy explain, because you've done some thought and put some effort into it-- btw, things that you will need all your professional life and not jsut while you struggle through nursing school. but just saying what you said, which is in essence, "do my homework for me," well, that's not gonna happen. bring something to the table, more than what the assignment data says; tell us what you've learned so far; then we can chat.

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^ exactly.

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Specializes in LTC, Nursing Management, WCC.
There are no more nursing diagnosis - that's it.

You have to formulate your nursing diagnosis... that's part of your assignment.

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