care plan for syncope

[juliechristie421]

Hello. I am a 2nd semester LPN student and still getting the hang of this care plan thing. I am working on a care plan for my pt who came to the hospital with SYNCOPE and UTI. She has hx of IDDM, COPD, HTN, DVT, HYPOTHYROIDISM, DIVERTICULITIS, AND CRI (still cant figure out what that is). I have had some good ideas on nursing dx but keep getting stuck in circles with the "r/t" and "AEB"!! HELP PLEASE :)

[Purple_Scrubs, BSN, RN]

CRI = chronic renal insufficiency? Guessing here, I have not worked in the hospital for a while. I would my first thought for syncope is fall risk, so I would start there.

[Daytonite, BSN, RN]

r/t means "related to" and refers to the etiology of the nursing problem.

aeb means "as evidenced by" and refers to the evidence you have that proves the existence of the nursing problem.

syncope is another word for passing out or fainting. people can pass out because of low blood sugar, a heart arrhythmia or anemia to name a few medical reasons. cri is chronic renal insufficiency and usually means the creatinine and bun levels are elevated although kidney function is still pretty good and the kidneys have not yet gone into failure, but they could be headed in that direction. cri will cause docs to order different kidney-friendly medications for these patients. they usually cannot be given contrast dyes in radiology for ct and mri scans because of the cri.

all nursing problems (nursing diagnoses) must be based on signs and symptoms you assessed and observed in the patient. since you posted none, i can't give you any further help with any nursing problems (nursing diagnoses) for this patient.

the construction of the 3-part nursing diagnostic statement follows this format:

p (problem) - e (etiology) - s (symptoms)

• problem - this is the nursing diagnosis. a nursing diagnosis is actually a label. to be clear as to what the diagnosis means, read its definition in a nursing diagnosis reference or a care plan book that contains this information. the appendix of taber's cyclopedic medical dictionary has this information.
  
• etiology - also called the related factor by nanda, this is what is causing the problem. pathophysiologies need to be examined to find these etiologies. it is considered unprofessional to list a medical diagnosis, so a medical condition must be stated in generic physiological terms. you can sneak a medical diagnosis in by listing a physiological cause and then stating "secondary to (the medical disease)" if your instructors will allow this.
  
• symptoms - also called defining characteristics by nanda, these are the abnormal data items that are discovered during the patient assessment. they can also be the same signs and symptoms of the medical disease the patient has, the patient's responses to their disease, and problems accomplishing their adls. they are evidence that prove the existence of the nursing problem. if you are unsure that a symptom belongs with a nursing problem, refer to a nursing diagnosis reference. these symptoms will be the focus of your nursing interventions and goals.
  

that sounds like what you are asking in your question. if that hasn't completely answered everything, please be more specific. you can see examples of how the nursing process is used to diagnose the nursing problems on this thread: https://allnurses.com/general-nursing-student/help-care-plans-286986.html - help with care plans

[juliechristie421]

Thank you for your help and your time!