Care Plans Help Please! (with the R\T and AEB)

Hello! I'm struggling with one of my classes, when the teacher gives examples it makes sense but when we're left on our own, it's extremely difficult to know where to start.

Specifically, trying to understand the nursing DX r\t (what it's related to), aeb (then the signs and symptoms).

Does anyone have any pointers to make this easier?

The related to is the medical diagnosis but you cannot use a medical diagnosis....they have to be NANDA approved and there are a lot of books out there that help out.....one is mosby's pocket guide to nursing diagnoses. An example of a diagnosis could be: pain related to injured hip as manifested by complaints of pain and facial grimaces upon movement of affected joint. I hope that this helps and good luck...

Specializes in med/surg, telemetry, IV therapy, mgmt.

The "related to" part of the nursing diagnostic statement is the etiology, cause, or what is contributing to the nursing diagnosis. "Related to" things include cultural, environmental, physiological, psychological and developmental changes the patient is experiencing. Nursing diagnosis handbooks can help you determine the wording you need to use for this section of your diagnostic statement. An explanation of the meaning of what follows the words "Related to" can be found in the beginning chapter(s) of any nursing diagnosis handbook. Before diving in to pick a nursing diagnosis from your handbooks or care plan guides, please, please, please read the early chapter(s) of these books. They are only a few pages long, but they are packed with essential information about the nursing process, choosing nursing diagnoses, and the written plan of care.

Specializes in Oncology, Neuro, Cardiac.

Hello! Try not to stress out too much by the care plans. I remember doing that in school, and the teachers were so tough on them. So, one time, I went to one of the instructors and asked her to help me writing my care plan, because I was having trouble. So she was very nice, and sat down, and walked me through all the steps. I walked out of there with what I thought was a beautiful care plan. I mean this instructor was working on her masters, and had been an instructor for years, and taught how to do care plans in her class.

Well, I turned it in, and the instructor for the assignment, basically just ripped it up. (not physically, just with red pen all over it). I was flabbergasted. I didn't tell her that the other instructor had basically sat down and written it with me.

I just realized that all I can do is my best. Luckily, our care plans weren't part of our actual grade.

They are very subjective.

I had another instructor sit down with me, and just tell me, look care plans are just a learning experience for you. They teach you to look at the big picture.

I know it's hard, but try and relax. I struggled all through nursing school with care plans. I don't think I ever got them the way my instructors wanted them, but I still graduated. So, I hope, your care plans aren't graded. Good Luck!

Hey guys, I just had my first day of clinicals and I have a massive headache. We have to do the first 2 pages of a care plan for tomorrow. That doesn't look to difficult, but next week we have to do the first 11, then the whole thing the week after. I'm kind of confused as to how you fill out pages 3-11. Do you just copy from the patients chart? Or do you have to ask the patient questions? (like on page 11, there are questions about role function and interdependence mode). Also what does report with the nurse mean exactly?

Specializes in med/surg, telemetry, IV therapy, mgmt.

Medsport... I would love to help you out, but I have no idea what you are talking about... 11 pages of this... 3 to 11 pages of that... 2 pages due tomorrow. ??????? I have no idea what is printed on these pages. I have no idea what instructions or information your instructor has given you. Is this care plan supposed to be about a patient that you took care of in clinical today? What exactly is being requested on the first 2 pages that are due tomorrow--specifically? Help me help you here.

Report with the nurse is the face to face meeting you have with your patient's nurse and the information about the patient that the two of you exchange when you first came on duty and then when you go off duty. Usually, the nurse tells you important information you need to know that is going on with the patient. When you "report off" to the nurse, you tell him/her the things you did with the patient and anything important or significant that occurred while you were caring for him/her that you feel is important for the nurse to know. This is how continuity of care is kept going.

So, I thought I had it all down. But now, I am having problems with the Risk fors. I have always thought it was Risk for _________ RT _________ but no AEB or AMB because that would prove it was not a risk dx. But transferring to a new school has changed this and it is Risk for __________ AEB/AMB with no relation. It has been explained to me, but it still doesn't make much sense. Which way is the "RIGHT" way?

Specializes in med/surg, telemetry, IV therapy, mgmt.
MD1211 said:
So, I thought I had it all down. But now, I am having problems with the Risk fors. I have always thought it was Risk for _________ RT _________ but no AEB or AMB because that would prove it was not a risk dx. But transferring to a new school has changed this and it is Risk for __________ AEB/AMB with no relation. It has been explained to me, but it still doesn't make much sense. Which way is the "RIGHT" way?

The "right" way is whatever way your teachers are telling you to do it. It is a teacher who explained this to you and not another student, is that right? Your grade depends on it. I would double check that what you have written here is absolutely what they are wanting. . .the teacher's rules trump NANDA when it comes to your grade. It's possible that they are defining AEB/AMB as something different than what you were used to at your other school. Still it doesn't seem to make NANDA-sense.

Daytonite said:
The "right" way is whatever way your teachers are telling you to do it. It is a teacher who explained this to you and not another student, is that right? Your grade depends on it. I would double check that what you have written here is absolutely what they are wanting. . .the teacher's rules trump NANDA when it comes to your grade. It's possible that they are defining AEB/AMB as something different than what you were used to at your other school. Still it doesn't seem to make NANDA-sense.

Well, I had 2 different teachers explain it both ways. No student input. I wrote it to coincide with my current prof. but I just can't replace it without knowing why. And it seems that all the text books are supporting the original, first way I learned it. I suppose I will just keep with the current way, but I was hoping someone would enlighten me to something I just am not getting and if I should return to my "normal" method after this class.

Specializes in med/surg, telemetry, IV therapy, mgmt.

If you are having difficulty choosing a nursing diagnosis or you need to see what the related factors (causes, "Related to" part of your diagnostic statement) or defining characteristics (symptoms, "As evidenced by" part of your diagnostic statement) for a specific nursing diagnosis and don't have a care plan book or nursing diagnosis handbook to use as reference, you can check the websites I've listed below for the nursing diagnosis listings on these sites for that information. They are part of the companion care plan constructor sites for two of the cares plan books that Elsevier publishes. Remember that each of your nursing diagnoses must have at least one related factor and one or more defining characteristics in order for you to properly be able to assign that nursing diagnosis to your patient. Many of these nursing diagnosis listings will also contain the official definition of the nursing diagnosis, outcomes and nursing interventions specific to that diagnosis as well as suggestions for patient teaching and rationales. Briefly reading through what is provided for these nursing diagnoses will tell you almost instantly if you've chosen the right nursing diagnosis or you need to keep on looking for something else.

Use the Care plan builder, free, online. Type in Ackley + care plan, and then you pick your diagnosis alphabetically, the builder does the rest, it will save you a ton of time flipping through the books. Good luck.

Specializes in med/surg, telemetry, IV therapy, mgmt.
msmaximus said:
Use the Care plan builder, free, online. Type in Ackley + care plan, and then you pick your diagnosis alphabetically, the builder does the rest, it will save you a ton of time flipping through the books. Good luck.

Dude! That's the same link I just posted above the other day! No searching involved.

Specializes in L&D/MotherBaby/Plastic Surgery.

Thank you!!! I was battling myself with this just a little while ago...thinking how can I use AEB with at risk for!!! Although still struggling with my care plan...I do feel better knowing that my thought process was on the right track...somewhat!!

"Aeb can "Not" be used with an at "Risk for" dx."

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