Care plans!

[dznurse12]

How do you recommend writing a nursing diagnosis for wellness when the client is A&OX1, there is little readiness or preparedness when the client is not cognitive?

[Davey Do]

Well, the patient is cognizant, aware; the mental process is merely impaired.

If I remember correctly, dznjurse, the nursing diagnosis relates to the axis I or III or admitting diagnosis, right?

I don't get the "wellness" thing. Is that related to safety or well-being?

Lessee... on geriatric psych, we have patients admitted with a diagnosis of psychosis nos as a result of dementia; they're admitted for experiencing an altered mental status.

So we make out care plans, for example, if they are found to be a high fall risk. Not falling is wellness, right?

A care plan could read "Patient will experience no falls leading to:

1. injury

2. a lawsuit initiated by an estranged and absent family member or members

3. the big wigs blaming staff for the fall when we were understaffed in the first place

4. a new form to fill out that administration believes will fix everything or so they think."

How'd I do, dznurse?

[TriciaJ, RN]

Well, the patient is cognizant, aware; the mental process is merely impaired.

If I remember correctly, dznjurse, the nursing diagnosis relates to the axis I or III or admitting diagnosis, right?

I don't get the "wellness" thing. Is that related to safety or well-being?

Lessee... on geriatric psych, we have patients admitted with a diagnosis of psychosis nos as a result of dementia; they're admitted for experiencing an altered mental status.

So we make out care plans, for example, if they are found to be a high fall risk. Not falling is wellness, right?

A care plan could read "Patient will experience no falls leading to:

1. injury

2. a lawsuit initiated by an estranged and absent family member or members

3. the big wigs blaming staff for the fall when we were understaffed in the first place

4. a new form to fill out that administration believes will fix everything or so they think."

How'd I do, dznurse?

I, personally, think you're right on.

[Davey Do]

I, personally, think you're right on.

Thanks, TriciaJ. I was a little concerned, feeling like Grandpa helping Mary Ellen Walton factor trinomials.

[TriciaJ, RN]

Thanks, TriciaJ. I was a little concerned, feeling like Grandpa helping Mary Ellen Walton factor trinomials.

You didn't do the OP's homework, yet still provided valuable teaching. A double score.

[amoLucia]

to continue - no falls leading to:

5 - diminished PG satisfaction scores resulting in disciplinary write-ups for individual staff, mandatory attendance at Safety Inservice, and more body safety alarms.

[Davey Do]

You didn't do the OP's homework, yet still provided valuable teaching. A double score.

I did?! Oh! Let me do that again!

to continue - no falls leading to:

5 - diminished PG satisfaction scores resulting in disciplinary write-ups for individual staff, mandatory attendance at Safety Inservice, and more body safety alarms.

Show off.

[SpankedInPittsburgh, DNP, RN]

I've never written or seen a nursing care plan since getting my associates degree