Careplans-'interventions w/scientific rationales

[RbLegend]

Ok- we have to do careplans with a scientific rationale (to the celluar level) for each intervention? Like if you turn a patient etc. Something so easy -how do scientifically rationale this?>

I have Pathology books - they discuss disease.

Anyone have any books that could help>?

[CISCOPATRICK06]

Hello,

One resource that I have found invaluable is the Pathophysiology Review and Rationales book. There is a review and rationales book available for virtually all nursing topics. I truly hopes that this helps you.

[RbLegend]

Do you mean 'the Prentice Hall' pathology book?

This careplanning is ridulous- they want scientific rationale with each intervention! They mostly want it quoted from a nursing journal!

Help - I am so frustrated!

[CISCOPATRICK06]

Yes, that is the book. With our careplans, we had to provide scientific rationale as well. This is to ensure that you understand the basis of why you are performing a specific intervention and the possible outcomes. Once you have written enough careplans, they get easier. Remember to make sure that each careplan applies to that one patient since each patient is unique and has unique needs. I know that it is frustrating, but it's one of the requirements for these programs. You can get scientific rationale from any nursing book that applies to that problem. If you are looking for a good review book that breaks it down, R & R books are good, any lippincott review books are also good as well. I truly hope that this helps you. Good luck with that.

[CISCOPATRICK06]

Oh and another thing, the example you give for turning a patient, think about what happens if you don't follow a turn schedule. impaired circulation due to pressure on that area (sacral), eventual skin breakdown resulting in pressure ulcers. nowadays, nursing interventions are based on evidence-based practice. They don't always have to be to the cellular level. That's what helped me through that. good luck again!!!

[Daytonite, BSN, RN]

nursing diagnosis handbook: a guide to planning care by betty j. ackley and gail b. ladwig gives the research articles supporting the interventions listed in their book. some of them are listed on their weblinks for some of the nursing diagnoses that are listed there: http://www1.us.elsevierhealth.com/evolve/ackley/ndh7e/constructor/index.php#diagnoses