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Discussion

creative careplan idea

Hi! I have a 19 year old patient with ALL that I need to do a careplan on, I was wondering if anyone had any good ideas for NANDA nursing diagnosis's, I dont want to go with the easy risk for infection because I think that is too obvious. Any ideas? I would love to hear them!

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    • Featured Replies

    Perhaps you should list ideas and we can comment. As a student it's usually the most obvious you don't need to make it difficult.

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    • Experts

    We are happy to help but we need your input first. What do YOU think? Is this your first care plan?

    Care plans are all about the assessment.....what the patient needs. All you have here is a medical diagnosis.

    Tell me about this patient.

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    • Author

    Oh no not my first care plan by any means which is why I don't particularly want to go with risk for infection (I feel like I've done that too many times)

    He is a long term hospital patient, been there 4 Months back and forth between PICU & the cancer unit. His treatment for the ALL is causing multi symptom organ failure, increased pulse rate and increased BP which now has to be managed with esmolol. He's NPO on lipids and TPN, he has a picc, a mediport, and an art line. He states his pain is 8/10, & is not completing self care.

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    Long term hospitalization could be interfering with his growth & development. Think about what the psychosocial needs are for a typical adolescent and how hospitalization could interrupt that. How would you address this as a nurse?

    Where is he mentally in terms of accepting his diagnosis and prognosis? What about his family?

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    • Experts
    Oh no not my first care plan by any means which is why I don't particularly want to go with risk for infection (I feel like I've done that too many times)

    He is a long term hospital patient, been there 4 Months back and forth between PICU & the cancer unit. His treatment for the ALL is causing multi symptom organ failure, increased pulse rate and increased BP which now has to be managed with esmolol. He's NPO on lipids and TPN, he has a picc, a mediport, and an art line. He states his pain is 8/10, & is not completing self care.

    You have told me what he has....what does he NEED? How is his color? Does he have edema? Is his skin intact? What is his urine output? What are his labs? How are his lungs?

    Tell me about HIM...what does HE need?

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    Plus in my care plans I use risk for as an absolute last resort! I only use these when I can seriously think of nothing else, like if I got a pt that really was not that ill. With ALL I would think it would be fairly easy. Im working on my final care plan for nursing school (yay) and my pt had bilat PE's and she made it fairly easy for me to come up with nursing dx with that medical dx. Good luck =)

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    • Experts

    This patient has plenty of ND but I still need the actual assessment to base them off of. I have seen this kind of patient and several click in my mind. But do they actually apply?

    I only know that patient has cancer (ALL), a PICC, a medport, and reportedly has multisystem failure from chemo and is a teen.

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