Desperately Need Help With Care Plans

Any help with care plans will be appreciated?

Specializes in Gerontological, cardiac, med-surg, peds.
rhaychelle said:
hello... can u please help me in doing my nursing diagnosis... my assessment are + dyspnea, pale, restlessness, RR 30... i need a diagnosis using PES problem, etiology, s/s...

What have you come up with so far? We'll be glad to assist you, but it will take the benefit out of your learning if we do it for you.

VickyRN said:
What have you come up with so far? We'll be glad to assist you, but it will take the benefit out of your learning if we do it for you.

Our professor didn't taught us on how to that so im hoping that u could help me to do the nursing diagnosis or just give me any example... coz I really don't have any idea...

Thank's for the help daytonite... Actually there is no given information about the patient's medical history or medical disease or medical condition... The only given was his assessment... because of that I find it a hard time in doing the nursing diagnosis...

I really appreciate your help tnx.... It's my first time to do this kind of diagnosis coz were just copying in the nanda... thanks again.

I need to do a nursing care plan based on nutrition. My client has a GT tube. The formula he is getting should meet his body requirements, so what would be a nursing diagnosis? Can i say he is at risk for altered nutrition, less than body requirements RT enteral feeding?

rnin2007 said:
Here is a sample of the last care plan I turned in. The first page is the "example" and the following pages show the 3 nursing diagnosis I chose, and the interventions/rationales that i included. Hope this helps.
The patient that I took care of this day had extensive facial lacerations, but was otherwise healthy...no other problems, and was ready to go home.

OMG. I been sitting here for almost all day to find some example of how to do care plan I finally found it. Thank yooooooou?! I am so happy.

I am a second year rpn student the course is 4 years part-time.

I have just found this site and i am amazed at the questions and the marvelous replies. I don't know if this is the kind of reply Iam to give but as I have not learned how to navigate yet I apologize. I am 52 years old, and yes the oldest person in the class, so I need all the help i can get. THANKS

Specializes in Geri-psych Nursing.
mary vandersluis said:
I am a second year rpn student the course is 4 years part-time.

I have just found this site and i am amazed at the questions and the marvelous replies. I don't know if this is the kind of reply Iam to give but as I have not learned how to navigate yet I apologize. I am 52 years old, and yes the oldest person in the class, so I need all the help i can get. THANKS

Mary, I'm 55 and in my 3rd semester of nursing school. And I'm the oldest in my class, too, but not by much. Your life experience will prove itself as you get into the critical thinking part of nursing, because you've lived long enough to know there's always a "big picture", so hang in there and keep blogging.

I am new to the site and i cannot seem to find a plce to post a question. I am doing a care plan on a pt that dehisced after have a lobe of the liver removed due to cancer. Hospital stay is 3 weeks. I am thinking that one a few of my nursing diagnosis' could be impaired mobility, infection and i have no idea of what to do for the third diagnosis. Any ideas would be greatly appreciated.

Specializes in med/surg, telemetry, IV therapy, mgmt.
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I am new to the site and i cannot seem to find a place to post a question. I am doing a care plan on a pt that dehisced after have a lobe of the liver removed due to cancer. Hospital stay is 3 weeks. I am thinking that one a few of my nursing diagnosis' could be impaired mobility, infection and i have no idea of what to do for the third diagnosis. Any ideas would be greatly appreciated.

Nursing diagnoses, like medical diagnoses, must be based upon the signs and symptoms that the patient has to support them. Nursing diagnoses are about the patient's responses to their medical diseases and conditions, not re-diagnosing them with another medical condition. Infection is not an official nanda nursing diagnosis. Infection is a medical diagnosis and a medical decision and cannot be used as a nursing diagnosis. You need to break the signs and symptoms of the patient's infection down into its component symptoms and use them to come up with a nursing diagnosis. For example, if fever is one of the symptoms of the infection, then use the nursing diagnosis of hyperthermia.

If this patient has liver cancer and had surgery, they are a postoperative patient. They need to be monitored for side effects from general anesthesia. Those include:

  • breathing problems (atelectasis, hypoxia, pneumonia, pulmonary embolism)
  • hypotension (shock, hemorrhage)
  • thrombophlebitis in the lower extremity
  • elevated or depressed temperature
  • any number of problems with the incision/wound (dehiscence, evisceration, infection)
  • fluid and electrolyte imbalances
  • urinary retention
  • constipation
  • surgical pain
  • nausea/vomiting (paralytic ileus)

And there are nursing diagnoses for some of those. A dehiscence is a break in the skin and tissues and is impaired tissue integrity. Does this patient need any post op teaching? What will they need to know about incision care upon discharge?

Hi daytonite,

Thanks for the reply. The patient has already had the liver surgery and two days later the incision dehisced and they repaired it. I was trying to do some type of diagnosis dealing with the dehisced wound and the impaired healing of a patient with diabetes. That is where my problem is. I understand that a diabetic has impaired tissue perfusion but I cannot phrase the implementations or rationale. Any ideas for that?

aLways make sure that your goaLs are S.M.A.R.T

S- Specific.. You don't want to place a hammer on your head because your goal is too broad. right?:wink2:

M- Measurable

A- Attainable.. Don't pressure yourself too much. you have to think that what you're dong is for the fast recovery of your patients. If you think you can't attain your goaLs, find alternatives.

R- Realistic.. Your dealing with real life here so make sure that in doing your interventions, make sure that your base is REALITY and not some comic strip you want to put to life.

T- Time-Framed.. whether your duty shift is 8 hrs. or 16 hrs., always keep in mind that time is very important in our lives as nursing students. So, what i aLways do is, after checking the patient's chart, I always make a time table of everything i will do in the 8 hrs. of duty. And i see to it that n making my care plans, my goals are time-framed to provide my patient maximum care as possible for the whole 8 hrs.

And Lastly, I read Nursing Care Plans books as my guide in making care plans.

I hope I helped you..

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

Thanks for the reply. The patient has already had the liver surgery and two days later the incision dehisced and they repaired it. I was trying to do some type of diagnosis dealing with the dehisced wound and the impaired healing of a patient with diabetes. That is where my problem is. I understand that a diabetic has impaired tissue perfusion but I cannot phrase the implementations or rationale. Any ideas for that?

There is a nursing diagnosis that specifically handles a case like this. Having a nursing diagnosis reference (not just a list of the nanda diagnoses) that contains the definition, defining characteristics and related factors for each of the diagnoses is really helpful. What you are looking for is the diagnosis of delayed surgical recovery r/t postoperative complications. Your defining characteristics (aebs, or evidence) are everything about the wound and impaired healing including anything that has to do with it that is diabetes related.

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