Desperately Need Help With Care Plans

Nursing Students Student Assist Nursing Q/A

Any help with care plans will be appreciated?

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.

Great Point. I keep forgetting to bring it all back to Maslow.

Do "readiness for" nursing dxs need a R/T? Such as Readiness for Enhanced Knowledge? In my nursing care plan book it says, Readiness for Enhance Knowledge (specify). So I am assuming (I know..you should never assume..) that it means there is no R/T but just the diagnosis, specification, and AEB. Help?

Specializes in Med/Surg, Academics.
Amber SN said:
Do "readiness for" nursing dxs need a R/T? Such as Readiness for Enhanced Knowledge? In my nursing care plan book it says, Readiness for Enhance Knowledge (specify). So I am assuming (I know..you should never assume..) that it means there is no R/T but just the diagnosis, specification, and AEB. Help?

You probably need a r/t...is it related to medications, breastfeeding, newborn care, blood glucose monitoring, etc?

The questions your patient asks you gives you the r/t information and some of your assessment data. "How do I give my baby a bath?" "How do I use this inhaler?" "I'm having trouble using glucometer. Can you help me?"

I still receive notifications about new posts within this thread 3 years later. I love it! I wanted to share some information with all of you. Daytonite personally helped me with many of these careplans.

https://danibanani.wordpress.com/nursing-careplans/

I am struggling with a care plan tonight--ugh I dislike doing these things about as much as I do concept maps! LOL

Ok I had patient whose diagnoses were: altered mental status, lithium toxicity/seizures (he's schizophrenic), diabetes, renal insufficiency, and dementia.

Patient is a 70 yr old male who when I first came in was on palliative care, then the family changed their mind. He does not get up...however he is mobile (agitated) in bed unless given a benzo.

I was thinking for the dx: Risk for injury/trauma R/T to altered mental status and schizophrenia. Not sure how good that is but it's the goal that has me stumped...

Any ideas??? Thanks!

I'm having trouble doing the nursing care plan please do help me. Here's my case problem.

Your client, Eduardo Martinez, is a 42yrs. old Mexican man who works seasonally in the Niagara Region for a local farmer. He is married and has two young children in Mexico. When in Niagara, Eduardo lives in a house on the farm with a number of other seasonal workers and sends the majority of his pay home to his family. He does speak some English.

Eduardo is a smoker and has been smoking one pack per day since he was 12 yrs. old. Since he arrive in Niagara, he has been trying to decrease the amount that the smokes to half a pack per day but has not been very successful. He generally has had good health hut at his last physical before he came to Canada, he was diagnosed with hypertension. He doesn't really understand what the problem is since he is asymptomatic. As Eduardo does not have much money, his physician in Mexico was treating his hypertension with diet modifications.

In Niagara, he usually works six days a week with Sundays off. I the weather is good, he and his friends will ride their bikes in the area.

Recently, he has developed a productive cough and shortness of breath ans has found it difficult to work and cycle. He is reluctant to go to the Doctor because he doesn't want to lose any time at work or be a "problem" employee and not be asked to return next year to sell the farm.

Nursing Care Plan Help!!!!

My patient is on "The Neighborhood," a virtual community. She has a 15 year old son and has been suffering from major fatigue and joint pain. I was going to do a nursing diagnosis Risk for impaired parenting r/t physical illness aeb patient's complain of constant fatigue and joint pain. I'm wondering if the risk for impaired parenting has to have anything specific related to parenting or if it can just have general fatigue (which could lead to impaired parenting). I'm just wondering! Thanks

cheesecakesquared said:
Nursing Care Plan Help!!!!

My patient is on "The Neighborhood," a virtual community. She has a 15 year old son and has been suffering from major fatigue and joint pain. I was going to do a nursing diagnosis Risk for impaired parenting r/t physical illness aeb patient's complain of constant fatigue and joint pain. I'm wondering if the risk for impaired parenting has to have anything specific related to parenting or if it can just have general fatigue (which could lead to impaired parenting). I'm just wondering! Thanks

Is the patient the kid, or the mom?

I see no connection medically between fatigue and joint pain, and being a parent.

AND, on a virtual community, you can practice, and wing it- and see what the right thing is without anyone getting hurt ?

I am having a problem with my care plan hopefully someone can tell me if I am on the right path. My pt is homeless and unemployed. He was admitted for cellulitis and had a low potassium level. We have to use Doenges 3rd edition for our care plans. So far I have Ineffective self health management related to economic difficulties AEB being homeless, lack of healthcare, and lack of financial resources. I used this bc I know potassium is essential for cardiac and tissue synthesis and lack of financial resources means inadequate nutrition. Being homeless makes him more susceptible to infection. Lack of health care caused a blister to become cellulitis. Any help would be greatly appreciated.

How about apps for mobile phones that have good careplans.

Thanks

Hi there! I'm doing a post-clinical care plan for peds and having some difficulty with the psychosocial nursing diagnoses... My pt was a 7 yo in the hospital for a chronic disease with GI complications (sorry to be vague). What would be some psychosocial nursing dx with peds patients in the hospital for a long time? Would "isolation from peers r/t chronic hospitalization" be one? "anxiety r/t treatment"?

If you could help me out that'd be awesome!

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