Desperately Need Help With Care Plans

Any help with care plans will be appreciated?

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!

So.... I need 2 DX for my care plan and then I need to prioritize the rest and I'm not 100% sure.

I originally thought of using DELAYED SURGERY RECOVERY or IMPAIRED ORAL MUCOSA and NUTRITION LESS THAN BODY REQUIREMENTS. However, my nur dx book states not to use these and instead use KNOWLEDGE DEFICIT and RISK FOR INFECTION r/t surgery. I know my RISK DX are last and I think I have those in the correct order but Im not sure about the others. Also I have alot of different ones for KNOWLEDGE so I think they have to all be separate PES statements right? Also do I need a nur DX to address the stomach ache pt had b/c of NPO for the 1 day even though he said no pain? Its a little hard using Maslow's Hierarchy for this one so any input would be helpful thanks!!!

____________________________

PATIENT INFO:

16 y/o male, 10 day post op tonsillectomy vomiting blood and passed out. On admission no active bleed, LAB PT high. States no pain, just stomach ache from being on NPO all day. Vitals w/in range, breathing and moving without difficulties.

Resp: Hx Asthma, Hx smoking cigarettes 1/2 pack/day since 14 states quit 3 months ago, parent in house smokes. Toxicology screen: positive THC (marijuana)

Nutrition: 24 Hour diet recall Breakfast-milk & cereal, Dinner-Belgium waffle & ice cream (patient thinks scratched his throat and was the cause of the bleeding the following morning), states does not take daily vitamins and only eats 2 meals a day skipping lunch, says favorite food is cookie cupcakes, weight is within range.

Hygeine: Brushes only 1 x day, no mouthwash, rarely flosses

Low activity: hobbies/likes- listening to music (uses ear buds alot but doesnt clean them, video games and rare occasions plays handball, sits out most gym classes with asthma note.

Safety: cannabis on toxicology report, pt states 5 mos ago broke hand from fall when trying to jump a certain number of stairs and missed.

__________________________________________________ ____

1- KNOWLEDGE DEFICIT post op diet restrictions

2 -KNOWLEDGE DEFICIT effects of cigarette/canibas smoking w/ asthma

3-KNOWLEDGE DEFICIT effects of drug use

4-HEALTH MAINTENANCE INEFFECTIVE asthma management w/ smoking

5-HEALTH MAINTENANCE INEFFECTIVE poor eating habits & lack of vitamins (or do they need to be seperate?)

6-ACTIVITY INTOLERANCE r/t insufficient knowledge of adaptive techniques needed 2ndry to Asthma

7-SEDENTARY LIFESTYLE low activity

8-READINESS FOR ENHANCED COPING pt quit smoking

9-HEALTH MAINTENANCE INEFFECTIVE inadequate dental hygiene

RISKS are last:

10- Risk for Ineffective Resp Function r/t bleeding of throat

11- Risk for Bleeding r/t surgical incision

12- Risk for Infection r/t surgical incision

13- Electrolyte Imbalance r/t vomiting

14- Risk for Infection r/t excessive use of ear buds (fungal infection of outer ear)

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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