Does this nursing diagnosis makes any sense?

[mzsuccess]

My patient was a 40 yes old with dka.

So I came up with a diagnosis of knowledge deficit rt diabetes condition as evidence by DKA. I know it sounds so stupid but my instructor makes us write out three of them with 5 interventions with only a 15 min break. And he made it clear that if the diagnosis didn't make any sense we would fail clinical. I have a month left to graduate and we didn't really do care plans until now. Any advice?

[KrCmommy522, BSN, RN]

My school does not allow us to use a medical diagnosis either. My clinical instructor requires us to do a care plan each week in clinical. (Just finished first semester). Other instructors in the program did not require them and when we had to do a care plan in lecture as an activity, you would immediately see the groups who didn't have any practice doing them sweating it out. It should be required across the board as it really organizes your thinking. There are tons of resources on the web and great care plan books out there. If you need to do more in the future, look up these resources as they will help you. Good Luck!

My school required them for every single clinical we did. We started off going the night before to research the patient and do the first 2 pages (what we could fill in based on our research) had to be done before clinical started. Then, after clinical (from assessing and caring for the pt all day) we had to complete the rest of the care plan. After the first 2 semesters, we started going in earlier and doing our research the hour before clinicals started - doing the same (filling in what we could on the first 2 pages based on our research) and completing the rest of it after assessing and caring for the pt for the day. We did this throughout my entire time in nursing school. At first, we had to do a care plan for each pt we had. We started off only caring for 1 pt, but by the second semester we cared for 2 pts, and we had to do a care plan on each pt and turn them in after each clinical. Once we got to the last few clinicals we only needed to complete 3 satisfactory care plans and after that we only had to do "short" care plans, which most instructors didn't have us turn in because they were basically for us to use as brain sheets unless we already had one of our own.

I think care plans should be required for everyone. They really help you see the whole picture - what S&S are related to diagnoses, how what your pt is experiencing relates to the diagnoses, how you can care for the pt, etc.

[Here.I.Stand, BSN, RN]

knowledge deficit The pt may well have a knowledge deficit.

rt diabetes condition r/t refers to the etiology; DM is not the *cause* of said knowledge deficit.

as evidence by DKA These are your observations that support your nursing dx. The presence of DKA doesn't prove a knowledge deficit.