Originally posted by jobear
Interventions--montior electrolytes, ca++, K+, na+, respiratory rate, BP, urinary output: rational--renal imparement leads to POTENTIAL alterations i
The problem is at my school and others? they want us to focus on specifically Nursing Dx only right now. Anything that requires you to monitor labs or whatever is actually collaborative and can't be a self-limiting Nursing Dx. In a similar vein, if you have Acute Pain r/t whatever, and one of your interventions is you will give PRN meds, it means you just went outside the confines of the Nursing Dx because of the collaborative facet of that intervention; doctor prescribes the meds.
For this reason, I have a hard time understand the utility of actual, proper nursing dxs. I mean, it becomes so awkward that you start doing things like this:
Altered Comfort r/t blah blah blah AEB blah blah blah
Interventions: I will fluff pillows. I will straighten out that one wrinkle in the bed.
Outcomes: Client will verbalize feeling comfortable due to the effects of the nurse's advanced training on how to change linen.
I can do (or try to do) the Nursing Dxs, but let me tell you, it's a struggle because it seems almost silly. The general ideas contained in the nursing dxs are important (e.g. if needed, nurses we would change pillowcases to make a patient comfortable), but I guess the whole writing it out and over-analyzing it in school makes it seem so tedious and contrived.
Anyone else share similar opinions? or differing ones? Maybe it gets more interesting doing PC diagnoses.