Care plans!

  1. How do you recommend writing a nursing diagnosis for wellness when the client is A&OX1, there is little readiness or preparedness when the client is not cognitive?
    •  
  2. Visit dznurse12 profile page

    About dznurse12

    Joined: Apr '17; Posts: 1; Likes: 1

    7 Comments

  3. by   Davey Do
    Well, the patient is cognizant, aware; the mental process is merely impaired.

    If I remember correctly, dznjurse, the nursing diagnosis relates to the axis I or III or admitting diagnosis, right?

    I don't get the "wellness" thing. Is that related to safety or well-being?

    Lessee... on geriatric psych, we have patients admitted with a diagnosis of psychosis nos as a result of dementia; they're admitted for experiencing an altered mental status.

    So we make out care plans, for example, if they are found to be a high fall risk. Not falling is wellness, right?

    A care plan could read "Patient will experience no falls leading to:
    1. injury
    2. a lawsuit initiated by an estranged and absent family member or members
    3. the big wigs blaming staff for the fall when we were understaffed in the first place
    4. a new form to fill out that administration believes will fix everything or so they think."

    How'd I do, dznurse?
  4. by   TriciaJ
    Quote from Davey Do
    Well, the patient is cognizant, aware; the mental process is merely impaired.

    If I remember correctly, dznjurse, the nursing diagnosis relates to the axis I or III or admitting diagnosis, right?

    I don't get the "wellness" thing. Is that related to safety or well-being?

    Lessee... on geriatric psych, we have patients admitted with a diagnosis of psychosis nos as a result of dementia; they're admitted for experiencing an altered mental status.

    So we make out care plans, for example, if they are found to be a high fall risk. Not falling is wellness, right?

    A care plan could read "Patient will experience no falls leading to:
    1. injury
    2. a lawsuit initiated by an estranged and absent family member or members
    3. the big wigs blaming staff for the fall when we were understaffed in the first place
    4. a new form to fill out that administration believes will fix everything or so they think."

    How'd I do, dznurse?
    I, personally, think you're right on.
  5. by   Davey Do
    Quote from TriciaJ
    I, personally, think you're right on.
    Thanks, TriciaJ. I was a little concerned, feeling like Grandpa helping Mary Ellen Walton factor trinomials.
  6. by   TriciaJ
    Quote from Davey Do
    Thanks, TriciaJ. I was a little concerned, feeling like Grandpa helping Mary Ellen Walton factor trinomials.
    You didn't do the OP's homework, yet still provided valuable teaching. A double score.
  7. by   amoLucia
    to continue - no falls leading to:

    5 - diminished PG satisfaction scores resulting in disciplinary write-ups for individual staff, mandatory attendance at Safety Inservice, and more body safety alarms.
  8. by   Davey Do
    Quote from TriciaJ
    You didn't do the OP's homework, yet still provided valuable teaching. A double score.
    I did?! Oh! Let me do that again!
    Quote from amoLucia
    to continue - no falls leading to:

    5 - diminished PG satisfaction scores resulting in disciplinary write-ups for individual staff, mandatory attendance at Safety Inservice, and more body safety alarms.
    Show off.
  9. by   SpankedInPittsburgh
    I've never written or seen a nursing care plan since getting my associates degree

close