Care plans- student nursing

Peeps Mcarthur · Oct 7, 2002

In doing our first Care Spam we were allowed to "cheat". We were allowed to make up a fictional patient and take our material from anywhere we liked.

I took mine directly from the nursing care plan textbook we were assigned so I would learn the correct way to outline a care plan.

It was rejected by my instuctor for what she called an "inadeaquate primary nursing diagnosis" and said the evaluation of the nusing actions didn't fit for one action. :rolleyes:

She never knew that it came from the text,but it just goes to show what a load it is. I'll bet she never even saw one after first semester. Seriously,patients in an acute care facillity are shipped out like day-old doughnuts!! It's rather obviouse that it only serves to develop appropriate nursing actions......so why not just spend time developing that important skill?

But hey,that 9 credits of required psychology will really come in handy too:p I will now know when something's bugging you,and as your nurse I will be capable of writting copious notes on splendid nursing interventions, rationale,and evaluation of those actions.............or I could just take care of it.

Yup,I'll be sure to pass that along if I get time to jot it down if I even get time to use the bathroom as I scarf a sandwich sideways down my inflammed esophagus.

Yup,that'll sure be great

Mkue · Oct 7, 2002

Originally posted by Peeps Mcarthur
if I even get time to use the bathroom as I scarf a sandwich sideways down my inflammed esophagus.

how true Peeps!..lol.. :chuckle :rotfl: :roll

mrs.ole · Oct 13, 2002

Hey, All!

I am new to this, so, please be gentle with me! :kiss

I am starting my 1st care plan on Oct. 24th. :eek:

We will be going to our 2nd clinical site-another nursing home.

The paperwork we got in class is about 30 pages long...

Keep your fingers crossed I get this right! We have 2 instructors...a "white" nurse & a "scrub" nurse. We even get to have a capping ceremony Dec. 19th... did anybody know they still have capping ceremonies?!? :confused: :imbar

Wish me luck!

**Shelly**

Mkue · Oct 13, 2002

Originally posted by mrs.ole
Hey, All!
I am new to this, so, please be gentle with me! :kiss
I am starting my 1st care plan on Oct. 24th.
We will be going to our 2nd clinical site-another nursing home.
The paperwork we got in class is about 30 pages long...
Keep your fingers crossed I get this right! We have 2 instructors...a "white" nurse & a "scrub" nurse. We even get to have a capping ceremony Dec. 19th... did anybody know they still have capping ceremonies?!? :imbar
Wish me luck!
**Shelly**

Oh we are very gentle here ! Welcome Shelly ! Good Luck:)

mrs.ole · Oct 13, 2002

Thanks for welcoming me!

I am sure I will find alot of help here!

**Shelly**

Mkue · Oct 13, 2002

Originally posted by mrs.ole
Thanks for welcoming me!
I am sure I will find alot of help here!
**Shelly**

You came to the right place, don't be afraid to ask questions, we all do. :) How long is your nursing program? :)

mrs.ole · Oct 13, 2002

Thanks, Marie!

I really appreciate you responding to me!

The LPN program where I am going is 11 months long...

capping Dec.19th & graduation July 18th...

I am as excited as I am overwhelmed!

JAYNE DANCE · Oct 13, 2002

I HATED MY CARE PLAN DAYS TOO........I HAD SOME CARE PLANS UPTO 50 PAGES YIKEEEEESSSS :eek:

I ALSO HAD A BURNING PARTY ONCE I GRADUATED...............BUT I WILL BE BACK IN SCHOOL NEXT YEAR, AND THEY WILL BE BACK AGAIN.............

Peeps Mcarthur · Oct 13, 2002

I already had the burning party.

Sent those evil spawn back to thier daddy:devil:

I'm seriously considering dropping this do-do once I get my LPN and just working on a B.S. so I can go to P.A. school instead of NP. I can't see how three more years of care planning is going to build my diagnostic skills. I think it would simply damage my ability to put seemingly unrelated data together.

It seems an organized way to learn how to put multidiscilplinary data together (clustering) to some,but to me it's just another example of the dumming-down of nursing curicculum in general and a sign of the etiology of the demise of nursing's goal of being regarded as a professional pursuit.

Clearly,care planning is as contrived as psychology is indirect.

I'm getting a very clear distinction between the medical model,and any other method of pt intervention that tries to improve upon it. I don't see how nursing can say they have a better mouse-trap from this point of view.

Mkue · Oct 13, 2002

Originally posted by mrs.ole
Thanks, Marie!
I really appreciate you responding to me!
The LPN program where I am going is 11 months long...
capping Dec.19th & graduation July 18th...
I am as excited as I am overwhelmed!

Well Shelly that is great ! Do you wear the caps after December or just for the ceremony? Good Luck with your Care Plans:)

Marie:)

Wyldeflower · Oct 13, 2002

Our first careplan was due Friday, and ours are very similar to what Connie stated. We have to have our Nrsg Dx r/t as evidenced by, and all this info is gathered from the head to toe assessment. Then we have to have 2 short term goals and a long term goal. For each goal, we have to have 3 outcomes (what we want for the client...must be stated as client will___). Then, for each outcome, we have to have a nrsg intervention (what we will do for the clt to help them achieve the goal). Then for each intervention, we have to have a rationale with a source, and finally, evaluation. While I thought it was very time consuming (I stayed up until 2 am finishing), I found it very beneficial as a teaching tool. Writing a careplan has taught me more about critical thinking and how the nursing process works than what we are getting out of our textbooks. So for me, they are like a double-edged sword because most of our tests are on Fridays and I can't fathom the thought of having to do a careplan AND study! Our program is very hard! Each week at clinical builds on the last, and is a cumulative process. First week we did vital signs...next time it was vital signs and head to toe assessment...then is was vital signs, head to toe assessment and careplan (due on Friday). Next week is vital signs, head to toe assessment, careplan (due on Friday), bathing the client and making an occupied bed. I'm cringing at the thought of what will be added next!!

Mkue · Oct 13, 2002

Originally posted by Wyldeflower
Writing a careplan has taught me more about critical thinking and how the nursing process works than what we are getting out of our textbooks.

Ditto !:)