Care plans- student nursing

Nursing Students General Students

Published

Hi All,

How have you been doing with Care Plans? Want to share any comments or opinions?

Thanks,

Marie:)

I had to do careplans in my LPN program 15 years ago. Now,in my ADN program, careplans are everywhere. We have to do 3 on every clinical patient that we have, and now, over my 4th of July break, I am writing my case study. It has to have 10 careplans in it, and to get a passing grade I have to have what my instructer calls the first 5 critical plans in priority order.AAGGHH!!.I have several careplan books, but I find that Mosby's is the most helpful. Good luck .

I remember asking my instructor innocently "but what about the impending pulmonary condition?" or "shouldn't they get a CBC or at least an ABG to get docs orders for blood or 02?...................uhhh, you mean I should just get them to sit up to assist thoracic expansion there? Where do we write the medical stuff?

:chuckle

Specializes in LTC, CPR instructor, First aid instructor..

Kat57, Fran here.

You have my sympathies dear girl. :o All kidding aside, although careplans feel like a nightmare when you first start doing them, they do become easier to do. The hard part is the co-ordinated research as to nursing diagnosis, followed by meds used for the patient's condition, their action on the diagnosis, then at least three tests that relate to the diagnosis, and finally, plan of action, interventions, and outcomes. All at least three. :eek:

In my class we even had to post Maslov's Heirarchy of Needs.

The knowledge you gain from them is worth the effort put into them in the end, because all healthcare personnell use the plan, even if they don't realize they're doing it. But you do become very familiar with the diagnostic tests, signs and symptoms, treatments, etc. after you're finished.

And once you're out there in the world of nursing, you'll see how they work and how they're used.

Cheers!

Specializes in LTC, CPR instructor, First aid instructor..

Wyldeflower,

I agree with you. We do learn more than we realize when we're doing them, even if they do take forever to do. I have to admit though, toward the end of my school year, I was able to put a careplan together in 45 minutes, as opposed to 24 hours in the beginning, and sometimes we had 2 exams on the same day, other times we had an exam the day a careplan was due, and some days we had to take our exam right after the shift ended in a room where we were doing our clinical rotation.

Specializes in LTC, CPR instructor, First aid instructor..

Vsummer1,

I don't know where you ever got the idea that only RNs do careplans, but all nurses have to carry them out. The RNs just do the initial assessments, (unless you're working in a longterm care facility where LPNs are in charge) and are a part of the team that creates the care plan. That team also includes the MD.

Specializes in LTC, CPR instructor, First aid instructor..

In all reality, Peeps, your comments are unfortunately very appropriate in today's health insurance, hospital healthcare administrination, malpractice lawyer outcome world. I always did feel like we were in la-la land with the Teletubbies when we were forced to carry out all the unreal textbook stuff in clinicals. In fact, one of our instructors was very much against the textbook method, because it didn't apply to modern healthcare. She would often quote, "This is the (textbook) way you have to perform thus-and-such task, but in the REAL WORLD, blah, blah, blah!

Specializes in IV Therapy.

I certainly agree with the fun you have doing care plans... :confused: I just love staying up and getting 3 hours sleep doing all that work and finding out your patient was discharged or your instructor didn't think it was important to tell you the patient is MRDD or comatose. Yeah!! Not to forget looking up 20 to 40 meds to memorize to do med pass. The thrill of it all!!!

Lucky for me i graduate LPN this june 2007. The light is near

Specializes in med/surg, telemetry, IV therapy, mgmt.

hi, snacklady!

this is a very, very old thread. if you are looking for help with care plans please refer to the help you can get on these two more current threads on the nursing student forums:

welcome to allnurses! :welcome:

:biggringi

Wonder if we could have a tread where we post parts of our careplans for others?? I know we all do them in different formats but it might be nice to have a reference type of thread.

Whatcha think fellow students?

sounds great

This is day 3 before my Nursing final and I'm still revising final paperwork before grades. I can use the help on care plans you still have on your computer.

Specializes in med/surg, telemetry, IV therapy, mgmt.

upnosalt. . .let me point out--again--that this is an old thread that was started in 2002, 5 years ago! i have gone through and read every single post on this thread. let me re-direct you and any others reading this to constructive and practical care plan information on how to write a care plan on these two more recent threads on the student forums of allnurses:

you can view samples of care plans on these weblinks:

http://www.rncentral.com/careplans/contents.html - from rn central's care plan corner. here are care plans for 49 basic nursing problems. also includes a template for a blank form you can print out. each care plan gives you the language needed to write the nursing diagnosis statement, suggestions for outcomes, and nursing interventions for that particular problem.

http://www.childbirths.com/euniversity/sample%20care%20plan.htm - two sample care plans from e-university. one on fluid volume excess and the other on risk for potential injury (aspiration). both include objective and subjective assessment data, outcomes, nursing interventions, rationale and evaluation.

http://www-isu.indstate.edu/mary/carep.htm - sample care plan for potential for injury (aspiration)

http://www-isu.indstate.edu/mary/carep2.htm - sample care plan for fluid volume excess

http://listserv.acsu.buffalo.edu/archives/carepl-l.html - this is an archive of student nursing care plans at the state university of new york, buffalo. you will need to check out the links to the various care plans to find out what each care plan is about as they are not given in the links.

http://www.cnsonline.org/www/archive/ms/ms-07.txt - sample care plan for an ms patient

the following links to case scenarios show you, in steps, how to develop a nursing care plan using nanda languages. they are learning activities for the nurses working for a facility owned by the university of michigan. in these scenarios the nurses are directed to choose nursing diagnoses, noc outcomes and nic interventions (this is all terminology that nanda uses). unfortunately, no answers are provided. however, you can see how the process is supposed to flow from one step to the next and some of the critical thinking that goes into the making of the care plan.

http://www.med.umich.edu/nursing/snl/cs2.pdf - this is a adult surgical care planning case study activity

http://www.med.umich.edu/nursing/snl/cs3.pdf - this is an adult icu care planning case study activity

http://www.med.umich.edu/nursing/snl/cs4.pdf - this is a pediatric care planning case study activity

http://www.med.umich.edu/nursing/snl/cs5.pdf - this is a pediatric icu care planning case study activity

http://www.med.umich.edu/nursing/snl/cs6.pdf - this is a prenatal care planning case study activity

http://www.med.umich.edu/nursing/snl/cs7.pdf - this is a psychiatric care planning case study activity

http://www.med.umich.edu/nursing/snl/cs8.pdf - this is an ambulatory patient care planning case study activity

+ Add a Comment