Do you think anyone has ever anticipated a nursing diagnosis?
"Looks like my patient could be bummed out about the six-months-to-live thing Frank, I'm just waiting for the nursing diagnosis so I can write my consult."
Or how about.
"once he was diagnosed with emphysema,it was only a matter of time before we had the breakthrough about his inability to clear secretions being related to his dyspnea...........If it wasn't for the fact they take common sense and try to twist it into an aberration of English syntax to make it look like rocket science.....well,we never would have stumbled upon the pursed lip breathing teaching either.brilliant!
I know,I know,care plans
build a foundation of whatever.......well,why can't nurses just treat those problems with accepted courses of action.
DX of COPD TX course,
Ensure adequacy of secretion clearence.
Teach orthopnic breathing with emphasis on pursed lip method for use in times of exertion/distress.
Monitor for cyanosis,wheezing,rales,disorientation...ETC
Who needs to have a philisophical methodology to do that?
All you need is a list of "interventions" for each disease.
Individualized care?......Sure as heck is,that individual
,I don't need to involve his childhood for gawds sakes!!
Does anyone else feel like a pet psychic? I think I'll have trouble convicing anybody(especially myself)that this is helping me learn something of value.
Why waste time with science courses in pre reqs? Why not just require full-on psych courses?
Glad I could get you all pumped up for clinicals