Help with nursing care plan?

luluann · Oct 5, 2003

How about Body image disturbance? That has to cause self esteem issues....

Are you using any type of care plan book? They help tremendously! Also, try your text book. Most are really good and helpful too.

Ask your teacher for examples. I have had 2 clinical teachers and they both have their own ideas on how to write them. It helps to know what they are expecting.

Good Luck....it only gets bettter!!!

shape0fmyheart · Oct 5, 2003

Yeah I still need to get a care plan book... I just remembered that my text has examples of care plans in most chapters so I'll go back and look at those and try to figure some things out. I just have trouble with relating everything to the next, it's hard! My teacher is really no help, she's kinda mean haha so I don't like to go to her a lot.

memphispanda, RN · Oct 5, 2003

What about pain? Is the patient in pain? Usually they would be with herpes zoster.

ainz · Oct 5, 2003

One thing about developing a nursing plan of care is that you base your nursing diagnosis on a nursing assessment of the patient, just like the doctor did to develop the medcal diagnosis.

What objective observations (signs) did you make during your assessment and what did the patient tell you.

I agree with two of the previous posts, provided the patient told you, that is the altered body image/self-esteem issue and pain. These nursing diagnoses would require the patient to say they are in pain and exhibit behaviors consistent with altered body image before you could say them unless you want to put potential for . . .

Just my opinion. Hope you guys don't mind my two cents worth. I just like learnng and sharing my experience. I get in trouble when I share and no asked for it :)

opalmRN · Oct 5, 2003

Originally posted by ainz
I agree with two of the previous posts, provided the patient told you, that is the altered body image/self-esteem issue and pain. These nursing diagnoses would require the patient to say they are in pain and exhibit behaviors consistent with altered body image before you could say them unless you want to put potential for . . .

I agree with ainz on this one.One other possible NX from my nursing care plan book is,

"Knowledge, deficient [Learning Need] regarding pathophysiology, therapeutic needs and potentional complications" may be related to lack of information/misinterpretation, possibly evidenced by statements of concern, questions, and misconceptions.

Again this would only be appropriate if your patient had a knowledge deficiet.

Hope this helps,

C

Nursie30 · Oct 5, 2003

Pain, is a good one..........shingles are very painful

PJMommy · Oct 5, 2003

Are these open lesions? What about "Risk for Infection"? Is the patient agitated or distressed by this? Then "Anxiety" would work.

Other good ones to always consider might be:

Ineffective individual coping

Ineffective thereupetic regimen

rpbear · Oct 5, 2003

Impaired skin integrity is also one you could use.

self care deficit if the person has a hard time seeing.

It will take you a while before you get really comfortable with care plans. Get a good care plan book thye help tremendously!

Good luck!

Ortho_RN · Oct 5, 2003

I say Pain would be one of the most important one.. And this comes from someone who has had shingles... OWWY!!!

NurseDixie · Oct 5, 2003

Risk for infection, Risk for anxiety, Risk for body image disturbance, Knowledge deficit.