Published Jun 3, 2008
tiffany311
126 Posts
I am also tring to figure out nursing interventions as well
can you please help me
thank :typingyou
Daytonite, BSN, RN
1 Article; 14,604 Posts
Back in February you started this thread https://allnurses.com/forums/f205/i-really-need-some-help-here-can-someone-please-give-me-some-assistance-please-279674.html and I responded with all the information that you need to find a nursing diagnosis and write a care plan. The same information that applied to your question on that post applies here. You cannot determine the nursing diagnosis for a patient with any medical condition until you have assessed their situation and nursing needs. The focus of nursing diagnoses is on the patient's nursing needs not their medical problems, although you do have to know the pathophysiology of their medical problem and take that into consideration. The nursing interventions are aimed to treat the manifestations of the pathophysiology of the medical condition as well as the patient's response to the medical condition.
So, saying that the patient has anoxic brain damage is only telling us something about the patient's brain, that lump of nerve tissue inside the skull. Unfortunately, it is a human structure with two legs, two arms, a trunk, a head and feelings lying in a hospital bed that the nurse needs to care for and he/she cannot be appropriately described as anoxic--at least not by any assessment standard I know of.
Do a thorough nursing assessment of this patient first in order to determine the nursing problems (nursing diagnoses).
Did you look up hypoxia? This is the worst case scenario of hypoxia of someone whose brain survived that short few minutes when it was deprived of oxygen and brain cells started dying off but was then rescued. The damage and physical manifestations depend on what part of the physical brain got deprived of the most oxygen for those few minutes.
cursenurse
391 Posts
Daytonite your 2 student worksheets are excellent! I'm out of school but I still find them helpful.
But re: the OPs request, I have noticed a disturbing trend on this board of students coming on here to get all their nrsg dx's and interventions. I wonder if any own pathophys and nrsg dx books. Usually when you read about the disease there will be sample, or related dx's to get you moving in the right direction. It seems that the nursing process is not being taught anymore. That is what scares me when I hear people say that doing care plans in school is stupid or a waste of time. That's how you know what to do when you are a nurse, if people aren't willing to do their reading and thinking in school, is there any wonder that you have nurses out there who do really stupid things?
Daytonite your 2 student worksheets are excellent! I'm out of school but I still find them helpful. But re: the OPs request, I have noticed a disturbing trend on this board of students coming on here to get all their nrsg dx's and interventions. I wonder if any own pathophys and nrsg dx books. Usually when you read about the disease there will be sample, or related dx's to get you moving in the right direction. It seems that the nursing process is not being taught anymore. That is what scares me when I hear people say that doing care plans in school is stupid or a waste of time. That's how you know what to do when you are a nurse, if people aren't willing to do their reading and thinking in school, is there any wonder that you have nurses out there who do really stupid things?
Well, this is not really the forum for this discussion, but by the very nature of student questions it is very obvious that the students asking them do not understand, because they have heard of, what the nursing process is. The problem, I think, is in the language that instructors are using to descibe and define many of these terms and tools that they expect their students to use. I am trying, in all my posts, to help clarify this and help unlock the mystery by using metaphors. However, it took me some time years ago to figure it all out myself, so I don't expect students to "get it" the first time either. In this day and age there are some pathophysiology and nursing diagnosis resources on the Internet for free. Students haven't been saying that care plans are stupid or a waste of time lately on this forum or I would have taken them aside and had a talk with them. Comments like that come out of a negative attitude and ignorance.
thanks for not judging so harshly