Help please!!

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i am a first year nursing student. i need to come up with a nursing diagnosis for chronic hypotension and end-stage renal disease (esrd). can someone help me with this. thanks for your time.

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Hy-PO-tension? Most ESRDers have hyPERtension.

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Specializes in Peds ED, Peds Stem Cell Transplant, Peds.
Hy-PO-tension? Most ESRDers have hyPERtension.

:nono:

Do you think we should be helping nursing students with their homework? :nono:

Especially since the didn't know something as easy as that?:trout:

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:nono:

Do you think we should be helping nursing students with their homework? :nono:

Especially since the didn't know something as easy as that?:trout:

I made a similar comment last year when a student asked for help and nearly got fileted for my "attitude".

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I am sure it was just a typo.

First semester students do not have any knowledge base yet to know this stuff.

Gigi, you can come up with this yourself I promise. Just look up the clinical and psychosocial issues that come up in ESRD patients. The diagnoses(several) you come up with are very straightforward. Do not try to make it more complicated than it really is. The instructors will guide you. I never got great marks on any of mine, always had lots of red penning on them. This is good feedback, just learn from it. Once you do enough of these it will come together.

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Specializes in Peds ED, Peds Stem Cell Transplant, Peds.
I made a similar comment last year when a student asked for help and nearly got fileted for my "attitude".

I'm sorry if it appeared I had an attitude. I don't think you were implying it, just sorry if I came across that way. Nevertheless, I would think it would be easy for a board like this to be used to help students not to actually do the work and look up the answers and just ask for it here. I am not saying that this person was doing that. I am just saying it would be easy to use this board as an easy way to get the answers without working for it. Once again sorry for any offense

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I'm sorry if it appeared I had an attitude. I don't think you were implying it, just sorry if I came across that way. Nevertheless, I would think it would be easy for a board like this to be used to help students not to actually do the work and look up the answers and just ask for it here. I am not saying that this person was doing that. I am just saying it would be easy to use this board as an easy way to get the answers without working for it. Once again sorry for any offense

No, no.....! That's not what I meant at all!!!! I happen to agree with you, but when I posted along the same vein I was not agreed with, to put it mildly.

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Specializes in Peds ED, Peds Stem Cell Transplant, Peds.
No, no.....! That's not what I meant at all!!!! I happen to agree with you, but when I posted along the same vein I was not agreed with, to put it mildly.

well I won't disagree with you on that;)

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

before i start in, let me tell you that there is care plan and nursing diagnosis help on the student forums of allnurses, most particularly on these two sticky threads:

a concept about writing care plans that you must understand is that choosing a nursing diagnosis is based upon the symptoms your patient has that you discover after performing your data assessment and physical exam rather than on their medical diagnoses. this is a common mistake that most nurses make. there is a difference in the way a nursing diagnosis is put together compared to the way a medical diagnosis is put together. for this reason, it is a very good idea to have some sort of reference book of nursing diagnoses to help you with this process. however, most care plan books still want to link people to nursing diagnoses by way of the patient's medical diseases. that's fine and good, they give you a direction to look, but your patient still has to have the defining characteristics (the nursing term for symptoms) that fit those nursing diagnoses or they won't fit the patient's problems.

so, what you need to do is sit down and go through all the abnormal things you found after going through this patient's medical record and performing your physical assessment and list them. this list of abnormal things becomes your symptom list. they are also the things that you develop your specific nursing interventions for in your care plan. nanda calls them defining characteristics. then, you have to start looking for nursing diagnoses that have some of these same defining characteristics. each nursing diagnosis has a definition and a list of defining characteristics. nanda lists these in their printed book, nanda-i nursing diagnoses: definitions & classification 2007-2008 published by nanda international, and most care plan book writers get permission to use these guidelines in their books. as you work with nursing diagnoses you get to know what these defining characteristics are for the nursing diagnoses you work with the most.

i am going to list some suggestions for nursing diagnoses for the medical conditions you listed, but it is going to be up to you to see that their defining characteristics match up with some of your patient's symptoms. your patient may have symptoms that will require other nursing diagnoses that are not included on this listing. you will need to use a nursing diagnosis book to find them or pm me. using any of the following diagnoses mean nothing without all the other supporting information in order to use them:

  • decreased cardiac output
  • ineffective tissue perfusion
  • excess fluid volume (note that with hypotension there could also be deficient fluid volume, so you need to know what underlies the patient's problem)
  • impaired urinary elimination
  • imbalanced nutrition, less than body requirements
  • activity intolerance
  • fatigue
  • disabled family coping
  • risk for deficient fluid volume
  • risk for infection
  • risk for injury

in the future, you will get more assistance and help if you post nursing diagnosis and care plan questions on the nursing student assistance forum (https://allnurses.com/forums/f205/) or the general nursing student discussion forum (https://allnurses.com/forums/f50/). you can also pm me for help with care plans.

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

Hey, guys! When students post questions like this, please direct them to the student forums. Then everyone feels good and feels like they've helped and been helped. There is a Nursing Student Assistance Forum where these kinds of questions are encouraged and some of us work with the students to help them understand these very difficult concepts. There are also sticky threads in the student forums that have lots of weblinks to help the students with their assignments. They can link into these forums easily by clicking on the "Students" tab.

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I never intended for anyone to GIVE me answers to anything!! It's people like you, (the one's with the ATTITUDE) that give nursing a bad name. Don't forget where YOU came from!! I run into nurses like you in the hospital everyday that won't give you the time of day to explain something to you. I have read my books, and couldn't understand why someone with ESRD would have Hypotension. From what I have read, most of the time it would be Hypertension from the extra fluid. To the person who took the time to explain this to me, thank you so much. To the rest of you...I am sorry for the CNA's/LPN's that work under you.

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I never intended for anyone to GIVE me answers to anything!! It's people like you, (the one's with the ATTITUDE) that give nursing a bad name. Don't forget where YOU came from!! I run into nurses like you in the hospital everyday that won't give you the time of day to explain something to you. I have read my books, and couldn't understand why someone with ESRD would have Hypotension. From what I have read, most of the time it would be Hypertension from the extra fluid. To the person who took the time to explain this to me, thank you so much. To the rest of you...I am sorry for the CNA's/LPN's that work under you.

Tell me where in your first post it says you didn't understand what you read and you were asking for help to understand it:

"I am a first year nursing student. I need to come up with a nursing diagnosis for Chronic hypotension and end-stage renal disease (ESRD). Can someone help me with this. Thanks for your time. "

WE came from the same place you do. We had trouble understanding things too. If we didn't understand we asked for help to understand. Your request sounded like you were looking for the answers. It's students like those....the ones that have come on here in the past asking for the answers....who give students a bad name, so please try to understand where those of us with the "bad attitudes" are coming from and how it looks from our chairs.

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