Help!

meownsmile, BSN, RN · Oct 30, 2003

Im a little confused. These sound like interventions for a surgical patients care plan. What care plan are you working with? Pain?, coping?, not really sure what you are wanting here.

TnkrBell · Oct 30, 2003

Surgical...pt just had cesarean dut to leopolds breech. They are also making me do a disease summary on this....it's kicking my butt because....this isn't even a disease, I don't understand how I'm gonna get all of this done!!

BarbPick · Oct 31, 2003

Ol' dinosaur here:

You are looking at the wrong things as problems. I had my first care plan given back to me 5 times becuause I could not grasp that an NG tube was not a problem, it was a remedy for the inability to swallow!

Lets look at your list.

Routine vital signs is the order, order to monitor what?

The patient's homeostasis?, uh huh. lets put that into easier terms.

The first problem any patient has is fear of the unknown, the intervention is allow patient to ask questions and answer them honestly.

Vital signs show us what? Rsepiratory suffiency, rapid, or short of breath. Possible fever comes from Respiratory insuffiency from not turning coughing and deep breathing...prevent pneumonia....

Elevated pusle rate, comes from what? Pain, fever.....hello?

Elevated Blood pressure, pain, low Blood pressure, low fluid volume......were any possible problems just mentioned in the vital signs bla bla? I think so

***

When a patient has a fever, you should always think of the 3 w's.

You look at the Wind, (resp) Water (urinary tract infection) Wound

(stands for wound)

And the foley is the remedy to evaluate fluid output, or inability of the patient to urinate comfortably with a zipper in their belly

If there is ice on an inscision ( I would kill anyone who put ice on mine)

The problem is "pain"

intervention, administer pain medications as ordered, use comfort measures (the ice pack)

position patient in comfortable positions etc.

To ambulate a patient with an abd inscision, they have to be able to support the inscision with a pillow so they can be able to move and not scream.

Pre medicate Patient , giving enough time for the patient to ambulate without screaming, support the abd with a pillow

Hope this helps