Published Nov 29, 2009
koku
11 Posts
Hi all.
I am a first semester nursing student and am still having some troubles in coming up with nursing interventions for my care plans.
I am currently workig on the 'interdependence mode' and my Nursing Diagnosis is 'Affectional adequacy R/T good realtionship with family'.
So what kind of nursing interventions and goals can one implement, especailly when there is nothing negative?
Thanks for your help.
netglow, ASN, RN
4,412 Posts
Thou must not asketh us for homework answers! Buyeth a DX book and bother us no more or we will banish you ...somewhere nasty!
MedSurgeMess
985 Posts
:yeahthat::lol_hitti 2ndwind, I lmao!!!!!! Koku, look in your reference books as well, many times dx info is in there along with interventions.....Sorry, we all had to do our own homework, you must do your as well.....
leslie :-D
11,191 Posts
koku, i think you would fare better at the student forums.
lots of support there.
leslie
Thanks MedSurgeMess and Leslie. I'll do that.
I usually use the Nusring Diagnostic book for reference but this particular diagnosis was not in the book and that's why I was asking for advise. believe me, am not trying to be lazy in doing my homework. I am a great student and my hard work has allowed me to be accepted in the nursing program. And I know am gonna be a great nurse, trust me, so 2ndwind dear, am not trying to cheat or anything.
Thanks.
RedCell
436 Posts
Hi all.I am a first semester nursing student and am still having some troubles in coming up with nursing interventions for my care plans.I am currently workig on the 'interdependence mode' and my Nursing Diagnosis is 'Affectional adequacy R/T good realtionship with family'.So what kind of nursing interventions and goals can one implement, especailly when there is nothing negative?Thanks for your help.
This post explains EVERYTHING that is wrong with nursing education today. 'Affectional adequacy R/T good relationship with family'. What a crock of ****. How is this useful in the real world of nursing? How does this build "critical thinking" skillz? Most importantly, how does this truly benefit the patients you will be taking care of? KOKU, if I were you I would start off by asking your instructor (hell, ask the dean of your nursing school) to explain something simple such as the differences between systolic and diastolic failure. Request the instuktur to discuss how nursing treatment/therapy differs with both and then ask that they wrap it into some useful and critically thought out nursing dx. That should certainly create a deer in the headlights appearance. After the drooling and stuttering subsides, tell them that these BS classes (Nurse Theory, Cultural feel good and Nursing Diagnosis) are putting patients at risk as well as contributing to the shortage of well trained nurses practicing today.
No wonder we have medical/surgical nursing orientation programs that are mandatory during the first 3 months of employment as a new nurse. My advice to all nursing students: work as a tech in an ER or ICU while in school. Do as much as the nurses allow (put those NG tubes and IVs in behind closed curtains) and ask questions...lots of questions. The skills and knowledge learned will supplement what you are missing out on as well as what you should be learning in a BSN or ASN program.
PS: Do what I did and use that nursing diagnostic text as kindling for starting campfires. It will prove to be much more useful that way. Pay more attention to your pathophysiology and pharmacology texts. They will get you much farther in your nursing career.
rn/writer, RN
9 Articles; 4,168 Posts
Thread moved to General Nursing Student Discussions.
You more or less have to play the game while you're in school, but take heart. In the real world, we don't monkey around with the kind of care plans students are being asked to wrestle with in school. I understand that much of this obstacle course is designed to get you to think about all the possibilities with a patient, but it seems like there ought to be a more practical and humane way to teach students how to assemble all the pieces into a big picture.
On the job, you usually have a fairly thorough set of care plans to choose from, and these prompt you for actions and choices normally associated with that particular medical diagnosis. Yes, you have to be alert to things that fall outside the box, but you don't have to re-invent the wheel with every new patient.
While you're in school, do the best you can to come up with what they want. Read through the student forums. Be especially on the lookout for anything by one of our wonderful mentors, Daytonite (she is a genius at explaining care plans). And hang on for the day when you can kiss nursing school care plans and crazy diagnoses good-bye!
firefly101
91 Posts
anyone have any tips on how to create a care plan using this mode? it doesn't matter that we think this is a waste of time, us students still have to do it... i'm in the exact same boat as the poster was: i have to create an interdependence care plan with the dx "affectional adequacy" as assigned by my instructor, which is NOT in a NANDA book. where do you even start to create a care plan with out a NANDA book, and also, without an apparent problem? does anyone know of any other resources? (i have the Roy model text, which is useless and only offers a definition of what affectional adequacy is...)
nurseprnRN, BSN, RN
1 Article; 5,116 Posts
There is only one "NANDA book" and that is the NANDA-I 2012-2014 (current edition). "Care plan books" tend to be cookbook-style and don't often encourage you to (or teach you that you should) assess for nursing diagnoses independent of medical diagnosis.
As I posted to this same query in the other forum a minute ago, NANDA-I does not give you canned "care plans" by medical diagnosis, but will teach you how to think like a nurse and assess an individual for a nursing diagnosis, which you can then treat by applying info from other resources. Use it anyway, and see my other post to get some ideas about how to deal with this particular assignment.