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Discussion

Need Help desperately!!!!!!!!!!

I am dying here if anyone has been reading my thread I am a new LPN student and we are now working on care plans, Now this is crazy ut this is what I have to do for tuesday, my pt has a medical diagnosis of renal disease and I have to come up with 3 possible nursing care plans for a pt with this disease, I don't know eveyone I asked said it doesn't make sense because you can't make a nursing diagnosis off of a medical diagnosis but this is what I have to do is there a way???there has to be com eon help me please:bowingpur

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Is this your first care plan? You look at the patients diagnosis,then list the problems that can arise from it and come up with nursing interventions for each. What are the symptoms of renal disease or insufficiency? List them-then look at each one and think of a nursing action/intervention for it.

  • Experts

is renal disease all you have to work with? that is a very broad category as there are many, many renal diseases. do you have any other information to go on? can you assume the patient has chronic renal failure for the purpose of the assignment? a care plan is nothing more than a listing of a patient's problems (nursing diagnoses) and the strategies (nursing interventions) to do something about them. it is all based upon the symptoms the patient has. you merely look up the symptoms of the medical diagnosis. from a list of symptoms you should be able to come up with 3 nursing diagnoses (not 3 care plans).

ok. i understand your frustration. take a deep breathe my dear! your patient has renal disease. now not only are there different levels there are also different "nursing interventions" if it is interventions you need 3 of look at the problems/symptoms or is it that you need 3 care plans that will be a part of factors affecting renal disease (other issues that arise along with a renal disease (oliguria,edema, etc.,) pm me if you need help. :heartbeat

  • Author

Ok this renal disease is killing me too much info , I am changing my patient lol........... sounds crazy but is is really a list from our activity packet and our list has potentila patients with medical diagnosis and we have to choose one medical diagnosis write about the disease and find 3 nursing diagnosis for that disease, I am changing to the pt with cholecystitis(gallbladder inflamm) but I gues you guys know that ulready do you think that is a better one?

  • Experts

go to some of the websites listed on

and look up the signs and symptoms of cholecystitis. you need those to come up with your 3 nursing diagnoses. every nursing diagnosis has a list of symptoms (nanda calls the defining characteristics). you must have the symptoms to support the use of any nursing diagnosis. post what you get and i'll help you out.

see this previous thread on a care plan about cholecystitis:

  • Author

After analyzing and reading all the data you recommended I came up with

Acute pain R/T inflammation of the GB

Fluid volume defecit R/T excess losses from vomiting

Imbalanced nutrition R/T decreass intake and absorption

I know they are not the best but from the signs an symptoms I thought it was relative please tel me what you think!

  • Experts

What did you do with your signs and symptoms? Don't you need to add them to your diagnostic statements?

Acute pain R/T inflammation of the GB

Fluid volume deficit R/T excess losses from vomiting

I would change to:
Deficient Fluid Volume R/T active fluid volume loss from vomiting

Imbalanced nutrition R/T decreased intake and absorption

I would change to:
Imbalanced Nutrition: Less than Body Requirements R/T inability to eat and retain food

  • Author

Much better thanx so much you are the best and I mean the best!

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