Need nursing care plan.....HELP!

hi..thanz to d site!!please help me in making ncp for hellp syndrome or give me an example of the pattern ..please..please....

[Daytonite, BSN, RN]

hi, cokefloat, and welcome to allnurses! :welcome:

you are most likely not going to find an example of a care plan for a patient with hellp (hemolysis, elevated liver enzymes, low platelet count) syndrome, or severe pre-eclampsia of pregnancy which involves hypertension with either/or albuminuria and edema.

the first thing you need to do is find out everything you can about hellp: what it is, it's signs and symptoms, it's pathophysiology, how the doctor diagnoses it, what tests the doctor will order, what treatments the doctor will order, what medications the doctor will order, how this is going to affect the pregnancy and the delivery of the baby, and how it is going to affect the mother after the baby is delivered. you need to know this information for the following reasons:

• you need to look for the signs and symptoms in your patient (if you have a real patient). otherwise, if this is a case study, then you need to include all the signs and symptoms when developing your care plan. the signs and symptoms become the foundation for the choice of nursing diagnoses you will choose for your care plan.
  
• understanding the pathophysiology of what is going on will help you in your choices of nursing diagnoses as well as your choices of related factors if you are required to include related factors in your nursing diagnostic statements
  
• knowing all the various tests, treatments and drugs that the doctor is likely to order will help you in developing your nursing interventions for your care plan.

here are websites that have information about hellp syndrome and preeclampsia, but you should also do some research on this yourself:

• http://en.wikipedia.org/wiki/hellp_syndrome
  
• http://www.nlm.nih.gov/medlineplus/ency/article/000890.htm
  
• http://www.healthsystem.virginia.edu/uvahealth/peds_hrpregnant/hellp.cfm
  
• http://www.fpnotebook.com/hem155.htm - hellp syndrome, its pathophysiology, symptoms, medical managment and complications
  
• http://www.aafp.org/afp/990901ap/829.html - hellp syndrome: recognition and perinatal management
  
• http://www.emedicine.com/med/topic1905.htm - preeclampsia (toxemia of pregnancy)
  
• http://www.emedicine.com/emerg/topic480.htm - pregnancy, preeclampsia
  
• http://www.medicinenet.com/pregnancy_preeclampsia_and_eclampsia/article.htm - pregnancy: preeclampsia and eclampsia
  
• http://www.hellpsyndrome.org/ - the hellp syndrome society website

a nursing care plan is nothing more than the written documentation of your thinking process of how to solve the problem(s) that the patient is having. it follows the same steps of the nursing process:

1. assessment (collect data from medical record and by doing a physical assessment of the patient)
   
2. nursing diagnosis (make a list of the abnormal assessment data, match your abnormal assessment data to likely nursing diagnoses, decide on the nursing diagnosis to use)
   
3. planning (write measurable goals/outcomes and nursing interventions)
   
4. implementation (initiate the care plan)
   
5. evaluation (determine if goals/outcomes have been met)

if this is a real patient, then you will do an actual physical assessment, interview of the patient and a thorough search of their medical record (chart) to find all the signs and symptoms (abnormal data) they are having. if this is not a real patient, then you rely on what you have learned about this disorder from your reading. only then, do you proceed to step #2 where you make a list of the signs and symptoms and use them to choose nursing diagnoses. in step #3, you write goals and nursing interventions for the specific signs and symptoms the patient is having as related to each nursing diagnosis.

each nursing diagnosis has it's own set of signs and symptoms, so you must use some kind of reference in choosing nursing diagnoses. you need to use a nursing diagnosis reference book or a care plan book that includes that information to make sure you are diagnosing correctly. medical students who are first learning to diagnose medical diseases use similar references to make sure they are learning to diagnoses medical conditions correctly; nursing students who are first learning to diagnose nursing conditions need to use nursing diagnosis references to make sure they are learning to diagnose them properly.

there are two threads on allnurses that have more information on choosing nursing diagnosis and writing care plans:

• https://allnurses.com/forums/f205/desperately-need-help-careplans-170689.html - desperately need help with careplans (in nursing student assistance forum) – post #109 has the list of ackley/ladwig links to nursing diagnosis pages
  
• https://allnurses.com/forums/f50/careplans-help-please-r-t-aeb-121128-7.html - careplans help please! (with the r\t and aeb) (in general nursing student discussion forum)

there is also information on how to write goals on post #157 on https://allnurses.com/forums/f50/careplans-help-please-r-t-aeb-121128.html

you can find examples of what a care plan looks like at these websites, but they won't be about hellp syndrome:

• http://nursingcrib.com/category/nursing-care-plan
  
• http://www.rncentral.com/careplans/contents.html
  
• http://www-isu.indstate.edu/mary/carep.htm - sample care plan for potential for injury (aspiration)
  
• http://www-isu.indstate.edu/mary/carep2.htm - sample care plan for fluid volume excess
  
• http://listserv.acsu.buffalo.edu/archives/carepl-l.html - this is an archive of student nursing care plans at the state university of new york, buffalo.
  
• http://www.cnsonline.org/www/archive/ms/ms-07.txt - sample care plan for an ms patient
  
• http://www.pana.org/ - click on "student activities" and then on "care plan bank" under the heading of clinical information

i have given you a lot of information, but it should be enough for you to write a care plan on hellp syndrome. if you are still having trouble, ask for help.

[cokefloat]

thank you so much for the help..as in thanx so much..godbless..

[yummychiq25]

help!!!!!!!!!!!! i need a nursing care plan for seizure disorder...he is 27 yrs old...evry 20-40 minutes occurs seizures.. pls help!!!!!!!!!!!

[Valerie Salva, BSN, RN]

Doesn't anyone write there own careplans anymore?

[Daytonite, BSN, RN]

Hi, yummychiq25, and welcome to allnurses! :welcome:

You are not going to find a care plan on the Internet that is already written for you. You are going to have to write this care plan from information you have about this patient.

First of all, a care plan is the written documentation of the nursing process which is the problem solving process that you go through. It has five steps and you MUST follow them in their correct sequence.

1. Assessment (collect data from medical record and by doing a physical assessment of the patient)
   
2. Nursing Diagnosis (make a list of the abnormal assessment data, match your abnormal assessment data to likely nursing diagnoses, decide on the nursing diagnosis to use)
   
3. Planning (write measurable goals/outcomes and nursing interventions)
   
4. Implementation (initiate the care plan)
   
5. Evaluation (determine if goals/outcomes have been met)

To begin with, you must do a thorough assessment of this patient. That includes doing a physical assessment of them, an interview and going through their medical record. Your assessment must also include an evaluation of your patient's ability to perform ADLs (activities of daily living). You are looking for all abnormal information. The more you can find, the more information you will have available to help you write your care plan. The care plan is based on this abnormal information--NOT on the patient's medical diagnosis--although the signs and symptoms of their medical condition do contribute to your care planning. The abnormal data that you collect then becomes your list of the patient's signs and symptoms (NANDA calls them defining characteristics). Every nursing diagnosis has a specific set of defining characteristics (signs and symptoms) and you must see that your patient's signs and symptoms match one or more of the defining characteristics of a nursing diagnosis before you can choose to use it for a patient. That is step #2 of the nursing process.

Once you have done that, the remainder of writing your care plan is to develop goals and nursing interventions for the defining characteristics (signs and symptoms) that your patient has.

Please read my post #2 of this thread. You will find links to information on how to write a care plan and choose nursing diagnoses. I really cannot help you any further because you have not provided information needed (signs and symptoms that your patient has that will help us determine what the patient's problems are).

[thatchergirl, BSN, RN]

I also have a client with HEELP syndrome and she also has UTI. I was wondering if there's a Nursing Dx such as risk for premature delivery? I can't find it in my book but would love to use something similar to that! Thank you!!