Published Nov 17, 2010
ztasweetie
5 Posts
I need some help with 3 nursing diagnoses and 3 corresponding desired outcomes for illegal drug overdose! Does not matter what category of drug. I guess the 3 most important diagnoses/desired outcomes for general overdose patients would work! Can anyone help me?
Hoozdo, ADN
1,555 Posts
Can you at least guess at one before someone gives you three of them?
OCNRN63, RN
5,978 Posts
Man. Don't people even try anymore?
tewdles, RN
3,156 Posts
This is a basic nursing research project for you...and it is important that you do the work yourself. How about if you come back with a nursing plan of care and we can help you tweak it?
I am game for that.
Remember that you, as a nurse, can do a variety of things for a person to improve their health status without a physician order. Your nursing plan of care should reflect your professional nursing assessment of the patient. It should reflect your advocacy, and the POC should reflect patient goals.
Remember that nurses are concerned with the overall well being of the patient...not just the medical diagnosis. We may collaborate and consult with other disciplines as needed, often without MD order, as long as we have a nursing diagnosis which supports the action.
Sooo....what does a substance addiction do to a person's life? Which areas of the person's life are likely to be affected. Will this addiction affect his physical health? How about his psychosocial, emotional, and spiritual health. Does it affect their sexuality?
Do a little reading, put something together and lets talk...
OttawaRPN
451 Posts
OP, did the dog eat your psych text book?
donsterRN, ASN, BSN
2,558 Posts
What kind of "help" do you want? It sounds like you're asking the membership to do your homework for you. As someone previously pointed out, this type of problem is basic nursing research. Topics covering this situation should be found in several of your textbooks. Start there, post your findings and show us how you're doing.
anom123456
37 Posts
It's a good thing Daytonite is still with us in spirit -
OP...here is a link that Daytonite posted that will point you in the right direction on how to draft your care plan relating to overdose. Good luck and don't be afraid to come back if you have any questions once you get started on the care plan. A search on this site will yield results as well if you need further direction.
https://allnurses.com/general-nursing-student/psych-care-plans-199785.html
I apologize to those of you who thought I was taking the easy way out! Not trying to do that at all. I just joined allnurses.com and I was in a hurry when I posted so my info was minimal.
I do appreciate those who gave me a little feedback! We have not yet covered OD's and all I can find in my Psych text is information on addiction. I need nursing Dx for an actual, happening right now, overdose.
With that being said, I think that 1st and foremost Dx would be Risk for Injury and outcome would be pts VS's stabilized within a certain amount of time,What would be a realistic time frame? (not familiar with the time aspects of OD), pt does not hurt himself or others? what other outcomes? Secondly, assuming CNS depressant OD, Ineffective breathing pattern? (Resp would be low) Outcome- pts resp within normal limits within 24 hrs? (again unsure on time frame) Third, Ineffective coping? outcome- pt will identify precipitating factors to the incident?, pt will come up with and implement a plan for coping? Another Dx, Alterations in sensory perception?
I just do not have much experience with drug OD yet and am having some trouble finding the right info in my books. Can anyone lead me in the right direction or give me some feedback on what I have come up with?
I appreciate the help!
Thank you for giving me some direction! The nice replies are always appreciated!
I apologize to those of you who thought I was taking the easy way out! Not trying to do that at all. I just joined allnurses.com and I was in a hurry when I posted so my info was minimal. I do appreciate those who gave me a little feedback! We have not yet covered OD's and all I can find in my Psych text is information on addiction. I need nursing Dx for an actual, happening right now, overdose.With that being said, I think that 1st and foremost Dx would be Risk for Injury and outcome would be pts VS's stabilized within a certain amount of time,What would be a realistic time frame? (not familiar with the time aspects of OD), pt does not hurt himself or others? what other outcomes? Secondly, assuming CNS depressant OD, Ineffective breathing pattern? (Resp would be low) Outcome- pts resp within normal limits within 24 hrs? (again unsure on time frame) Third, Ineffective coping? outcome- pt will identify precipitating factors to the incident?, pt will come up with and implement a plan for coping? Another Dx, Alterations in sensory perception?I just do not have much experience with drug OD yet and am having some trouble finding the right info in my books. Can anyone lead me in the right direction or give me some feedback on what I have come up with?I appreciate the help!
I think you're on the right track here. First thing is to know the substance ingested, and how it normally works in the body. For example, narcotics will suppress respirations. An overdose of them will severely suppress the respirations. Not only would you be concerned with impaired breathing patterns (as you mentioned), but along with that the patient is likely to have an impaired gas exchange, as well. Consider also factors like suicidal ideation (if this was a deliberate OD), poisoning and even infection (if he is an habitual drug abuser who injects his meds). I like that you included ineffective coping. Consider nutritional needs, self-esteem needs, etc.
Good luck. Let us know how you're doing!
danny_boy0
1 Post
This thread is frustrating to read. I understand both sides of this situation, but if there's something that the student needs and doesn't get here they can just go somewhere else and get it. I know this is an old post, but the general point of this forum seems to be for those in need of help. I too am in nursing school, and it's hard enough without added trouble. I'm just glad she decided to post in this forum, so that I could see how she was thinking about an OD pt. I too am writing a care plan on this topic. Thanks
nurseprnRN, BSN, RN
1 Article; 5,116 Posts
this is a general reference about nursing diagnosis for those who decry the way they have to use it in school:d i promise this will help.
http://www.nanda.org/nursingdiagnosisfaq.aspx