Nursing Diagnosis or Care Plan books that are useful?

OB-nurse2013, BSN, RN · Oct 26, 2011

I love my book! Its by Mosby/Elsevier Nursing Diagnose Handbook authors Ackley and Ladwig. ISBN 978-0-323-07150-5 extremely helpful and easy to use. You can use your patient's medical diagnosisto look up potntial nursing diagnosis's or just look them up individually. Good Luck! I'm surprised your school doesn't make you get one.

Kdavina · Oct 26, 2011

thanks!!

Esme12, ASN, BSN, RN · Oct 26, 2011

http://www1.us.elsevierhealth.com/MERLIN/Johnson/linkage/

GREAT BOOK

Clovery · Oct 26, 2011

I agree about Ackley & Ladwig - they provide great lists of rationales with references so you don't have to find them on your own.

AgentBeast, MSN, RN · Oct 26, 2011

The Ackley book is THE book to have for nursing diagnosis.

ImThatGuy, BSN, RN · Oct 26, 2011

I want one, if it exists, where you look up a disease in normal, medical terms and get then referred to a page number that lists the made up NANDA diagnosis and related nursing interventions. That'd make paperwork easier. You already know what you'll do in real life without the labels.

nurseprnRN, BSN, RN · Oct 27, 2011

the definitive book is the nanda 2009-2011. it won't spoonfeed you as much as some people seem to want, but will reward even students quite richly. i use it in my practice all the time (independent certified nurse life care planner and case manager) and value it more than when i was a student because now, at last, i know what real power the nursing process bestows upon us and how it can benefit us all.

ImThatGuy, BSN, RN · Oct 30, 2011

What is a nurse life care planner????

nurseprnRN, BSN, RN · Oct 31, 2011

* here's the short answer. i am a certified nurse life care planner. over the years i was a critical care nurse (the subset of nursing with the highest rate of ceu-acquisition), and got a number of good opportunities with this because i had a got a master's in it. then i changed fields, almost a 180, and worked 16 years in case management, both in field work comp and in-house hospital in a medical practice with a shared-risk agreement with a big hmo. the master's still opens doors. education is one thing they can never take away from you!

a life care plan is a tool used for the purpose of estimating medical and non-medical needs of a person with a catastrophic injury or chronic illness over an estimated life span. it is a dynamic document based upon published standards of practice, comprehensive assessment, data analysis and research. a plan may include medical needs and costs, future projections, architectural modifications, change in level of care anticipated, equipment/transportation/furnishings, vocational assessment, and anything else that will incur costs related to the related injury or illness. the contents may be comprehensive or modified, based on the needs of the party making the request; this is generally an insurance carrier, an attorney, or a trust officer whose charge it is to arrange or manage funds for lifetime care. many subjects are injured people involved in a work comp or liability claim with such catastrophic conditions as traumatic brain injury, spinal cord injury, major trauma, burns, chronic pain, or a combination of conditions. we also see children with birth injury or other developmental condition, like cerebral palsy or mental disability, or elders whose care needs fall to family or a trust fund.

a life care planner is the professional who has particular education and expertise in preparing and reviewing lcps, including medical record review, research, legal aspects, and particular course content on common conditions often requiring lcp. certified nurse life care planners, those who hold the cnlcp credential, are permitted, and in most jurisdictions mandated, to diagnose and treat human responses to illness by virtue of their professional licensure, a privilege that we share only with physicians and which we do not take lightly. other certified life care planners, clcp, also take education in the lcp process and applicable laws; they may come from a variety of backgrounds such as physical therapy, vocational rehabilitation, medical assistant, social work, or other forms of therapy; they cannot promulgate a plan without having it signed off by a physician. we do not have that constraint.

i run my own business. i hold certifications in rehabilitation nursing, case management, and life care planning. the ana recognizes life care planning as part of the legal nursing specialty practice area-- we work largely with cases in litigation, as autonomous practitioners. we eschew the medical model; our practice is based on the nursing process and nursing diagnosis. many people have no idea how powerful that is; when an attorney says, "you can't prescribe all those things you put in your plan, you're not a doctor, are you?" that atty is trying to make nursing look small and subordinate,to discredit me and take things out of my plan to save his client money. i understand his rationale, and he's wrong, wrong, wrong. i can say that my professional licensure, certification, experience, education, standards of practice, and ethics are backed by the nurse practice act, which mandates me to prescribe a plan of care after assessing the patient's response to injury or illness (we do catastrophic cases). therefore the evaluations and other aspects of my plan are in fact, within my professional licensure to prescribe.

it's important not to confuse an insurance plan's requirement to have a physician prescription for a billable action, or the legal requirement for physicians (and anps, which i am not) to prescribe medication with the nursing ability to say that something is appropriate and indicated by nursing diagnosis. medical plans of care are done by physicians; nursing plans of care are done by registered nurses. if a medical plan of care has something harmful in it, we are obligated to intervene to protect the patient-- that's more power than the popular media give us credit for, and as a result patients and sometimes even nurses think we are not as important in health care. most of my plaintiff clients will be private-pay as they win their cases; medical equipment companies and therapy centers will be happy to provide for them without md prescriptions if an insurance company is not in the picture.

i also do defense cases, in which i evaluate plaintiff life care plans to see if they are excessive or unjustified. interestingly, sometimes they are. sometimes they aren't.

i think nursing will be more important than ever in the coming decades, as the population ages, as practicing medicine becomes less fun and less lucrative, and research continues to document that outcomes and patient satisfaction in chronic illness and wellness care are higher with advanced nurse practitioners than physicians. as more of us are marketing our nursing skills in business-- i use nursing diagnosis every day-- we can have a positive effect on decision-makers by showing them how damn smart we are, and how the nursing process is a living schema with a solid scientific base that we use to benefit patients in unexpected, nontraditional ways.

since you asked:d.

OB-nurse2013, BSN, RN · Nov 2, 2011

I want one, if it exists, where you look up a disease in normal, medical terms and get then referred to a page number that lists the made up NANDA diagnosis and related nursing interventions. That'd make paperwork easier. You already know what you'll do in real life without the labels.

Thats how the Ackley and Ladwig book is. If your patient has DM or CHF you look that up in the front and it gives you choses of several NANDA dgx and their page number :)