I feel a bit stuck on my dx. I have a pt with an interesting situation. She came in a few weeks ago after a fall, she broke her rib causing a pneumothorax. She had an emergency chest tube placed. They have tried twice to remove her chest tube and get her to rehab, but her lung keeps collapsing. She smoked x 50 years, recently quit this year. She has emphysema. She is anemic r/t bladder cancer and sever hematuria. She has a-fib with a pacemaker placed a few months ago. When I saw her this week, she was on her 3rd chest tube. They had it clamped to see how she tolerates it, and planned to remove it. They day I cared for her, they still had not removed the tube. Her vitals were wnl, her bp was a bit low, but she had just received HTN medication. I was thinking of going with Ineffective breathing patter r/t pain in left lower lobe from chest tube AEB shallow breathing and pt c/o pain. My teacher asked me to look for problems that could be serious, cause death with her. I just feel a bit lost on this one, she has been released for a week now, they have just been trying to make sure she can tolerate her chest tube being removed. An outside perspective would be appreciated! =]
Thanks, Esme12! I checked the link and saw that there is a more recent edition, 2012-17, coming out on Oct.6th that can be pre-ordered... so I did. (Trusting that two weeks into school will not be too long to wait.)
Thanks for your comments about nursing diagnosis. It's challenging to unwrap my brain from ideas about medical diagnosis and retrain it to think about "nursing diagnosis." Identifying the response to a condition, not the condition itself. I've been working on this for several months now and hopefully won't start school too far behind everyone else.
Doh. Well that makes sense. Sheesh. No wonder I felt like I was repeating myself!!
takingcare19, thanks for posting this question and working through it online. It's very helpful to work through it with you and to follow along.
Broken record: I love AllNurses! The help we get here is just awesome. I've been helped with everything from first healthcare job to texts and supplies for school. I couldn't have made it through my CNA job this summer without AN and I plan on sticking close to it through nursing school. Thank you to all the staff and members who make AN great.
takingcare19, thanks for posting this question and working through it online. It's very helpful to work through it with you and to follow along.
Broken record: I love AllNurses! The help we get here is just awesome. I've been helped with everything from first healthcare job to texts and supplies for school. I couldn't have made it through my CNA job this summer without AN and I plan on sticking close to it through nursing school. Thank you to all the staff and members who make AN great.
Same here. I'm hoping it will help to get my nursing thinking cap screwed on right.
Esme, I got my care plan back, I actually had the words "nice job" written on them!!!
Esme knows, I had trouble in Foundations and I'm so stoked to see those words on my care plan! =] I hope I can keep up the good work. Oh, and my nursing dx book came in. I think it'll be great, I'm just worried about interventions and rationale as we still have to list those on our care plans. Lol, so I'll be posting again soon! =]
Thanks again everyone, your guidance has been great!
Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
All Nurses is great!
Esme, I got my care plan back, I actually had the words "nice job" written on them!!!
Esme knows, I had trouble in Foundations and I'm so stoked to see those words on my care plan! =] I hope I can keep up the good work. Oh, and my nursing dx book came in. I think it'll be great, I'm just worried about interventions and rationale as we still have to list those on our care plans. Lol, so I'll be posting again soon! =]
Thanks again everyone, your guidance has been great!
Well done....it does begin to make sense doesn't it? ....:)
SeattleJess
843 Posts
Thanks, Esme12! I checked the link and saw that there is a more recent edition, 2012-17, coming out on Oct.6th that can be pre-ordered... so I did. (Trusting that two weeks into school will not be too long to wait.)
Thanks for your comments about nursing diagnosis. It's challenging to unwrap my brain from ideas about medical diagnosis and retrain it to think about "nursing diagnosis." Identifying the response to a condition, not the condition itself. I've been working on this for several months now and hopefully won't start school too far behind everyone else.