Quote from daytonite
i would be interested in knowing what you come up with. i decided to work on a project like this over the summer and realized very quickly that i was running into problems
. i answer a lot of student questions on the student forums regarding care plans
and they almost always are having problems getting to the nursing diagnosis. the ones who are having trouble don't get the concept of grouping the abnormal data. i stumbled onto a site http://servercc.oakton.edu/~mikey/nu...ecareplan.html
which i thought might be an attempt by an informatics nurse to help in this process, but it looks to be only partially completed. then, again, it may be an attempt to create their own care plan constructor. how are medical students taught diagnosis?
i teach students about how physicians determine their medical diagnoses. there are specific signs/ symptoms and diagnostic criteria for each diagnosis.
[color=#483d8b]it's same for nursing diagnoses. many of the nursing diagnoses texts work well. my favorite is "nursing diagnosis handbook
by judith m. wilkinson."
[color=#483d8b]students need to first focus (specific problelm) on a specific system, e.g. respiratory system.
[color=#483d8b](1) collect the subjective & objective data within that system. examples: respiratory rate, rhythm & quality, prod or non-prod cough, c/o sob or dyspnea, skin & mucous membranes status (color, hydration, etc), equipment (oxygen therapy), loc, etc.
[color=#483d8b](2) cluster data & utilize nd text. possible nd: ineffective airway clearance; ineffective breathing pattern.
[color=#483d8b](3) students have problems with pt outcomes being measurable. lots of tutoring needed here.
[color=#483d8b](4) nd text can be utilized for specific nsg interventions, based on pt data.
[color=#483d8b](5) students must evaluate the outcome, not the interventions. in other words, if students evaluate interventions, then it is the nurse that is being evaluated --> wrong focus.
[color=#483d8b](6) patient centered --> evaluate whether the patient met the delineated outcome.
[color=#483d8b]please excuse me if i am being too simplistic here. as stated previously, i teach 1st semester & must "culturize" the students to the language of "nursingalese."