Quote from nurz2be
We use Gordon's functional health patterns while we are in fundamentals, we use the Doenges book.
Since this is hypothetical, why instructors give hypothetical patients without "assessment info" I don't know, I would suggest getting information about the disease and what it does "typically" to a child at that age. Maybe go to a Pediatric website and do some digging.
I don't know why instructors do that either. It teaches us to use the nursing process wrong. It also reinforces that the nursing diagnosis hinges on the medical diagnosis, when it doesn't. Your instructor probabaly wants you to think of possible nursing diagnoses that are associated.
1. 1 year old with heart condition (this list is not complete, FYI)
Health Perception - Health Management Pattern
Growth and Development, Delayed
Injury, Risk for
Activity Exercise Pattern
Cardiac Output, Decreased
Mobility, Impaired Physical
Tissue Perfusion, ineffective:
Infection, Risk for
Tissue Integrity, Impaired
Skin Integrity, Impaired
2. 2nd child, first one healthy.
Family Processes, Interrupted
Caregiver role strain
Social Interaction, Impaired
Coping-Stress Tolerance Pattern
On and on....
We had to do this with hypothetical patients. We didn't have to list everything but we had to list what we would look for. Quite frankly how we were supposed to do that when we were not given assessment data other than what you have? It was more of a brain storming thing.
I think this is why I sometimes feel NANDA and nursing dx are a joke. Because the way I was taught was just stupid. We were given the same hypothetical patient and came up with EVERYTHING you could thing of for a nursing diagnoses... and to me that just seemed like quackery. On one hand I am very proud of our nursing autonomy and think it is cool that we have our own language. But the way I was taught was just bunk.
Our instructors gave us a hypothetical patient....we listed as many possible
nursing dx and then we were suppose to "pick one" and write a care plan. What would our goals be...interventions, outcomes,...etc... Just by the instructor saying you have a 70 year old man who just had a heart attack. GO!
Of course that was just during our fundamentals class. Clinical care plans
were all together different.