priorities/ goals

[fitore]

I realized that in most of the ncp, in planning phase are:

Nursing Goals and

Outcomes.

But, in other I saw and nursing priorities. So my question is, why?

do they put in the same category priorities and goals?

I have written in my ncp, nursing goals and outcomes, but when I thought about priorities I had a conflict of data between Nursing Priorities and Nursing Goals.

can you give me an example, about a pt with stroke, who has hemyparesis, impaired verbal communication, and Impaired Physical Mobility,

priorities.....?

goals.......?

outcomes.....?

[fitore]

now what was his assessment...what did they find...where was the CVA...what is your assessment in a short paragraph. Where are you in your program?

my pt was diagnosed with CVA, , hemiparesis lat.dex. HTA

The scan revealed unilateral infarct in cerebellum.

when he was admitted he was somnolent ,he had a doop on the left of his face. Babinski's reflex positive .

I almost finished my case study and I am correcting my mistakes, but unfortunately this is takeing me more time than I thought, cos I have made some concessions inadvertently......:(

[Esme12, ASN, BSN, RN]

Is this your first care plan? I think you said it was.....these are very time consuming. You will get better as you gain experience. You are particularly challenged because of the lack of availability of a good care plan book to you. I think you are doing a great job

[fitore]

Is this your first care plan? I think you said it was.....these are very time consuming. You will get better as you gain experience. You are particularly challenged because of the lack of availability of a good care plan book to you. I think you are doing a great job

No I have done so many ncp before, but never in this "frame". Cos I've told you that our Nursing University has begun working a few yeas ago. Indeed maybe they didn't do ncp in this frame. or they just passed this part of teachings us.

We have done simple NCP, not involving priorities, and outcomes, and never mention Rationale, ore, Evaluate - met, partially met, not met.

And we never did a NCP, interventions of every nursing dg, only the main thing that we the thought is important.

That's why it's taking me a long time to understand.

But, I almost finished, only I must correct writing mistakes and complete putting references.

And another problem is that, in my university we don't have adequate nursing books, all we do is some medical books and some scripts which our teachers have translated from english or german language.

I would like, to have teachers like you who teach a student very well. So it wouldn't be a problem to do a simple plan care of any disease.

All thinks would be different.

[Esme12, ASN, BSN, RN]

I'm sorry I meant first care plan in this format....it's all good. I'm glad I can help out a fellow nurse to be....and I good nurse I might add...for the circumstances and disadvantages you have to deal with. I think you show amazing insight and initiative to seek out what you need even if it is on the other side of the ocean..((HUGS))

Like the picture of the Kitty.:)

[nurseprnRN, BSN, RN]

I tried to use Maslow's hierarchy of needs, and I put nursing diagnosis by using that, I don't know if I've done right. by the way

these are my pt nursing dg:

actual dg:

1.Ineffective cerebral tissue perfusion

2.Ineffective airway clearance

3.Impaired physical mobility

4.Disturbed sensory perception (seeing)

5.Impaired verbal or written communication

6.Self-care deficit

7.Knowledge deficient (learning need) regarding condition, prognosis, treatment regimen, self-care, and discharge needs

potential dg:

8.Risk for ineffective airway clearance

9.Risk for skin integrity

10.Risk for injury

Good list.

[fitore]

A doubt about, during placing nursing dg.

An explanation of establishing an unconscious patient diagnoses

and a consciousness pt.

A the same diagnosis valid?

ex. Disturbed sensory perception (seeing)

is that by Glasgow coma scale and Monitoring pupil size and reactivity. ??

[Esme12, ASN, BSN, RN]

I would think so.