stormbeige

Hello, I need your help with regards to Focus Charting or FDAR Charting. Though it has been implemented to other hospitals, the hospital where I work at is just implementing it next year. I am currently assigned in the Emergency Room where what we mostly do are hospital admissions, and most of the samples that I have researched are applicable to ward progress note charting. Could you give me an example of how will you chart using FDAR if a patient, say, is pregnant and is admitted due to labor pains... And what will also be the format if the patient at ER has 2 complaints such as vomiting and abdominal pain? what will be your focus there?? So patient 1 is pregnant, having labor pains.. F - D - A - R - and patient 2 is experiencing vomiting with abdominal pain F - D - A - R - Your help will be highly appreciated. Thanks!

to danceinstructor, can u pm or email me at [email protected]... i need to ask some important queries..hope u can help..thanks in advance..really interested to enrolling at La Trobe but still need to check ahpra's website...

ok..thanks!

hello everybody! i am considering taking a bridging program so I can work as a nurse in Australia... I am quite interested to know information about La Trobe University.. is anybody here who is on the same boat as me...please share info on how to get started as I am still confused here..still need a lot of reading to do... thanks...

Hi.. I have a situation...need help on this one.. thanks in advance.. Here it goes... The client underwent stat CS and had spinal anesthesia. What assessment findings are important to obtain before the transfer of the patient from PACU to ward. I have read that spinal anesthesia's side effects are: Headaches, low blood pressure, painful bladder, neurological damage. so the nurse responsibilities are the following: Monitor patient's level of consciousness. Monitor vital signs of the patient as it causes low blood pressure monitor for presence of painful bladder aside from those three: What are other important assessment do i need to obtain for this situation. any help would be greatly appreciated. thanks. :)

[color=sandybrown]thanks a lot! i really learned a lot.. .i can now make my nursing care plan. if i can finish it early, maybe i can send it to you so that you can make comments about it for my improvement...

hello, thanks for the help... really appreciated it a lot.. i have made some revisions of my nursing diagnoses: kindly make comments about it and if it is wrong, kindly state the correct one.. thanks. [color=olive]acute pain r/t tissue trauma and birth process, intensified by fatigue objective cues: pain scale of 7/10 ("tolerable pain") as verbalized by the patient irritability sleep disturbances decreased in appetite weakness [color=olive]impaired urinary elimination r/t mechanical compression of the bladder and effects of regional anesthesia (we have interviewed the patient 16 hours after delivery and she stated that she has not voided and there is a presence of lady partsl discharge) objective cues: decreased urinary frequency [color=olive]deficient fluid volume r/t decreased oral intake, bleeding and diaphoresis objective cues ( we have not obtained the current weight of the patient) lack of appetite fluid loss due to bleeding during lady partsl delivery presence of lower extremity edema i realized that i have not gathered a lot of information. next time, i will assess my patient very well. thanks for all the info..

Hello, Thanks for the quick reply. I forgot to mention that she has undergone episiorrhaphy. I wanted to use the following nursing diagnoses: Fatigue r/t increased energy requirements of labor. Impaired urinary elimination r/t surgical trauma. Risk for injury r/t invasive procedures and perineal tears with precipitous labor. I wanted to use lower extremity edema as one of my cues but i cannot completely state my nursing diagnosis: can it be like this?? Impaired physical mobility r/t pain and weakness after labor as evidenced by lower extremity edema? I am not sure if it is correct.. I am having problems stating my nursing diagnoses. Very grateful for your help. Thanks.

Hi, We are tasked to make 3 nursing care plans for a 23-year-old patient who has just delivered via NSVD and has a lower extremity edema. Based on her chest x-ray, she has an impression of pneumonia/pulmonary congestion. Her abnormal laboratory results were the following: Hemoglobin - 112 RBC count - 3.9 x 10^12 WBC count - 17.3 x 10^9 Neutrophil count - 0.73 Normal laboratory values for that hospital: Hemoglobin - 120 - 160 RBC count - 4.20 - 5.4 x 10^12WBC count - 4.50 - 11 x 10^9 Neutrophil count - 0.36 - 0.66 I just need 3 possible nursing diagnoses and its objective cues. Any help would be very much appreciated. Thank you in advance.

I am sorry, I have given you the wrong link. Please disregard it. Below is the correct link to my new nursing care plan draft. Kindly check it. Thanks! http://www.scribd.com/doc/16646436/NCPImbalanced-Nutrition-Not-Revised

Hello, Thanks for criticizing my work. I really learned a lot and have revised my nursing care plan. I have made a new nursing diagnosis for the same patient. Imbalanced nutrition: less than body requirements related to inability to ingest food because of presence of cleft palate as evidenced by low Hgb, Hct and low RBC count. Is that right? I have also made a draft of my new nursing care plan. Hope you can view and criticize it. Thanks a lot. http://www.scribd.com/doc/16645060/NCPImbalanced-Nutrition-Needs-to-Be-Criticized

Hello, I am new to making nursing care plan. I was given a 2-month-old patient with a cleft palate and has a diagnosis of anemia. He has a low hemoglobin level upon admission and according to the mother, he has pallor both on the face and hands. I made a draft of my nursing care plan. Kindly check it and make some recommendation for revision. Thanks. :bowingpur http://www.scribd.com/full/16629671?access_key=key-1mdn0jg5mdzozdw6od6m