RLynn39

Thank You for your responses. I find it strange that "neonate nurse" says this is outdated and cliche, as I have searched PubMed, CINAHL, and Cochrane review to no avail. Where is ALL this research you talk about? Thanks again!

I've heard many people talk about the benefits of prolonging the newborn bath and thought I would research the literature. I have tried and only found a few articles, mostly dating back to the 1990s. Does anyone know of any evidenced based literature on the subject of newborn bath timing? I would like to write a critical incident paper on this topic. THANK YOU! Robbie

I've heard many people talk about the benefits of prolonging the newborn bath and thought I would research the literature. I have tried and only found a few articles, mostly dating back to the 1990s. Does anyone know of any evidenced based literature on the subject of newborn bath timing? THANK YOU! Robbie

OF COURSE YOU CAN DO IT! I was accepted as a second degree student to UNC's ABSN program (NO prior experience and 10 years as a stay-at-home mom!) and am a single mom to three kids! It is hard and you will make sacrifices, but if this is something you want, GO FOR IT!!!! And don't let the naysayers get'ya down!

heh heh. no, i'm not sure i want to use this diagnosis. unfortunately, i have to. my preceptor assigned us the sexuality pattern this week and so i need to come up with a diagnosis related to sexuality. it seems the only one that fits, and is in no way a top priority. however, during our informal interview, the patient did admit to being dissatisfied with the lack of sexual intimacy since he has been hospitalized (almost 3 weeks). so far, i've got: patient will describe three acceptable alternative forms of sexual expression by end of shift (day 1). but, i cannot seem to come up with another...i know my interventions could include providing privacy while in hospital, encourage/facilitate communication with sig. other regarding concerns.... thanks for your response!

Does anyone know where I can find a sample care plan for "Ineffective Sexuality" pattern? I need identifiable and measurable short term goals with corresponding Interventions, and Ackley's online Care Plan constructor does not include this diagnosis (I wonder why???). THANKS in advance for any help! RL:D

Ah. I see. I thought you were saying those were the two most vital. I also thought I had read somewhere that there was a hierarchy method of determining priority diagnosis. Am I wording the coping one correctly? Tnx!

hmmmm....would those be the two most important? can you explain to me why? no, he isn't using pain meds to cope. the gunshot wound and subsequent surgeries have caused him a great deal of stress regarding his inability to work and meeting bills. outside the hospital, he is using street drugs and alcohol to cope with this stress. my preceptor always argues that psychosocial issues are of the greatest concern. but, i am not sure if that applies here. thanks for the brainstorming

Arg! Here I am again. 'Been doing alright with these care plans, but my most recent patient is throwing me for a loop! I need to come up with *only* the top two nursing diagnoses, including interventions and outcomes. My patient is s/p rotational flap for a comminuted tib-fib fracture resulting from a gunshot wound. He was initially treated with intramedullary rod/nail fixation, I&D's with wound v.a.c., and now the flap. The gunshot injury occured in August, and the patient has since suffered from chronic impaired wound healing, inluding wound infection. He has had antibiotics infusing via PICC line for over two weeks. I've come up with the following diagnoses: 1. Acute pain r/t invasive surgical procedure aeb patient's verbal report of 8/10 on numeric pain scale and guarding behavior. 2. Risk for Infection: risk factors include tissue destruction and increased environmental exposure, and decreased hemoglobin. 3. Impaired physical mobility r/t pain, surgical procedure, and loss of integrity of bone structures aeb inability to bear weight. 4. Delayed surgical recovery r/t extensive surgical procedure, postoperative surgical site infection aeb difficulty in moving about, 5. Ineffective coping r/t use of substances to cope with life events as evidenced by verbalization of feelings of helplessness and dependence on drugs and alcohol to alleviate stress. I'm having trouble coming up with the two most important/priority diagnoses. Thoughts??? Anyone??? My inclination is to go with pain and impaired physical mobility. Risk for infection doesn't seem appropriate, as he is on antibiotics. Delayed surgical recovery relates mostly to his history, right? Ineffective coping seems extremely important to address, but I have no idea what the interventions/outcomes would be. Thanks to any and all for imput! Happy Saturday night! Robbie

Arg. Forgive me if I sent a duplicate. Computer is having trouble. THANK YOU so much for all the time and thought you put in to this post! I have spent a good deal of time on this assignment since my post, but definitely have not had the clarity I received from you! Yes, yes I definitely want to do something about her symptoms of headache, fatigue, irritability, etc. How do I incorporate those symptoms into this ONE diagnosis (as dictated by my assignment)? Would they go under an additional diagnosis? Wouldn't alleviating her pain enable her to sleep and subsequently alleviate headaches, fatigue, irritability, etc? THANK YOU again. What a valuable and incredibly knowledgeable resource you are! Rm

My goodness! Thank you for all the time and thought you put into your response! Very elucidating! I've put a lot of work into this assignment since last night, and i think that i have a better grasp on the material. Your thorough explanation sure is helpful! Yes, i would like to do something "about her headaches, inability to sleep, fatigue, "foggy thinking" or overall irritability." i am assuming these symptoms are related to the pain, though, no? If we alleviate her pain, won't her sleeping improve, thus decreasing her fatigue, headaches, and/or irritability? How would i incorporate these symptoms into only one nursing diagnoses (as the assignment dictates)? Is that possible? Can't thank you enough! What a valuable resource you and this forum is!

I am trying to come up with a nursing care plan for a woman, SR, after an interview based on "Health-Perception/Health-Maintenance." My patient has just recently been diagnosed with hyperparathyroid disease. She is complaining of pain in her bones (specifically her feet), inability to sleep/fatigue, headaches, "foggy thinking," and overall irritability. My initial attempts at creating a PES nursing diagnoses are giving me serious trouble! Here is what I have come up with: (and I need to select just ONE) Impaired physical mobility related to pain and discomfort secondary to joint stiffness as evidenced by instability during performance of routine ADL. Chronic pain related to joint stiffness as evidenced by client's self report of pain intensity of 8 on scale of 1 to 10. OBVIOUSLY I am having trouble verbalizing these things. I know I cannot use HPT disease as part of my diagnoses. I feel fairly confident in building my nursing nterventions and outcomes, but cannot come up with a proper diagnoses. ANY suggestions would be GREATLY appreciated! R