jothomas

Thank you so..... much Daytonite. The information was very helpful. But as you mentioned, it get confused when you try to compare them. Hopefully, I get a hold of it, once I finish my med surg class.

I am trying to find a way to remember the signs and symptoms of the electrolyte imbalnce. Different books says diff things and my insturctor says somethingelse. Is there a cheat sheet (may be based on etiology)for this? I co-relate: Sodium to fluid; potassium to heart; calcium to muscle; Am I right? Not sure about the rest. Then there is hypo and hyper, very confusing. Thanks in advance for any help.

Try Miami dade community college. They have multiple programs(generic, full-time, part-time, accelerated, BSN etc.) begining in almost all semesters. If you have prerequisites completed with >3.7 GPA the seat is 99% guaranteed. Check at www.mdc.edu .The nursing program is in the medical center campus.

Thank you Daytonite! My Instructor's rationale is that the patient (on bedrest) can not use bed pan when he has severe back pain. Her priority is ABC's, and then pain.

I passed the first care plan exam. I have a question regarding the scenario. It was like this: "Had a motor vehicle accident 3 days ago and had severe low back pain; No bowl movement for 2 days, had to go twice Today;used ex-lax regularly. Pain was cured by demerol; currently he has abdominal cramping and bloating and a back pain(9)." For me this is a clear case of constipation, either due to side effects of demerol or due to the habit of using ex-lax. Pain was already taken care off and was effective with demerol; I kind of think, if you have abnominal bloating, it is going to hit your spine and make the back pain worse. So my priority nursing diagnosis is constipation, but our instructor says her priority is accute pain. She is the boss and I can't argue with her. I am glad I passed. What is your opinion about this scenario? I know elimination is physiological and kind of think pain is safety. Am I right? Where does actually pain fit in Moslow? Thank you for your help in adavance.

That concept is clear now.Thanks once again for all your help.

Thank you Daytonite, I am brainstorming different scenarios at present. I still have one more question before the exam. My understanding from the instructors is that we need to consult with the doctor for all referal except for a chaplain or counsellor. I do not see that in the interventions in any of the care plan books I checked. How do you put it in a correct way. For eg. "Discuss with the doctor for a referral to the physical therapist". Is this the correct way of writing the intervention for a referral? Thank you in advance.

Thank you Daytonite for all your help. I really appreciate your heart for sharing your nursing knowledge with people like me. I have a care plan book with Gordon's unctional pattern. But I was not 100%sure the ones comes under non-compliance category. I hope I can make my first care plan exam. Thanks once again

What are some nursing diagnoses under the category "Non-compliance"? I know there is a nursing diagnoses, non-compliance, this is not what I meant. Like safety, there are some diagnoses I assume, which we can say non-compliance. This information is from my instructor and we have only 2 days for the exam. If anybody can help, I really appreciate it. Thanks.

Thank you very much Daytonite; as always, you explained it very clearly.

please i need some help with the related factors. when there are problems related to a medical diagnosis like cva, how do you include this in the etiology? do you say for eg: impaired swallowing, secondary to cva, aeb inability to swallow? or do you say r/t the effects of cva? is this an accepted format for 3 part diagnosis?

I really appreciate your reasoning ability and good heart. I really felt like sitting in front of an instructor. Thank you very much for enlightening my brain with so much knowledge. Now I can see the scenarios in a more organised way to identify the etiology and evidences. I never thought of ineffective coping or health maintenence, but was looking for something like that rather than physical mobility or skin integrity. In this scenario ineffective coping or health maintenence is more appropriate as there are lot of evidences. Since I do not see any ABC's, I am going for the Safety concern and I see all the above diagnoses except ineffective coping are categorized as safety. For me ineffective coping takes priority over health maitenence, but, since is coping is not safety, I have to chose health maintenance. Once again thank you for your time and knowledge. If you have any more thoughts please post it.

i need to make my first care plan, but not sure how to proceed. please help. this is the scenario: j.p. is an 87 y/o female residing in an e.c.f for 3.5 years, after progressive decline in function. she has been using a wheelchair x2 years, is aao x3. past medical history: hypertension, osteoarthritis. three weeks ago she asked the cna to provide her with diapers since she would be staying in bed from now on, stating she wants to enjoy her favorite t.v shows. today the cna noted persistent erythema in sacral area. the nurse just medicated j.p. for joint pain (8). the patient tells her she does not want interruptions. she wants to rest. current meds: norvasc 5mg po twice daily, naproxen 200mg po every 12 hrs prn i am considering "impaired physical mobility" as my diagnosis. related factor is pain and is evidenced by asking for diapers . but the reason for asking diaper is enjoying the tv too. so i am not very confident with this diagnosis. from my understanding, persistent erythema is "risk for impaired skin integrity" and so i can not have that diagnosis, b'cos i need to have a real one. i am considering "activity intolerence" too. give me some help. thank you.......