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dibbs197, Where did you go to school for your CNA??

Let me ask a question. I'm a beginning nursing student....the gt tube was already in place......would I include these steps in my care plan. I'm even thinking now...he had pulmacare going through 24hrs., I just inserted medications...so i start from there...right??? The positioning of pt and monitoring would be good! Thanks!

Hi, need a little guidance! My pt amongst other things has a gt tube (no swallowing reflex) I'm using Risk for Aspiration as my diagnsosis. As far as the care plan , rational and interventions, they are all related to the placement of, care of and what goes into the gt tube (medication, enternal feeding). This is correct??

It's me again, I'm currently reading some of your past post on respiratory ( I guess I should of done that before) I'm getting a little clearer, I'm thinking the Ineffective Airway Clearance r/t increased secretion secondary to pneumonia, is what I should go with. My patient was not coughing at all would I make, attempt to get pt. to cough (I would word it better) as an intervention?? Why wouldn't she have been coughing..it seems all the other "respiratory posts" their pt were coughing. We only get a few hours with our client and go in blind, otherwise I would of asked my professor. I love to be able to research before clinical, so I'd know more to look for or ask. Oh well!! Thanks again!

Hi Daytonite!! My professor is not responding to my email, so I'm going to bother you again if you don't mind. I really appreciate the help you have given me. As for a physioloigical diagnoses.......here is the data collected dyspnea (is this all-inclusive of labored, shallow breathing and shortness of breath) skin color: dusky congestion Respirtatory sounds: rhonchi and wheezing fatique generalized weakness I figured this would be a respiratory diagnoses but i only see, Risk for Respiratory, which I can't use because she already has respiratory problems. Then I only see Decreased Cardiac Output r/t?? OOOhh..I don't know..just when I think I might have the hang of this ND thing...I hit a brick wall. Activity Intolerance looks good but I need a physiological ....what else...how about Risk for Impaired Skin Integrity r/t bedrest. What do you think?? Or I could get something from this data Pain in left arm - level 6 edema-left elbow approx 1/2" dry brittle finger nails possible from lack of circulation fatique generalized weakness I think the respiratory problem is more prevalent. As far as medication she's taking Lovenox, Coreg, Avelox, Vancomycin, nifedicine,cyclobenzprine, solumerdol( for Arthritis, Percoset and a couple of others for digestion and depression. Thanks for the help!

I've gone over my data and clustered somethings together, for my pyschosocial diagnoses I'm thinking "Hopelessness r/t diabetes scondary to deteriorating physiologic conditions" does that make sense??? The data used to come up with this is loss of legs (below thigh) failure to communicate when hospitalized (speaks no english) physical inability to take care of herself present condition pneumonia & osteomyelitus but more importantly, with her daughter translating she stated "she's tired..been through alot" "pain in her arm is continuous...painful" "feels weak tired...was strong woman before" "can't do things for herself" "wants to go home" a tear rolled down her face. Her daughter stated, "family is tired" "this has to be it" "one thing after another it's stressful" "where she comes from children take in sick parents, they don't put in home" "it's alot, but this is what they must do" "father is also getting ill" With this infor the diagnoses sound good?? Also, goals and interventions will be on mostly, comfort, therapeutic communication, medication???

Wow! Thanks for the help! This gives me alot to look at.

My pt is 79 yr old, female, diabetic (lossed both legs 1 1/2 years ago) she's been on steroids for arthritis for over 30 years, she has osteomyelitus in left elbow (recently had abcess removed) and is now hospitalized for pneumonia. Her arm is swollen and she has pain and she is congested. She speaks no english, her two daughters come to the hospital four times a day to make sure she eats, gets washed and changed. Her and her 84 year old husband live with her daughter, they have a care giver 8-10 a day. I need both, a pyschosocial diagnoses and physiological diagnoses. Any ideas would help. Thanks!!

The policy for Nassau CC as far as gpa to get into the program is taken from the grades you received only for the four pre req classes (eng, psych, a&p I, and math)that you need in order to apply for the program..that's it. So look only at those grades any other grades wether there from Nassau or anywhere else do not go towards the entry gpa.

Want to do good 86, When you apply to the nursing program at NCC, the gpa they look at is only for the four pre-requiste classes. So if there is a not so good grade on any other class that doesn't count. The nursing infromation sessions are very helpful you can find out the dates on NCC website.

Hi!! I just did the interview, which is not much really. When you apply and get the acceptance letter, it states that it is a tenetative acceptance letter. Then they have you come in in a group and have an orientation, supplies, immunizations, uniforms, etc. and you go off indivindually and they just speak with you for a minute or two. In my group of about 40 no one was turned away.

Thanks! We had a little orientation and I got the packet. Four color pen helps, I'll take your advice. Wish me luck!

Hi! I just got accepted for Spring 09. Could anyone tell me what supplies I might need?? Shoes, stethoscope, books...???

I got accepted to NCC Spring 2008 also. I'll be attending nights. My interview is Dec 9th.