Tampanian

Thanks for the advice chicookie -- i think that is what i am going to have to do in order to pursue my advance degrees.

Hey All, I need some advice. I am currently in the process of getting my AA degree from a school that is quite new and should graduate shortly. They have provisional accreditation with the florida state board of nursing. The problem lies with the fact that the first graduation class did quite poorly on the NCLEX ( a passing rate of about 55%). I am interested pursuing higher education with a goal of becoming an Nurse Practitioner. I have called around to many schools that have such NP programs and they have told me they will not accept my AA degree from my current school because it is not regionally accredited ( which is obvious because its a new program). I was under the impression that in florida all nursing courses are state wide and should be accepted regardless of where they came from. I am not really sure what to do at this point because my degree will be completely worthless for me if i cant pursue higher education. Some schools have said they would accept transfer credits but not count my degree, meaning i would have to take many courses over again. It seems a bit unfair that if i pass the NCLEX and get my license that i should be penalized because the program is new and working on becoming better. Any thoughts on this ?

Thank you very much for the follow up. Our instructors want us to write our Nursing dx in the format of: Problem -- etiology -- secondary to -- as evidence by. I was a little confused on how i could use my diagnosis of impaired verbal communication as r/t to ? you clarified this greatly to me. Her chart indicated that the tumor was over the corpus callosum and that the speech impairments only began in the past few months. She has had the tumor resected twice and underwent gamma knife tmt. The contractures are on her right arm and leg and she is completely dependent with ADL. She has limited used of her left arm as it seems very weak and she only uses it to scratch face or hold the rail when turning her. I also forgot to mention that she is on restricted fluid intake of 1500 cc and eats very limited amounts of food. Her urine was a tea color and her skin turgor was reduced ( possible dehydration?) She is both bowel and urinary incontinent as well. Based on all the great information you gave me i have readjusted a few diagnosis to the best priorities (we are required 3 for this particular care plan) Bowel incontinence r/t decreased functional ability as evidence by involuntary passage of stool ( i wasnt sure if impaired cognitive ability was an appropriate factor here after taking into consideration what you mentioned about mental status) Impaired Bed Mobility r/t to decreased strength and endurance secondary to brain neoplasm as manifested by inability to move purposefully in bed (I'm not sure exactly how to word this) Impaired skin integrity r/t impaired mobility as evidence by redness and blanching of skin Any additional comments would be great !

Hello all ! I am currently writing a nursing care plan for a pt of mine that was diagnosed with a Malignant Brain Neoplasm. She undergoes radiation treatment daily. The pt is bed bound and aphasic but is still ANO x2 (PnP). She has right sided weakness and contractures. Pt is also incontinent with a foley cath in place. Upon skin assessment i noticed some reddened areas over the left buttocks as well. Ive come up with a couple nursing diagnosis that i would like to get some input on for this particular pt. Any help would be greatly appreciated ! Impaired verbal communication r/t impaired cognitive ability as manifested by lack of speaking Fatigue r/t radiation therapy as manifested by constant sleepiness and weakness of body Risk for impaired skin integrity r/t impaired mobility as manifested by blanching of skin

That was Extremely helpful ! It allowed me to see the actual thought process of how you formulated this. Thanks a ton

Hey all, this is my first time posting on the site I am formulating a nursing care plan at the moment for a patient with Alzheimer's disease. I have come up with the following Nursing Diagnosis: Impaired verbal communication related to aphasia. I am wondering what sort of nursing interventions would be recommended as well as what sort of outcomes i should expect. As a background, the pt is presenting with some confusion and has trouble speaking and slurred speech, the pt can do some ADL independently too. Thanks for any advice !