ColeRobert

Hi fellow nurses and nursing students, I am in my psych rotation and I have to head a class to the mentally ill patients on anger management for one hour. I want to do something extremely interactive but am looking for some good ideas about possible games or techniques I could teach to them, (and then in turn learn myself). I feel like anger management is such a touchy topic for some of these patients as many are there for agressiveness or homicidal ideation. Any suggestions would be much appreciated! Thanks

Hello, I am a new nursing student on my first clincal rotation. Im trying to write my second care plan and having such a hard time. My first flowed so smoothly but I am having a real hard time finding a main NANDA to do for this patient. She is 87 and lives an ECF. I have a list of many NANDAS for some of her previous med. history (Schiz, Pyshocosis, HTN, CAD, COPD), but our instructor wants us to focus on why she is here this time and about her new diagnosis-colorectal cancer. She came in with a lg bowel obstruction and had a resection. She now has a colostomy, PEG (which they said there using for drainage??) and a central line where she was recieving TPN. I wasnt allowed to discuss her new diagnosis with her because my instructor didnt know how much she had been told yet. (also, with her mental state I dont think it would have mattered) I feel like maybe I should focus on nutrition-She had nausea, vomiting and didnt eat or drink for days before. Then they put her on the TPN for a few days, now shes on full liquid with supplement shakes and is barely drinking that stuff. She has only a few teeth with very dry mouth and difficulty swallowing. For some reason when I work it up though it just doesnt sound to me like her BIGGEST issue. Anyway this is what I have so far but Im just not happy with it...Any suggestions on something better??? Imbalanced nutrition: Less than body requirements R/T nausea and vomiting secondary to bowel obstruction AEB pt states impaired taste sensation, lack of appetite, inadequate caloric intake, abdominal pain and cramping,discontinuation of TPN 7/22, full liquid diet, weight loss of 10# in one month, impaired dentition, difficulty swallowing