mkwatro

Thank you very much maam. You really helped me alot. Hope that you could help me again next time. :)

Maam/sir thank you for the effort of explaining this to me clearly. Sorry maam/sir if my information is not specific because my instructor didn't explain to us clearly on what info we need to have a correct and effective nursing care plan. Hope you understand maam/sir. Now I know that I need to collect infos which are very specific, because I thought infos I collected are now sufficient for me to have a effective nursing care plan. Maam/sir, the joints involve are the hinge joints because he couln't fold his lower extremities, he can't stand, he can't walk or even put weights on his leg at all. He is just lying supine in bed without moving his lower extremities because he doesn't want to feel the pain on it. He can move his arms but can't lift anything because everytime he lifted his arms it is shaking and sometimes he produce force on his arms. He didn't want to move his legs just like a paralyze one. And when his wife tried to lift his legs he told his wife to stop it because it is painful. He sometimes move his arms especially when he is being told to or lift it, but when it is on his own, he just put it on top of his stomach and that's it for one whole day. I think my patient has a trauma now on the pain he feels everytime he move his lower extremities and because of that now he feels weak. We tried to turn him to one side but he resist, too much supine position he developed bedsores on his butt.

Don't put NURSING as a reason for having no choice. Nursing is very risky job because you deal with the life of a person. I'm only 18 but that's serious I am when it comes to nursing. You completely commit yourself on that job whole-heartedly. It is not just for money, It is not just for hire or something business. It is a service with humility. It's how you preserve life personally. Giving care to someone you didn't know is very difficult if you won't love nursing. Nursing is a passion, it is an art not just for any reason. In Nursing you need to study EVERYTHING, academically. For me, those who are now registered nurse are not that experts on some of the concepts on diffrn't illnesses, etc. You need to learn more, keep on learning until you retire. It's a common sense to study academically because how could you give care to patients if you don't even know his/her status post?, his/her diagnosis or any unusualities he/she experience. If you won't study academically in nursing, how could you assess your patient? See? there's so many reasons why you have to study academically in nursing. You have to be diligent, focus, and be inspired by helping in saving life of other people. Nursing is not a joke. It is a mission. Hope my personal perceptions on nursing would help you decide open-minded with no feeling of guilty. If I were you, Talk to God, let him understand what you feel, because he's the only one knows what's your mission on earth. Think a thousand times first before you finally decide what you want. Nursing Career says: "IF YOU'RE IN DOUBT, DON'T". Good luck! God bless!

My nursing diagnosis is impaired physical mobility r/t painful joint. Maam/sir, my patient has osteoarthritis and I think his illness belongs to secondary osteoarth due to 1. injury ( his wife told me that he slide on the floor and his hip drops of the floor with great impact. 2. I think he has a metabolic condition specifically acromegaly due to the ff. sx: 1. Limited joint movement 2. Swelling of the bony areas around a joint 3. Thickening of the skin, skin tags 4. Widely spaced teeth. He feels warm maam/sir his temp. increases like for 4 pm his temp. was 37.8 then after 4 hours it goes higher to 38.2. The air condition's thermostat was already in cooler but still he feels warm.

Could you also help me on what's gonna be my independent nursing intervention for my patient having this complaint? Please.

He has a self-care deficit. He is always lying supine on bed and refuse to change position because of his aching lower extremities. He eats well with good appetite.

Thank you very much amy2005 and daytonite. Your replies helped me alot.

My Patient is complaining about his lower extremities because it is swelling and has an arthritis, he cannot move it freely, due to this pain he always feel hot and slightly febrile. He is 67 yr. old. and chief complaint is loose watery stool, but now his stool is not watery anymore but soft and formed instead. Please help making this nursing care plan especially on the cues and nursing diagnosis and also the independent and dependent intervention.