arenars

The best of luck to you!!

thank you gryphonler. and yeah you're right that it will take some time and skills to finally learn how to do it correctly. This is only my second care plan, so im trying hard to get the big picture like you said. Its just that the patient recovered well from his colectomy and was showing no signs of postoperative complications other than a bit of pain in the abdomen which he recieves anelgesics for. Anyways i appreciate the help!!!!

We have to make three diagnosis, but we will only do a concept map on the highest nursing diagnosis. another reason i was placing the hypertension before the acute problem was that i thought hypertension went before his acute problem in maslow's hierachy of needs.

His bp was 145/90. It is a condition that he had had for a long time. The reason why i am more worried about it than the diverticulitis is because he has had a septal infarct before. he had an abnormal ecg, his hemoglobin was down, he also had a low 02 level, he is actually taking medication for hypertension and anemia, and is using a incentive spirometer.

I am a nursing student here in ga. We are todo a nursing care plan for a patient wew were assigned to. He is a 73 yr old male who recently was diagnosed with chronic sigmoid diverticulitis. He just had a laparoscopic sigmoid colectomy, and that was a sucess. But he also suffers from high blood pressure. My question is would my nursing diagnosis focus more on constipation or his high blood pressure since it is still a standing problem. I would appreciate the help, thanks?

Ok. Well I really appreciate the help daytonite. Sorry it took so long to finally get it. This is my first concept map so i'm having a little trouble coming up with the goal. But i'll get better.

But wouldnt a risk for aspirating be higher than my other top two diagnosis which are excess fluid volume rt head injury, and caridac output decreased rt high blood pressure? Its not that he has pnemonia or cystic fibrosis in which he has trouble removing mucous, but again (im sorry to bring the choking up again) he's just at high risk of not being able to remove the fluids he chokes on.Maybe I could change it to ineffective airway clearance rt inability to remove secretions as manifested by inefective cough.

Well, I could add postioning him in high fowler's, auscultating him, encouraging activty and ambulation. with these interventions, i think it would help him maintain a patent airway. i would add deep breathing and forceful cough but he has cognitive impairement.Also my patient has paralysis on one side of his body. so there is always a constant risk for not mantaining a patent airway .I dont know if he would be able cough if he was to ever choke.

Ok I think i know what you're getting at. I should focus on the actually keeping a patent airway, so my goal could be, "Patient will maintain normal respirations of 16-20 maintaining a patent airway", or focus on getting him to cough "patient will cough 2 times in 1 day"

So would if my interventions included : raising head of bed so as not to aspirate with foods and liquids, chewing food completely, and getting him to cough, what could i put for a measurable goal? Could it be Patient will Prevent aspiration by completely chewing 100% of food?

Hi, I'm a nursing student here in Ga. We have to complete a concept map on a patient. My patient is a 48 yr old male who was in a vehicle accident who suffered head trauma. My number one diagnosis is ineffective airway clearance rt to ineffective coughing. I need some help on coming up with some measurable goals for him. I dont know if i would set a goal to get him to cough because the doctor couldnt get him to cough due to his paralysis. I'd really appreciate the help.Thanks.