Legends777

All so, the Pt info I put in was all we were given... Not an actual Pt, just a written sheet so we would have stuff to keep us busy on our 1 vacation throughout the entire program. Hitting wall because in my opinion, not enough Pt information was given. Thanks again

Thank You Daytonite!!!!! I was really happy to see you respond to my need of help:) I've read some of your other very helpful info and you help put it in a better light. I wish some of our instructors put in the info you do. Thank again

Im having difficulty with the 3 Nursing dx and related to factors. I've never had to do a full care plan on my own and am hitting a wall. 59 yr M comes to ER complaining of worsening SOB and coughing up yellow sputum. Smoker, and truckdriver on the road all the time. R-26 P-120 T-98.4 SaO2 88%ra. wheezes and gurgles in chest, xray taken- not pneumonia. finger tips brown and clubbed- sign of hypoxemia WBC slightly elevated RBC slightly elevated. DR dx acute exacerbation of chronic bronchitis Pt admitted to hospital I've come up with Ineffective Airway clearance r/t bronchial secretion build up and bronchial inflammation???? Could Impaired Gas Exchange r/t hypoxemia be a dx??? Risk for infection r/t increased WBC ??? I'm at Any help or direction on how to organize and write out a careplan would be GREAT!!! I had one 3 day rotation in a LTC and the careplans where pretty much computer generated and then adjusted to Pt, and even then I didnt get to actually see one done. The LPN's said they didn't really do careplans that the RCM did?? Do LPN's normally write up full care plans??

Im having difficulty with the 3 Nursing dx and related to factors. I've never had to do a full care plan on my own and am hitting a wall. 59 yr M comes to ER complaining of worsening SOB and coughing up yellow sputum. Smoker, and truckdriver on the road all the time. R-26 P-120 T-98.4 SaO2 88%ra. wheezes and gurgles in chest, xray taken- not pneumonia. finger tips brown and clubbed- sign of hypoxemia WBC slightly elevated RBC slightly elevated. DR dx acute exacerbation of chronic bronchitis Pt admitted to hospital I've come up with Ineffective Airway clearance r/t bronchial secretion build up and bronchial inflammation???? Could Impaired Gas Exchange r/t hypoxemia be a dx??? Risk for infection r/t increased WBC ??? I'm at Any help or direction on how to organize and write out a careplan would be GREAT!!! I had one 3 day rotation in a LTC and the careplans where pretty much computer generated and then adjusted to Pt, and even then I didnt get to actually see one done.