1chaoticSN

Hi this is my forst post and I am in need of help, I am writing my final graded care plan and our clinical instructor said to chose one of our 6 ND's and go out on a limb; it doesn't have to be a NANDA approved one. Just try..... Background: 54 y/o man admitted for sepsis syndrome(group a strep) w/ renal & respiratory failure. Requiring intubation. Cellulitis of LRL, poorly contolled DM type II (admit BG:327) Hx of: HTN, morbid obesity (193kg), R calf group B strep infection w/ soft tissue damage 2007, aortic stenosis. He was a surgical case I observed having his tracheostomy placed and have to write my care plan and surgical report on. I have 6 nd's done and for my "out on a limb" I have the following..... P/C of Sepsis: Heart Failure r/t pulse:118, blood pressure: 132/55, multiple organ dysfunction syndrome (lungs/renal), and hx of HTN, uncontrolled DM type II. Could anyone help with interventions/rationales? this is my breaking point I think...... :) Please be gentle on my daytonite :) and thank you!

Hi I cannot give you specifics, I do have a friend who went through the VA VALOR program to receive her RN and has continued to work there. She is in a clinic working regular office hours and said she loves it. The government civilain incentive helped her decide. Way to go!