halcyon

Hey guys, I'm currently working in a hospital with a lot of trach patients with some using bronchodilators. My question is do you insert the spacer into tracheostomy and then press on the medication? I've read that on you would usually hold your breath as long as you can or for 5-10 once inhaling the medication, but the patients I work with cannot follow instructions. How would you go about this? Thanks.

Thanks ParkerBeanCurd. I appreciate the suggestions, they helped me out. I really gotta get used to these.

First off, I just wanted to say thanks again to dudette10 and VickyRN for the helping before. I feel stupid for asking this, but I'm stumped on doing a careplan with an actual problem as impaired mobility and potential problem as risk for falling. I'm having trouble making a short-term goal and long-term goal for the impaired mobility. Pt has had a surgery for a right intertrochanteric femur fracture, and was previously diagnosed with Dementia. Pt says that she feels pain whenever she ambulates, which is assisted by a walker or during exercises that places pressure on her right leg. Pt does have a physiotherapist that she sees 5 days a week. I was thinking of maybe assessing how she uses the walker and then finding out if there is a way to avoid placing pressure on her leg more. The problem I have with that is she does not have very good short or long term memory, so I have difficulty seeing that as a short-term.

Thank you again dudette. Your help has been highly appreciated.

Thanks for replying dudette. Would it be similar if I linked the side effects of his meds to why the patient is constipated? Then from there, think of interventions? Would it also be possible to say that the patient needs teaching as to why he's getting constipated? I appreciate the help.

Hey everyone, New to the site, was searching for help on doing a careplan on google and the site came up. My question is regarding about doing a careplan on using constipation as my diagnosis. The only data I have came from the patient's charts and subjective data from the patient. The drug chart states that he has been given quite a few laxatives for constipation. The other data I have was the patient telling me that he hasn't been able to go regularly ever since living at the hospital. What I'm curious about is if these would be legitimate data for me to use in my diagnosis. I'm having trouble with coming up with any diagnosis, the other possible option is a diagnosis about his sarcoma, but I don't know what I could use as a diagnosis. The patient seems to be not troubled in using it and is already aware as to what it is for.