kmh01

we were told in 1st semester that a "risk for" could not be number one.... now (2nd semester) they are saying if the "risk" is an issue and it could kill them, then it could be number one... so maybe number one should be "impaired tissue integrity r/t open wounds evidence by surgical debridement" That sounds more like a pathophysicological need.... than "risk for sepsis"

Thank you so much for the responses.... That's why I was thinking Risk for complications of infection (sepsis) r/t open wounds, delayed wound healing secondary to scrotal cellulitis and DMII for #1 and now Knowledge deficit r/t wound healing, nutrition, DMII secondary to scrotal cellulitis, obesity, and newly diagnosed DMII evidence by patient stating "he has no idea about any of this." for #2 Do you think that sounds right???? for #1 because of the location of the wounds, his obesity (not being able to clean them himself), nutrition and DM all play a role in the wound healing... and his lack of knowlege toward cellulitis. Thank you again :) It's nice to hear some reinforcement... I have been driving my self crazy, since we have not talked about cellulitis at all.... now I"m realizing I need to just look at it as an infection and what could happen....

I did do an assessment, here's where I am confused. Here's our directions to pick the priority nursing diagnosis... #1 priority in regards to pathophysiological needs #2 nursing diagnosis based on what you feel your care was centered around. (which was mainly teaching about wound healing, nutrition, and DMII) Maybe #1 should be something about imbalanced nutrition? and number two knowledge deficit about newly diagnosed DM, wound healing and nutrition. Our instructor number one should be the one that could kill our patient... and if that problem is solved then the rest will fall into place..?

I am writing a long process for my Med-Surg class. I am having such a hard time coming up with my nursing diagnosis! I need 4, ofcourse prioritizing with interventions and rationales. I am at the end of my second semester. My book only has one small paragraph about my patient's admitting diagnosis, and the care plan books I have don't have anything! Patient was admitted for scrotal cellulits and a newly diagnosed type II diabetic. He had a surgery for debridement that left 3 open wounds to the groin area. PMH: asthma, obestiy, smoker here's what I have: 1: Risk for complications (sepsis) r/t open wounds, IV site, anemia secondary to scrotal cellulitis and DMII 2: Ineffective tissue perfusion r/t inflammatory response secondary to cellulits, DMII, obesity, smoker evidence by, hyperglycemia, swollen lymph nodes, and open wounds 3. Activity Intolerance r/t open wounds, medications, obesity, pain secondary to recent surgery evidence by patient stating, "they want me to get up, but I just don't feel like it" 4. Acute Pain r/t open wounds secondary to recent surgery evidence by patient stating pain level being 7/10. I have been trying all weekend to come up with something, can you please give me some insight! Thank You, Thank You, Thank You. :)

RN121... you should look into getting a "sponsored seat" from one of the area hospitals! That's how I got into BCs program! Good Luck!

Hi Supermotojen- How is your first semester going? I have applied for a sponsored seat at Memorial and I got a call back, they now want me to take the DDI Assessment test.... I am so nervous. I was wondering if you could give me some insight on this since you were sponsored by memorial.... was is really that bad? I have read where some people say it was easy, and others are experienced nurses of 20 years who have failed. Ofcourse I want to pass so I get the seat!!! Thanks for the info... hope school is going good for ya!

Supermotojen- Hi, good luck and congrats again on getting to start the program this fall. Unfortunately, I didn't get in! So sad, I'm really disappointed. I didn't get my letter til late May letting me know I didn't get in, that was really crushing because I thought I got in since my letter came so late. But what can I do, just have to re-apply next time. I was wondering if you could give me the info on how to apply for a hospital sponsored seat? That would be great! Thanks! [email protected].

That's great you took the Teas and got it out of the way. I wish I would have done that! Now it's the Teas V that I will have to take, I am nervous for the test. I have a study guide, but some of the classes, like chemistry, I took a long time ago. I'm sure it will be fine, just have to "refresh" my memory!!! What did you think of the Teas? Is it as bad as some people report? or hard? I will let you know when I hear my fate! :) Hope it's good news! Thanks! :)

Congratulations!!!!! That's SOOOO exciting! I'm happy for you! I bet you're still dancing around, I know I would be! Have you taken the Teas yet? If not do you know when you have to take it? I still haven't heard from the college, the longer the wait the better, right? I heard the acceptance letters will not be mailed out until the beginning of May, so I just have to make it through another week and a half! lol Fingers Crossed! :) Congrats!

That's funny. I was in Mrs. Abbott's group, I stayed in Bakersfield for clinical.

Are you starting a job as a CNA? I too am a CNA, I had Nixon as well. I took that class last Spring Semester, you? I have Young this semester for Med. Terminology, I agree they are both great. If I don't get in next semester I plan to get a job as a CNA. I am just waiting to see what is going to happen. I don't want to work while I am going through the program. Do you plan on working??

I want to work at Memorial too! Especially now that they have the children's hospital! I took Nutrition last semester and this semester I am taking Medical Terminology. Wanted to keep my class load light because I know the program is a lot of work. I'm ready for the challenge though! What are you taking? That's great you applied for the sponsored seat, I think it gives you more of an advantage to get in this Fall. Good Luck! :)

Thanks! No I have not applied for any of the hospital sponsored seats. Probably should have. I heard of someone getting in last semester the first try with a sponsored seat because not enough people applied for it. I don't know how true it is, but the girl who told me husband is a doctor and it came from him? So who knows. Did you apply for a sponsored seat? I wonder if it is too late? I have never looked into it.... ???? Or even how to apply.....

I applied to the Bakersfield College Nursing Program this March as well! Fingers crossed!!!!! I hope I get in! This is the second time applying since I have had my pre-req's completed!!! I am really counting on getting in this time! Good Luck to you! If it all works out hopefully we both get to start this Fall!