EDS513Tn

I understand your point. Everything I have learned about care plans, I have pretty much had to research myself. I have had students from previous years nice enough to let me see theirs as an example. We do get a template however. Our template is 11 pages long to fill out with patient information, thats including 4 care plan pages- on each-(one Nursing DX per those 4 pages), and 5 interventions for each page, with rationales beside each, and source. Then (not included in that 11 pages) we have to do 15 drug cards per week. This is on top of Pharmacology class (which the drug cards I know would help-if we had time to stop and study them), and Medsurg, where we also have to do mynursinglab pretests, post tests, remediation (2 chapters due a week) Plus we do two case studies off evolve a week. If we do not have a test in class that week, we have an online quiz. And somehow, we are supposed to read the information in the chapters as well to learn the info. I am coping, It is just extremely hard to breathe or sleep when you have 23 hours a day of work to do (I do read and study and try to take in what I am reading before I proceed on) I do not go out or have kids, so I feel for those that have kids. I am just saying I want to be a great nurse, not a half way good nurse, so I feel like any help when I am lost is awesome, and I will help when I can. In my Medsurg book, there are two pages over Asthma. Only two diagnoses, one being 'Pain" that we are not allowed to use. We cannot use any 'risks fors' or knowledge deficit. I now, am down to my last two care plan sheets for Activity Intolerance R/T Allergans and Ineffective Coping R/T use of alcohol to cope with Resp. Dz. (Red wine is a trigger, so I made up my patient drinking 1-2 glasses a day)-We do not get a real patient this semester to make a care plan. We are provided with information, and we make up the rest. Sounds great, well not so easy. My number 1 is Ineffective Airway Clearance R/T Tracheobronchial Narrowing, and number 2 is Impaired Ventilation. I took my respiratory test already this week, my knowledge deficits are in Hypotonic Dehydration and Isotonic Dehydration. No matter what I look up I do not get clarification for the questions asked on the test that I know I missed. I know my ABCs, but I thought Decreased Cardiac Output would be priority over "RISK for Impaired Ventilation." for a patient with Fluid Volume Excess. I was wrong. Still confused on that. We are going into cardio this week and I am freaking out. I already watched two youtube videoes, but when I am done with this care plan of a million pages, I will get to start reading my chapters.

In our nursing school, we are required to use Evolve for a lot of stuff. Just letting you know they have awesome free Resources to utilize like Nursing Care plan books in there, like Mosby's Nursing Diagnoses Handbook.

I myself am a first year nursing student who does not ask to be given the answers, but have the answers clarified in a way that I ( a student that has not ever been in contact with such in depth information to cover in such a short amount of time- but who does study so much that I dream of this stuff when I do try to sleep) can understand. I guess some people forgot how it was when they were just beginning and did not understand. I guess some people do not have to work to pay their own bills plus pay for their own school & understand why someone like us that do may need just a little extra Clarification on what certain situations are. I am doing Asthma and came upon this. Sure I can google anything, but it sure would be nice to have someone who has been in our place, that has experience to give us their insight on what in "the real world" works best. Or, we could just go by the text book. I think learning from nurses who have been there done that plus researching the most up to date evidence-based research will make us a better nurse, than just learning text book answers. Im not being nasty. Just honest. Ranglervol, I hope you did well and that you found help from good hearted, understanding people, as I hope I will too.