jhzmize

Thanks GrnTea. I used acute pain and risk for infection for 2 of my problems. I did go through the book to get some ideas for a direction to head in. Thank you for the ideas.

Most of his labs were normal with the exception of RBCs, Hgb, and Hct due to his dialysis. The problem that I am having is that his assessments were fairly normal and not a lot needed to be done for him with the exception of monitoring his vitals closely. My instructor stated that we should not use monitoring and assessing in our interventions as that is part of assessment, not truly intervention. Most of my time with him was spent either assessing or just talking because he seemed a little down.

I am working on a care plan for a patient with many, many problems. This is a hemodialysis patient who just had a hand amputated due to dry gangrene, both legs had been previously amputated and a stent placed in his L circumflex due to a blockage. He has many obvious issues, but the problem that I am having is that many of these things did not show up in my assessment. I feel like I should be doing more than acute pain and risk for infection, but without the assessment data to back up the other problems, such as ineffective tissue perfusion, I'm not sure where else to go with it. Any suggestions?

Each school has different areas that they focus on. I had the same book and spent a lot of time studying unnecessary info. Our entrance test focused on basic math, including fractions, decimals and basic algebra; reading comprehension; and sciences mainly A&P with a little bit of pathophysiology and microbiology. I think if you focus on the core knowledge and review the A&P, you should do fine :) Good Luck!