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mariaberry19

mariaberry19

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mariaberry19's Latest Activity

  1. mariaberry19

    URGENT HELP

    Someone please help me
  2. mariaberry19

    URGENT HELP

    Would "Ineffective Health Maintenance" be considered a physiological or a psychosocial dx? Also could you tell me why for either.
  3. mariaberry19

    So ridiculous.

    This makes a lot of sense, but the only thing I'm worried about is that all of her airway, breathing, and pain problems are being treated (have been since she was admitted to the long-term care facility) with medications to which appear to solve any of those problems. This is what's making it hard. Her major problems are already being treated, so I wasn't sure if I could access those problems when there isn't a problem with them anymore. The only major problem that I can observe and what the patient tells me is pain in her leg because of swelling, osteoporosis which limits her ability to clean herself a/f BM, dress or feed herself. BUT this is being taken care of. The osteoporosis is something that can't be fixed. She refuses PT, b/c it brings more risk of pain than benefits. She doesn't consume fluids like she should but for some reason she's retaining water in her lower extremities. I'm not sure if she should consume more fluids with And again, I'm left with just edema. (booo).
  4. mariaberry19

    So ridiculous.

    These are what I have come up with so far. Let me know what you guys think. I appreciate all the help! I can't use any words in my nursing diagnosis that would be a medical dx (ex. pulmonary embolism, hypertension) 1. Activity intolerance related to inadequate motivation secondary to pain 2. Functional incontinence r/t impaired mobility AMB muscle weakness. 3. Disturbed sleep pattern r/t frequent awakenings secondary to urinary problems AEB “I think the Lasix is what causes me to urinate a lot at night when I’m resting.” 4. Impaired comfort r/t unmet dependency needs AMB by patient statement “Sometimes I’m afraid to ask the [health care personal] for assistance.” 5. Decisional conflict related to risks versus the benefits of physical therapy AEB patient’s statement “I feel like [physical therapy] won’t help me but will cause more pain.” 6. Fear r/t financial insecurity 7. Excess fluid volume related to swelling of the lower extremities AMB taut, shiny skin secondary to dependent edema. 8. Risk for bleeding r/t to hx of falls AEB patient statement “I am rather clumsy” 9. Risk for electrolyte imbalance r/t fluid imbalance AMB client only consumes 4 ounces of water three times a day.
  5. mariaberry19

    So ridiculous.

    The only information that I received from after observing the patient and talking to the patient herself was: "When I stand my feet feel heavy like something is holding on to my ankles". "When i'm sitting in my wheel chair, I start aching" There was visible pitting edema +2 in her lower extremities and her skin looked stretched and shiny. Her right leg where the deep vein thrombus originated was bigger than the left leg. The patient stated "they tell me to raise my legs, but I can't because I can't reach them (patient has osteoarthritis in hands and shoulders) and I don't want to bother anyone because I know they are all on the run constantly" I was trying to work with this information and see what can be done for her to prevent pain and swelling and possibly suffering another deep vein thrombosis due to not being able to get up and move around as she discontinued physcial therapy by choice and don't want to bother the nurses to help her move around.
  6. mariaberry19

    So ridiculous.

    I figured since this is the first care plan that I've ever done, it would be safe to stick with risk for since it's easier and allowed.
  7. mariaberry19

    So ridiculous.

    The guidelines state we can use an actual or a risk dx on the nurse care plan.
  8. mariaberry19

    So ridiculous.

    i'm so lost.
  9. mariaberry19

    So ridiculous.

    The first one I was going to go with was one for PE. My teacher said it must be a physiologic dx and that you can't use a medical dx (ex:hypertension). PE is the medical dx. The other was something focused on her food/fluid intake and nutrition but I'm lost at which of these to choose (below) bc my patient only drink a total of 12 oz fluid each day, doesn't eat breakfast, hates the food provided by the Nursing home, and eat unhealthy snack throughout the day for meals. BUT get this: shes overweight and has hypertension. You see why I'm confused on which of the two below to use? Nutrition Imbalance:Less Than Body Requirements Or Nutrition Imbalance: MoreThan Body Requirements
  10. mariaberry19

    So ridiculous.

    Was almost done with my nursing care plan until my instructor tells me it's wrong and I should choose another nursing diagnosis! (sigh). Don't. Understand. General info on patient: Patient overweight. Consumes 4 oz liquid /day. No breakfast &snacks throughout the day. Eats 44% of meals but is overweight/ has HTN. Admit reason: pulmonary embolism as a result of deep vein thrombosis caused by bacterial knee surgery. Patient has contractures of upper extremities. Pain and edema in right leg (where thrombosis occurred). Patient refuses physical therapy. Immobile and gets up only to use restroom & bathe--both w/assistance. My dx taken from NANDA: Risk for skin integrity r/t chronic edema secondary to postthrombalitoc syndrome & immobility AEB pitting edema (1+). Subjective: Patient states she discontinued physical therapy. Objective: Patient immobile. Mobility occurs only to bathe and use restroom What is wrong with my DX?? Confused& stressed!!!
  11. mariaberry19

    I start Monday!!

  12. mariaberry19

    Hardest thing about nursing school?

    You are awesome and honest! I thank you from the bottom of my heart for sharing this! That first part is how I feel and I've yet to even start. Lol! It'll get better and you'll be finished in no time! God bless you! All of you!!
  13. mariaberry19

    Hardest thing about nursing school?

    Makes a lot of sense!
  14. mariaberry19

    I start Monday!!

    Thank you for your time and help!
  15. mariaberry19

    I start Monday!!

    Starting Nursing School Monday. Any tips????
  16. mariaberry19

    Hardest thing about nursing school?

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