aimes.k559

aimes.k559

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  1. Help with Nursing diagnoses

    aimes.k559 posted a topic in Nursing Student Assistance

    Hi All, I have been a first year nursing student for about 8 months now, and am currently on my first clinical placement - Eeek! - So our placement is in a rest home and we all have a resident who...

  2. Help with Nursing diagnoses

    aimes.k559 replied to aimes.k559's topic in Nursing Student Assistance

    Hi! Sorry I have had exams and haven't been on for a while! Thanks so much for all your help, and no I am not in the US, I'm in New Zealand. Our clinical instructor isn't a tutor at school so your...

  3. Is my pt in heart failure??

    aimes.k559 posted a topic in Nursing Student Assistance

    I'm a first year nursing student on my first clinical placement and I'm worried my pt is in heart failure (my clinical instructor tells me this isn't the case). My pt has a history of CABG, ischemic...

  4. Is my pt in heart failure??

    aimes.k559 replied to aimes.k559's topic in Nursing Student Assistance

    I do have a NANDA diagnoses book, but I'm not allowed to use the more complex diagnoses because it's an aged care setting and apparently the NANDA diagnoses are too medical sounding for this...

  5. Is my pt in heart failure??

    aimes.k559 replied to aimes.k559's topic in Nursing Student Assistance

    I couldn't palpate the pedal pulses or his apical pulse. My clinical instructor told me that was to be expected, radial pulse was weak and very irregular. I did put in my care plan to avoid sitting...

  6. Is my pt in heart failure??

    aimes.k559 replied to aimes.k559's topic in Nursing Student Assistance

    Also I did auscultate his lung fields when I first met him because his SOB was probably the first thing I noticed, they were nice and clear though, and his notes backed this up when I read them later....

  7. Is my pt in heart failure??

    aimes.k559 replied to aimes.k559's topic in Nursing Student Assistance

    He has had a stroke which is why he is in the rest home now. I'm guessing it was possibly the atrial fibrillation that caused that? Anyway he has L) sided hemiparesis. He is allergic to ACE inhibitors...

  8. Is my pt in heart failure??

    aimes.k559 replied to aimes.k559's topic in Nursing Student Assistance

    He has pitting oedema, SOB, cool, bluish peripheral extremities. He has a history of IHD, hypertension (though this is medicated) and PAF. Should I go with ischemic heart disease? As I guess that's...

  9. Is my pt in heart failure??

    aimes.k559 replied to aimes.k559's topic in Nursing Student Assistance

    I am writing a care plan, prioritizing 3 nursing diagnoses and I also have to describe the pathophysiology of a medical condition that has been confirmed and describe the signs and symptoms of this...

  10. Help with Nursing diagnoses

    aimes.k559 replied to aimes.k559's topic in Nursing Student Assistance

    That's what I thought. Our instructors at school tell us to use NANDA, but my clinical instructor isn't a part of the teaching facility .. An instructor from school was filling in for a few days on...

  11. Help with Nursing diagnoses

    aimes.k559 replied to aimes.k559's topic in Nursing Student Assistance

    Haha I probably wouldn't say it in that exact way but I think I have a valid point so I will bring it up with

  12. Help with Nursing diagnoses

    aimes.k559 replied to aimes.k559's topic in Nursing Student Assistance

    No care plan book, not allowed to use NANDA Dxs

  13. Help with Nursing diagnoses

    aimes.k559 replied to aimes.k559's topic in Nursing Student Assistance

    I would have thought anxiety r/t to dyspnea? But when I mentioned to my pt he seems like he's short of breath all the time he just said it was fine, sometimes it gets much worse than that, he seemed...

  14. Help with Nursing diagnoses

    aimes.k559 replied to aimes.k559's topic in Nursing Student Assistance

    I'm just going to say to my instructor look lady my assessment was cardiovascular, so if I'm basing my care plan on my assessment it's going to have to be cardiovascular. PLUS the HEAD OF NURSING at...

  15. Help with Nursing diagnoses

    aimes.k559 replied to aimes.k559's topic in Nursing Student Assistance

    My assessment showed dyspnea,weak irregular pulse, pitting oedema, cool, slightly bluish feet compared to rest of lower legs. If I can't use anything cardiac as a priority what can I use? We can only...

  16. Help with Nursing diagnoses

    aimes.k559 replied to aimes.k559's topic in Nursing Student Assistance

    Ok back to the school work then. Wouldn't the edema and dyspnea be related to decreased cardiac

  17. Help with Nursing diagnoses

    aimes.k559 replied to aimes.k559's topic in Nursing Student Assistance

    I didn't "arrive" at asthma, I am only stating what I read in his notes. And after researching his medical history I read inhalers are sometimes wrongly prescribed to people who have "cardiac asthma"....

  18. Help with Nursing diagnoses

    aimes.k559 replied to aimes.k559's topic in Nursing Student Assistance

    Also he has been prescribed an inhaler for intermittent wheeze even though he is not asthmatic. He has been in the rest home a year now and told me he never used an inhaler till he was in the rest...

  19. Help with Nursing diagnoses

    aimes.k559 replied to aimes.k559's topic in Nursing Student Assistance

    Also he is not DNR. On his notes it says investigate and treat any serious health

  20. Help with Nursing diagnoses

    aimes.k559 replied to aimes.k559's topic in Nursing Student Assistance

    I feel like my pt is in heart failure, I feel my 3 priority nursing Dxs should be the pain that he stated to me he was having in his hip, his oedema and SOB. At my nursing school the head of nursing...

  21. Help with Nursing diagnoses

    aimes.k559 replied to aimes.k559's topic in Nursing Student Assistance

    We had to do a comprehensive assessment based on subjective information from pt and info from pt notes. Then we had to choose one physical assessment and explain our rationale as to why we chose it....

  22. Help with Nursing diagnoses

    aimes.k559 replied to aimes.k559's topic in Nursing Student Assistance

    I read a post of GRNTEA's where she was saying you don't PICK a nursing diagnosis, you look at your assessments and write a diagnosis based around that. I think I have been trying to pick a diagnoses...

  23. Help with Nursing diagnoses

    aimes.k559 replied to aimes.k559's topic in Nursing Student Assistance

    We had to choose one assessment, so I chose cardiovascular and located and auscultated the apical pulse and did a peripheral vascular assessment. pt has some pitting oedema around ankles, feet were a...