Published
i think this is a great book
here is an okay webpage for careplans. It will give you the intervention for some things, but you will still need to find the rationale yourself.
I'm going to go out on a limb here and suggest to you that you really do know these nursing interventions. What you need to do is to think about this appendectomy patient. Think of what has just happened to his body and how he's going to be feeling. He has a wound and perhaps some mobility problems connected with that. Somewhere in one of your textbooks is a chapter on the general care of a surgical patient. Review that information. Also, review information on fundamentals of nursing. Then, think about what it is going to be like for this patient and how it might fit in with the general care of a surgical patient. The answers are there. You just have to start thinking in terms of what you can do to help him. Think about a person's ADLs and what kind of assistance this surgical patient will need with accomplishing his daily activities. Think about the many hats the nurse wears: caregiver, educator, policeman, facilitator. Put all that together and you will find that your interventions will stem from helping him fulfill his ADLs while wearing each one of your "hats".
I am 1st semester and we just started on this book. I was so relieved to open it up and find out what it can do to help me "get a clue" as to what to look for.
It is Nursing Diagnosis Handbook. A Guide to Planning Care by Betty J. Ackley and Gail B. Ladwig 7th edition. ISBN 0-323-03664-3
Here is what the back says:
(title of book) helps you determine nursing diagnoses and write care plans with ease and confidence. This extensively revised and updated edition presents the most up-to-date information on all 2005-2006 NANDA-I-approved nursing diagnoses. Examples of NIC and NOC taxonomies are also included, as well as evidenced-based practice, home care, and client and family teaching. Considerations are also provided for multicultural, geriatric, and pediactric patients.
Ackley and Ladwig's three-step method clearly illustrates how to correlate nursing diagnoses with patient assessment information to help you prioritize and individualize your plan of care.
Section I teaches you how to formulate a nursing diagnosis and plan care using relevant patient assessment findings.
Section II provides you with a list of all potential nursing diagnoses related to your patients' medical diagnosis, diagnostic procedures, clinical states, and symptoms.
Section III offers the defining characteristics, risk factors, suggested NIC interventions, and suggested NOC outcomes, and provides evidence-based rationales for all interventions.
In addition...The enhanced Evolve website offers even more learning tools, including the Ackley, Ladwig Care Plan Constructor.
Like Appendicitis...
I looked it up in Section II and it gives me 4 possible nursing Dx. Of those 4, look any of them up in Section III.. It gives me 17 Nursing interventions and rationales, then goes on to give more for "critically ill, peds, geriatric". Then gives 6 different items in home care, then onto teaching.
This is an awesome tool! It took a lot of stress off of me. I haven't had to use the Care Plan Constructor, so I cant say how well it is.
Good luck!
I think I paid about $50 for the book at the college bookstore.
Lisa
I second the recommendation for Nursing Diagnosis Handbook: A Guide to Planning Care, partially because I love it as a nursing diagnosis book too. I think the link posted above was to an older version, this link is the newest one.
OhioMTCRN07
39 Posts
A little background -- 2nd quarter, med/surg unit. having lots of trouble finding nursing interventions and home instructions for diseases. We should have about 8 of each. I don't know where to find these. The dependent ones are given (give meds on time, etc.), but where do you find independent ones? We've spent big bucks on books and there doesn't seem to be a specific place to find interventions? Surely there is a book somewhere where one can look up, for example, appendicitis or appendectomy, and find 6-8 independent nursing interventions that would help a student RN with not only care planning but making adequate assessment of the patient? Any suggestions? I am so frustrated with the 5-6 hour prep for clinicals and the lack of finding information I could literally scream with frustration. If this was productive time and I was learning, okay, but all I'm doing is chasing my tail. I'd appreciate any suggestions you can share. :deadhorse