![]() ![]() ![]() - careplans help please! (with the r\t and aeb) (in general nursing student discussion forum)įirst, let me explain that nanda, the north american nursing diagnosis association, has been the foremost authority on developing and defining nursing diagnoses since the 1970's.- desperately need help with careplans (in nursing student assistance forum).be sure to review the information in them: You can find help with composing diagnoses and writing care plans on these two threads on allnurses. I used to have the same issues thinking more like a medical student lol - but you have to think of what the nurse can do to help with the patients problems. Pain r/t inflammatory process in abdomen and recovery from surgery 2* appendicitis AEB report of pain 6 (0-10 pain scale) c/o abdominal & right shoulder pain pt bent over when ambulating & guarding of abdominal area Risk for Caregiver role strain r/t child’s hospitalization AEB statements of financial and job stress such as “we are still getting bills from the last time he was in the hospital” and “my husband doesn’t have any vacation time to take off work” and “We have new insurance, I hope they cover this” The last one was a little long.but hey the more evidence the better :)įluid volume deficit r/t decreased fluid intake and fever 2* Pyelonephritis AEB signs of dehydration on admission, mother reports “he hasn’t felt like eating or drinking” Panic Anxiety r/t stress, ineffective coping skills, medication changes, fear of having panic attacks in public places secondary to Bipolar Disorder AEB pt reports of increasing anxiety, insomnia, increased social isolation, reports of “messed up thinking since taking Xanax”, reports of escalating anxiety at church & Walmart with palpitations, difficulty breathing, “no one can come near me except my husband or pastor until it passes”, states this has led to fear of leaving home for weeks prior to suicide attempt, has been unable to engage in normal productive activities such as youth group participation, shopping, & cleaning of church. Risk for suicide r/t suicidal thoughts, social isolation, past suicide attempts, family history of suicide secondary to bipolar disorder & borderline personality disorder Here are my two most recent from psych nursing: I have Doenges Nursing Dx book which is great, lists a lot of the r/t factors and also what s/s you might see.highly recommend it. RISK for dx will have r/t but not AEB because there is no evidence yet.only risk factors. The AEB or AMB is the evidence signs/symptoms. Related to is the CAUSE/etiology of the dx. If your diagnosis starts with something the nurse is unable to help with, it's either a non-NANDA diagnosis or you picked a medical condition. A nurse cannot fix osteoarthritis, but they can fix pain. Remember, the nursing diagnosis is created so the nurse knows what they need to heal or aid the patient with. If you see any medical conditions listed in it, you've likely wrote it wrong. Write out your nursing diagnosis and then read it over. "Osteoarthritis related to." is not a nursing diagnosis. The mistake you're likely making that results in it being a medical diagnosis is the start of your statements. ![]() We had tons of practice in our fundamentals class with them and it helped. I'm only in my second month of nursing school and I feel confident about them already. It's really not that hard once you have it down. For acute pain, you may say "as evidenced by description of pain rated 8 out of possible 10" or for impaired physical mobility, you may say "as evidenced by inability to move left forearm." It's the observable or recordable data indicating that the patient is suffering from the condition stated in your first part, the diagnosis. I've never heard of it that way, but I guess it works the same. The last step is the AEB (as evidenced by), which may also be what you can manifested by. If you chose acute pain, you might say "related to tissue trauma (surgery)" or if you chose impaired physical mobility, you might say "related to fractures." This is what likely caused the problem in the patient. The next step is the RT (related to) clause. In assignments you are typically given a case and you can figure out what the diagnosis is by reading the info. Pick a diagnosis you think you are seeing (i.e. ![]() NANDA has a list of nursing diagnoses that you can pick from which are approved nursing diagnoses. You can't really entirely fabricate your own. The NANDA ones sort of help, but I could never figure out what goes after "related to" and how "manifested by" is different from "related to".? Need advice on how to make nursing diagnoses! Every time I try to make one it turns out to be a medical diagnosis. ![]()
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