Post by Admin on Jan 31, 2016 2:45:31 GMT
Please see feedback below if you find yourself in a similar situation. In one of the facebook forums, student had posted the following:
I panicked today on a migraine patient on neuro floor... And failed, I still can't wrap my brain around what nursing diagnosis to use on an ambulatory patient with migraine and partial facial numbness except acute pain. Any other suggestions?
My response:
Don't be so hard on yourself first of all. Sometimes it's hard to think right on your feet especially when you are in a panic to find additional diagnosis. The prior post give you good suggestions and see if there are any other symptomatic things going on with this patient to write an additional diagnosis to get in the room, although you probably already have one primary one (acute pain) that you will be evaluating. Another suggestion is always try to go in front of the book and see if there are any other similar medical diagnosis with pertinent nursing diagnosis listed in that section to see if you can make something work just to get in the room. If you go in front of the book Mosby's 4th ed., under similar patient affliction Bell's Palsy, you can choose Imbalanced Nutrition: less than body requirements R/T difficulty with chewing (Pg 21)... and build on that. Interventions can be: The nurse will provide breakfast/or lunch Pg 569 (depending on the time of your PCS.) The nurse will minimize interruptions during mealtime Pg. 569. Keep calm and re-energize and you will succeed!!
I panicked today on a migraine patient on neuro floor... And failed, I still can't wrap my brain around what nursing diagnosis to use on an ambulatory patient with migraine and partial facial numbness except acute pain. Any other suggestions?
My response:
Don't be so hard on yourself first of all. Sometimes it's hard to think right on your feet especially when you are in a panic to find additional diagnosis. The prior post give you good suggestions and see if there are any other symptomatic things going on with this patient to write an additional diagnosis to get in the room, although you probably already have one primary one (acute pain) that you will be evaluating. Another suggestion is always try to go in front of the book and see if there are any other similar medical diagnosis with pertinent nursing diagnosis listed in that section to see if you can make something work just to get in the room. If you go in front of the book Mosby's 4th ed., under similar patient affliction Bell's Palsy, you can choose Imbalanced Nutrition: less than body requirements R/T difficulty with chewing (Pg 21)... and build on that. Interventions can be: The nurse will provide breakfast/or lunch Pg 569 (depending on the time of your PCS.) The nurse will minimize interruptions during mealtime Pg. 569. Keep calm and re-energize and you will succeed!!