scottnlisa
Member
I need to write a care plan and need some help with it..
Has anybody ever wrote a care plan for nursing or have experience with care plans?
- Thread starter scottnlisa
- Start date
scottnlisa
Member
Originally Posted by bionicarm
http:///forum/post/3261287
What exactly are you trying to do, or needing this for?
This is for my nursing class. I have to right a care plane for a patient I took care of in the hospital. I am having problems coming up with my 2 nursing diagnosis's.
http:///forum/post/3261287
What exactly are you trying to do, or needing this for?
This is for my nursing class. I have to right a care plane for a patient I took care of in the hospital. I am having problems coming up with my 2 nursing diagnosis's.
scottnlisa
Member
Originally Posted by bionicarm
http:///forum/post/3261331
What was wrong with the patient? I imagine cranberry can give you some insight. I could also ask my wife, she's been doing ICU Nursing for almost 30 years now.
I need 2 nursing diagnosis's for a patient with R 2nd toe amputation nonhealing.
http:///forum/post/3261331
What was wrong with the patient? I imagine cranberry can give you some insight. I could also ask my wife, she's been doing ICU Nursing for almost 30 years now.
I need 2 nursing diagnosis's for a patient with R 2nd toe amputation nonhealing.
bionicarm
Active Member
scottnlisa
Member
Originally Posted by bionicarm
http:///forum/post/3261353
http://www.brighamandwomens.org/Reha...on%20LE%20.pdf
I never even thought of amputation. I was leaning towards impaired mobility. Thank you so much
http:///forum/post/3261353
http://www.brighamandwomens.org/Reha...on%20LE%20.pdf
bionicarm
Active Member
Complications after a toe amputation are rare but not unheard of. Upon returning home, call your doctor if you notice any symptoms of infection such as chills or fever, urination problems or pain, or suffer from a cough, chest pain, shortness of breath, vomiting or nausea.
If you notice the foot, leg or toes are chalky white or blackish, if sensation is decreased in the foot, toes or leg, or if you experience tingling or numbness in these parts, contact your doctor. Finally, call your doctor if warmth, swelling, excessive bleeding, redness, discharge or increased tenderness is noted at the site of amputation.
If you notice the foot, leg or toes are chalky white or blackish, if sensation is decreased in the foot, toes or leg, or if you experience tingling or numbness in these parts, contact your doctor. Finally, call your doctor if warmth, swelling, excessive bleeding, redness, discharge or increased tenderness is noted at the site of amputation.
bionicarm
Active Member
What are the complications of amputation surgery?
The most important complication is the risk of dying. However, there are other complications.
General complications
These mainly consist of problems such as chest infections, angina, heart attacks and strokes. Because your mobility is restricted after an amputation, pressure sores can also develop. The nursing staff particularly will make great efforts to avoid this occurring. Special mattresses and beds are used to reduce pressure on areas at risk of sores. Regular turning to relieve pressure is also important.
Local complications
These mainly consist of wound infections that can develop in the stump. Antibiotics are given to reduce the risk of infection developing at the time of surgery. The stump can sometimes fail to heal or breakdown either as a result of a fall, infection or a poor blood supply. When this happens it can sometimes mean a further operation to revise the amputation or to remove more of the leg.
Sometimes contractures can develop in the knee or hip joint and once present and established can be impossible to correct. The knee or hip will not straighten and then fitting an artificial limb can become impossible.
Deep venous thrombosis can also occur because the veins in the leg will have been tied during the amputation operation and because of the immobility after the surgery. Blood thinners (heparin) will usually be given to reduce the risk of blood clots developing.
Phantom Limb pain
Phantom limb is the sensation of still being able to feel the amputated limb. Most amputees experience this sensation, although the intensity can vary from person to person.
In many patients pain is also experienced in the amputated limb. This is phantom limb pain and can occur in many patients, but is usually fairly mild and self limiting, although it may be a nuisance. In a few patients phantom limb pain can be a serious problem and difficult to treat.
The most important complication is the risk of dying. However, there are other complications.
General complications
These mainly consist of problems such as chest infections, angina, heart attacks and strokes. Because your mobility is restricted after an amputation, pressure sores can also develop. The nursing staff particularly will make great efforts to avoid this occurring. Special mattresses and beds are used to reduce pressure on areas at risk of sores. Regular turning to relieve pressure is also important.
Local complications
These mainly consist of wound infections that can develop in the stump. Antibiotics are given to reduce the risk of infection developing at the time of surgery. The stump can sometimes fail to heal or breakdown either as a result of a fall, infection or a poor blood supply. When this happens it can sometimes mean a further operation to revise the amputation or to remove more of the leg.
Sometimes contractures can develop in the knee or hip joint and once present and established can be impossible to correct. The knee or hip will not straighten and then fitting an artificial limb can become impossible.
Deep venous thrombosis can also occur because the veins in the leg will have been tied during the amputation operation and because of the immobility after the surgery. Blood thinners (heparin) will usually be given to reduce the risk of blood clots developing.
Phantom Limb pain
Phantom limb is the sensation of still being able to feel the amputated limb. Most amputees experience this sensation, although the intensity can vary from person to person.
In many patients pain is also experienced in the amputated limb. This is phantom limb pain and can occur in many patients, but is usually fairly mild and self limiting, although it may be a nuisance. In a few patients phantom limb pain can be a serious problem and difficult to treat.
bionicarm
Active Member
Last one...
http://www.mdguidelines.com/amputation-toe
http://www.mdguidelines.com/amputation-toe
scottnlisa
Member
Thank you so much. This is really guiding me in the right direction. 15 pages to go. LOL