i am a nursing student working on a care plan for clinicals tomorrow. i have for my interventions: check for placement and residual volume, suction PRN secretions, head of bed elevated at all times due to continuous tube feeding, and turn off continuous feeding when administering medications and repositioning. my broad goal is resident will not aspirtate. i need 3 out comes that are measurable that will help me meet this broad goal. any advice will be greatly appreciated! my patient is noncoherent due to a stroke and on a continuous feeding via peg tube. she is on O2, and has a colostomy. Thanks in advance!
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1- Patient will continue to have clear lung sounds.
2- Patient will remain NPO.
3- Feeding tube will remain patent.
Good mouth care is essential for patients at risk for aspiration, and patients on tube feedings.
As a student, the secret to writing a good care plan is right in the book. If you don’t have a care plan book, you should invest in one. Care plans take up a lot of time for student who don’t utilize their care plan books. The books list illnesses, interventions, and outcomes. All you have to do is copy word for word what’s in the book. When I was a nursing student, I’d have other students calling me in the middle of the night asking what to do. That’s exactly what I told them, and EXACTLY what I did. My care plans were so good, I was excuse for having to write ANY after the first semester.
In the real world, there is usually a file of care plans on the nursing floor. Very seldom, if ever, will you have to write one.
A patient ideally shouldn’t have any respiratory secretions.
Respiratory secretions are clear and odorless.
Auscultation reveals bowel sounds.
White blood cound remains normal.
Repiratory rate remains normal for patient.