First of all Nurses do not care plan for medical diagnoses - we care plan for the
problems created by the medical diagnosis, thus the creation of Nursing Diagnosis. If
she insists on seeing every Diagnosis on the care plan - couple as many as you can to
one problem,as we all know there is so much overlap and many medical diagnoses create
similar problems. And I agree - insist on having only active diagnoses on the care
plan - it is unnecessary and unrealistic to have diagnoses that are not active on the
care plan - some of these 80-90 year olds have built up quite a list over the years.
Good Luck.
Holly McGran MSN RN
> -----Original Message-----
> From: [EMAIL PROTECTED] [SMTP:[EMAIL PROTECTED]
> Sent: Thursday, February 26, 2004 1:53 PM
> To: [EMAIL PROTECTED]
> Subject: Re: Care Plans
>
> In a message dated 2/25/04 10:38:13 PM Eastern Standard Time, [EMAIL PROTECTED]
> writes:
>
> Could someone point me in the right direction. My administrator wants EVERY
> diagnosis as a problem on the care plan. So needless to say, some patients have 30
> problems!!! I am NOT kidding. I just started at this facility and I was going thru
> the careplans and couldn't believe what I saw. I have to show her in writing that
> this is not necessary. Does anyone know where I can get this information?
>
> Thanks for your help.
>
> First off, is every diagnosis currently being treated? Doubt it. Also, this would
> mean that her nurses and aides would have to be documenting according to the care
> plans and actually performing the plan of care as written. This is impossible and a
> real huge flag for surveyors. The facility must have been cited in the past r/t
> care plans and she is trying to overcompensate. I will look through what I have to
> see what I can send you that would be Official, so to speak.
>
> Sherri
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