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I know this tutorial seems really long, but it is just very detailed so you won’t get lost. Trust me, if you use this to create your care plans and care maps you will save tons of time and brain cramps. Especially if you have been handwriting them (my hands hurts just thinking about that). And, if you have a better, easier, or faster way, for heavens sake let me know! ADD EVOLVE RESOURCES: I use the Care Plan Constructor that comes with the book, Ackley: Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care, 9th Ed. (I just switched from the 8th edition, so if you find anything I need to change in the tutorial please email me email@example.com), so I will walk you through the process of adding and using that one, but the process is the same for others. REMEMBER: You DO NOT need to own the book to add and use the associated resources for this book and most of the other products. 1. LOG-IN TO AN EXISTING EVOLVE ACCOUNT: Click here https://evolve.elsevier.com/cs/Satellite/StudentHome?Audience=Student OR CREATE A NEW EVOLVE ACCOUNT: If you don’t already have an Evolve account, just go ahead and make one. It is free, there is no obligation of any kind, and it just takes a few minutes. Click here https://evolve.elsevier.com/cs/Satellite/StudentMyHome?Audience=Student Click on the turquoise blue button on the left side of the page that says, “JOIN EVOLVE COMMUNITIES!” Just fill in the fields and hit “Submit”. Make note of your user name and password (it will be emailed to you too). You will get an option on the bottom of the screen to “Jump Right In”; choose that you are now automatically signed in. 2. Click on the grey “Products” at the top of the home page. Look around and find stuff you want. To find the Ackley book, look under “Nursing” (right at the top of the middle column), and click on “Diagnosis”. 3. Find the book and click on the blue “+ Register” next to it. (As of today, 03/01/11, the Ackley book I use is the 3rd one down.) 4. Click the green “Register >” button on the bottom right. Click the box next to “Yes, I accept this agreement”, and then click on the green “Submit” on the bottom right. 5. Click on the blue “Get Started” link, to go back to the home screen. 6. Click on “My Content” on the upper left to expand it if it is not already. 7. Click on “Resources”, and you should see the stuff you just added. It may take a couple minutes for it to be added to your list, so if you don’t see it right away wait a couple minutes and try again. 8. If you want to add more resources now go back to step #2 and repeat what you
just did. When you are ready to create a care plan go to the next step. CREATE CARE PLAN: 1. Okay, now down to business. Log in to EVOLVE https://evolve.elsevier.com/cs/Satellite/StudentHome?Audience=Student Go to “My Content” on the home page, click on “Resources” and click on “Ackley: Nursing Diagnosis Handbook, 9th Edition”. 2. This takes you to the Course Home; expand the “My Content” on the left (click on the little + sign), expand “Resources” the same way, and click on “Care Plan Constructor”. 3. Choose a diagnosis (NANDA)…for instance, “Activity intolerance”. This takes you to a check box menu of choices for items you want to include in your care plan. You can choose one or all to be included in your finished care plan. I am lazy so I CHOOSE THEM ALL. Here is why: If you choose them all, when you copy/paste the info to a document (Word, PDF, rtf, etc) saved to your school file on your computer, you will have the information to use the next time you need a care plan for this NANDA, no matter if your patient is 9 days or 90 years (you will see what I mean when you do the first one). Also, if you are accessing this from school, have limited internet access, or a slow internet connection, saving it all and making your changes off-line makes more sense. Additionally, some of the choices may help guide you in adding NANDAs to your care plan. For instance, look at the last choice under the Activity Intolerance Due to Cardiovascular Disease heading, “See care plan for Decreased Cardiac output for further interventions.” If this is appropriate for your patient, when you are done with the “Activity intolerance”, you can go back and do another one for “Decreased Cardiac output”. (See “REMEMBER” after step 5 below.) 4. Click on little picture of a printer page “Create Printable Page” at the top left of the page, it doesn’t matter what you name your care plan so don’t spend much time thinking of a name…remember, you may need those neurons later, don’t waste ‘em. Click “Yes” to include rationales. Then click “Continue”. Select and copy the whole thing, paste it into a document (Word, rtf, pdf, etc), and save it as, “Activity Intolerance Care Plan Info”, or something like that. Now every time you need to use this NANDA for a care plan you have all the information you need. A WORD: You may have noticed the “Save” at the top where the “Create Printable Page” is. You may save your customized care plans here if you want. I preferred to save them to a document in my school folder so they were easily accessible. Also, this is a good option if you are accessing the internet from school, the library, etc., or if you have a slow internet connection. 5. If you found other NANDAs you want to add to your care plan, click on “Diagnoses” on the top right of the page and repeat steps 3 and 4 for each NANDA, saving each one as a separate document on your computer. REMEMBER: If you close a care plan or let your session expire before you copy
and paste the information into a document, it all goes away forever. 6. Now, copy and paste the appropriate parts from each NANDA document you created into your care plan template (you were probably given one at school). This is where you experience the “learning” portion of doing care plans. (The part you will learn to hate.) You must use your critical thinking skills to choose what information pertains to YOUR PATIENT. Have fun…sorry, couldn’t help it. ADD MED INFO TO CARE PLAN: I use Epocrates Online, http://online.epocrates.com/noFrame/ for the medication information for my care plans and concept maps. You must register, but the account is free unless you choose to pay for additional subscription applications. The Drugs, Diseases, and MultiCheck Drug Interaction Checker (m√) applications are free. 1. Sign in to EpocratesOnline. You should be in the “DRUGS” application. If not, click on the “DRUGS” tab at the top of the page. 2. Type in the name of the medication. As you type the name the program will list all matching medications. Just click on the one you need. 3. Once you are on the specific drug page use the section menu is on the right side of the page to find the specific information you need; just copy & paste the info you want directly into your care plan. NOTE: You may want to create a “care plan medications” document on your computer - most of the meds you will see over & over - no need to look them up over & over. choose “Adult Dosing” or Peds Dosing” for safe dose range drug classification/action is under “Pharmacology” side effects is under “Adverse Reactions” nursing implications is under “Safety/Monitoring” check under “Black Box Warnings” and “Contraindications/Cautions” for additional nursing implications information As you look up each medication be sure to click the m√ at the bottom of the section menu to check for drug-drug interactions (cool, huh?). The “Patient Education” section is also really nice…check it out…if you use this at the hospital to get information for your patient you may want to click on “Pill Pictures” and print that for them as well. Now, check out the “DISEASES” tab at the top of the page. For instance, scroll down the “Categories” menu on the left side to “Pediatrics and Adolescent Medicine”, then scroll down the “Disease/Condition Name” menu on the right to “Cystic Fibrosis” and click on it. Under “Diagnosis” click on “Risk Factors” and click on each one to open it. Use this application to find information on medical diagnosis, pathophysiology, and risk factors for care plans and concept maps. Cool, huh? 4. Print your dazzling care plan and turn it in.
If you are making a Concept Map instead of a Care Plan you are in luck. Just do all that stuff you just learned, but instead of copying and pasting the text into a Care Plan template, paste it into a Concept Map template. Or, copy & paste blocks of text into a Word document, and manipulate them into the “bubbles” and “trees” that you like. Or, you can go really low tech and cut them out with scissors, and really paste them onto another sheet of paper. You could then copy your masterpiece on a copier to get a nice, clean copy, and then color it up with colored pencils or highlighters if you want to get really fancy. How far you take this depends only on how badly you are afflicted with OCD, or how much you feel you need to suck up to your instructor. Last updated 03/01/11
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