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    ANOLIN, Marc Edriann T. Nursing Care Plan Assessmen T Diagnosis Rationale Planning Interventio N Rationale Evaluation

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    Edrianne Tui
    The patient was diagnosed with acute pain due to localized inflammation and persistent cough caused by pneumonia. Nursing interventions included elevating the head of the bed, changing positions frequently, assisting with deep breathing exercises, demonstrating effective coughing techniques, ensuring adequate fluid intake, and administering prescribed medications. After 4 hours the patient was able to display a patent airway with breath sounds clearing and an absence of dyspnea.

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    ANOLIN, Marc Edriann T. Nursing Care Plan Assessmen T Diagnosis Rationale Planning Interventio N Rationale Evaluation

    Uploaded by

    Edrianne Tui
    2K views2 pages
    The patient was diagnosed with acute pain due to localized inflammation and persistent cough caused by pneumonia. Nursing interventions included elevating the head of the bed, changing positions frequently, assisting with deep breathing exercises, demonstrating effective coughing techniques, ensuring adequate fluid intake, and administering prescribed medications. After 4 hours the patient was able to display a patent airway with breath sounds clearing and an absence of dyspnea.

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    NCP (Pneumonia)

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    © Attribution Non-Commercial (BY-NC)

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    The patient was diagnosed with acute pain due to localized inflammation and persistent cough caused by pneumonia. Nursing interventions included elevating the head of the bed, changing positions frequently, assisting with deep breathing exercises, demonstrating effective coughing techniques, ensuring adequate fluid intake, and administering prescribed medications. After 4 hours the patient was able to display a patent airway with breath sounds clearing and an absence of dyspnea.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    2K views2 pages

    ANOLIN, Marc Edriann T. Nursing Care Plan Assessmen T Diagnosis Rationale Planning Interventio N Rationale Evaluation

    Uploaded by

    Edrianne Tui
    The patient was diagnosed with acute pain due to localized inflammation and persistent cough caused by pneumonia. Nursing interventions included elevating the head of the bed, changing positions frequently, assisting with deep breathing exercises, demonstrating effective coughing techniques, ensuring adequate fluid intake, and administering prescribed medications. After 4 hours the patient was able to display a patent airway with breath sounds clearing and an absence of dyspnea.

    Copyright:

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    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    * A N O L I N , M a r c E d r i a n n T.

    NURSING CARE PLAN

    ASSESSMEN DIAGNOSIS RAT I O N A L E PLANNING INTERVENTIO RAT I O N A L E E VA L U AT I O N


    T N

    Subjective: Acute pain •Pneumonia is After 4 hours Independent: After 4 hours


    “Masakit ang r/tlocalized inflammation of the of nursing of nursing
    dibdib ko” as inflammatio terminal airways and interventions •Elevate head •Lowers interventions
    verbalized n and alveoli caused by , the patient of the bed, diaphragm, , the patient
    by patient. persistent acute infection by will display change promoting was able to
    Objective: cough. various agents. patent airway position chest display
    • with breath f r e q u e n t l y. expansion patent airway
    Use of Pneumonia can be sounds and with breath
    accessory divided into three clearing and expectoratio sounds
    muscle. groups: community absence of n of clearing and
    • acquired, hospital or dyspnea. secretions. absence of
    Dyspnea nursing home dyspnea.
    • acquired •Assist •Deep
    Fatigue. (nosocomial), and patient with breathing
    pneumonia in an deep facilitates
    immunocompromised breathing maximum
    person. Causes exercises. expansion of
    include bacteria the lungs
    (Streptococcus, and smaller
    Staphylococcus airways.
    Haemophilus
    influenzae, •Demonstrate •Coughing is
    Klebsiella,Legionella or help a natural
    ). patient learn self cleaning
    to perform mechanism.
    activity like Splinting
    Community Acquired splinting reduces
    Pneumonia (CAD) is a chest and chest
    disease in which effective discomfort,
    individuals who have coughing and an
    not recently been while in upright
    hospitalized develop upright position
    an infection of the position. favors
    lungs. deeper, more
    forceful
    It is an acute cough effort.
    inflammatory
    condition that’s
    result from aspiration
    of oropharyngeal •Force fluids •Fluids
    secretions or to at least especially
    stomach contents in 3000 ml per warm liquids
    the lungs. day and offer aid in
    warm, rather mobilization
    than cold and
    fluid. expectoratio
    n of
    secretion.

    Collaborative:

    •Administer •Aids in
    medications reduction of
    as prescribe: bronchospas
    mucolytics or m and
    expectorants. mobilization
    of
    secretions.

    •Provide •Fluids are


    supplemental required to
    fluids replace
    losses and
    aid in
    mobilization
    of
    secretions.

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