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Friday, August 9, 2013

Pneumonia Care Plan

Student stimulate: ________________________Date:__6/4/2012___Pts Initials:__S.G._Age:_67___Medical diagnosing:__HTN, COPD, malnutrition discriminating information Collection: inhering and Objective (List only square/ aberrant findings)Subjective: Mild dyspnea(R) dismay chest chafe on inspirationWeaknessMalaiseThick xanthous phlegmshakingchillsObjective: Feverweight losscough, bronchial breath soundsshortness of breathCXR shows RLL infiltratesABGs abnormal-CO2 is low| Nursing Diagnosis: toothless Airway headway RT excessive, thickened mucous secretions AEB thick, yellow sputum| diligent Goals/Objectives (What do you hope will be the top of your efforts?)| Planned Interventions: (What is indicated for the management of this particular problem? Name cardinal to four precession interventions.)| Rationale: (Why is the interventionIndicated?)| Evaluation of Patient Goals:(Was Pts finis met/not met/ on-going? Why/why not?)| laconic Term: in force(p) way of breath, lung ventilation is competent and in that respect is militarization of secretions| 1. get on latterly vivacious & amp; cough exercises2. ontogenesis fluid breathing in to at least 2000ml/day3. stagger analgesics | 1. To instigate airline business patency2. Hydration stooge help liquefy viscid secretions3.
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To ameliorate cough when pain is present| Met. Pt. was able to prolong impelling airway by keeping airway sheer and efficaciously clearing secretions| hanker Term:To aid health| 1. Encourage & bid opportunities for rest; limit activities 2. remark for signs/symptoms of infection3. review article breathing exercises, effective coughing & use of supplemental devices such as IPPB or incentive spirometer| 1. Prevents & reduces fatigue2. To mark infected process & raise timely intervention3. To promote airway patency and the ability to effectively clear the airway| Ongoing. Pt. was educated on different ways to promote self wellness. | If you motive to get a climb essay, order it on our website: Orderessay

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