The patient presented with acute pain in the chest, dyspnea, fatigue, and a temperature of 37.3°C. Based on the subjective and objective findings, the diagnosis was pneumonia due to acute inflammation and infection of the terminal airways and alveoli. The nursing plan was to (1) elevate the head of the bed and change positions frequently to lower the diaphragm and promote chest expansion, (2) assist with deep breathing exercises and coughing in an upright position to clear secretions, and (3) ensure adequate fluid intake of at least 3000ml per day to aid mobilization and expectoration of secretions. The interventions were aimed at reducing bronchospasm, mobilizing secretions,
Original Description:
A free sample nursing care plan (ncp) for Community Acquired Pneumonia.
Original Title
NursingCrib.com Nursing Care Plan Community Acquired Pneumonia
The patient presented with acute pain in the chest, dyspnea, fatigue, and a temperature of 37.3°C. Based on the subjective and objective findings, the diagnosis was pneumonia due to acute inflammation and infection of the terminal airways and alveoli. The nursing plan was to (1) elevate the head of the bed and change positions frequently to lower the diaphragm and promote chest expansion, (2) assist with deep breathing exercises and coughing in an upright position to clear secretions, and (3) ensure adequate fluid intake of at least 3000ml per day to aid mobilization and expectoration of secretions. The interventions were aimed at reducing bronchospasm, mobilizing secretions,
The patient presented with acute pain in the chest, dyspnea, fatigue, and a temperature of 37.3°C. Based on the subjective and objective findings, the diagnosis was pneumonia due to acute inflammation and infection of the terminal airways and alveoli. The nursing plan was to (1) elevate the head of the bed and change positions frequently to lower the diaphragm and promote chest expansion, (2) assist with deep breathing exercises and coughing in an upright position to clear secretions, and (3) ensure adequate fluid intake of at least 3000ml per day to aid mobilization and expectoration of secretions. The interventions were aimed at reducing bronchospasm, mobilizing secretions,
Independent: Subjective: Acute pain r/t • Pneumonia is • After 4 hours • Elevate head of • Lowers • After 4 localized of nursing the bed, change diaphragm, hours of “Masakit ang inflammation and inflammation interventions position promoting nursing dibdib ko” as persistent cough. of the terminal , the patient frequently. chest intervention verbalized by airways and will display expansion s, the patient. alveoli caused patent and patient was by acute airway with expectoration able to Objective: breath of secretions. display infection by sounds • Assist patient • Deep patent • Use of various clearing and with deep breathing airway with accessory agents. absence of breathing facilitates breath muscle. Pneumonia dyspnea. exercises. maximum sounds can be divided expansion of clearing and • Dyspnea into three the lungs and absence of smaller dyspnea. groups: • Fatigue. airways. community • Demonstrate or • Coughing is a • V/S taken as acquired, help patient natural self follows: hospital or learn to perform cleaning nursing home activity like mechanism. T: 37.3 acquired splinting chest Splinting P: 80 and effective reduces chest (nosocomial), coughing while discomfort, R: 25 Bp: 120/80 and in upright and an upright pneumonia in position. position favors an deeper, more immunocompr forceful cough effort. omised • Force fluids to at • Fluids person. least 3000 ml especially Causes per day and offer warm liquids include warm, rather aid in bacteria than cold fluids. mobilization (Streptococcu and expectoration s, of secretions. Staphylococcu s, Haemophilus Collaborative: influenzae, • Administer • Aids in medications as reduction of Klebsiella, prescribe: bronchospas Legionella). mucolytics or m and Community expectorants. mobilization of Acquired secretions. Pneumonia • Provide • Fluids are (CAD) is a supplemental required to fluids. replace losses disease in and aid in which mobilization of individuals secretions. who have not recently been hospitalized develop an infection of the lungs. It is an acute inflammatory condition that’s result from aspiration of oropharyngeal secretions or stomach contents in the lungs.