NURSING CARE PLAN-1

Patient Name: - Rab Dino S/O Mola Bux Age: 50Y Sex: Male Ward No: 12 Bed No: 12 Marital Status: Married
Medical Diagnoses: Chronic obstructive pulmonary disease (COPD) Address: SAKRAND OCCUPATION: Farmer Date: 19--03-2007

ASSESSMEN NURSING PLANNING INTERVENTION SCIENTIFIC RATIONALE EVALUATION

T DIAGNOSI
S
• Ineffective • After 4 hrs. 1. Assist patient to assume 1. Elevation of the head of the • After 4 hrs.
SUBJECTIVE: airway Of nursing position of comfort, e.g., bed facilitates respiratory Of nursing
clearance interventions, elevate head of bed, function by use of gravity. intervention
related to the client will encourage patient to lean on s, the client
increased demonstrate overbed table or sit on the was able to
production behaviors to edge of the bed. demonstrate
of improve 2. Keep environmental pollution 2. Precipitators of allergic type behaviors to
secretions. airway to a minimum, e.g., dust, or respiratory reactions that improve
clearance. smoke and feather pillows, can trigger or exacerbate airway
e.g. cough according to individual onset of acute episode. clearance.
effectively situation e.g. cough
and 3. Encourage or assist with 3. Provides patient with some effectively
expectorate pursed lip breathing means to cope or control and
OBJECTIVE: secretions. exercises. dyspnea and reduce air expectorate
• Use of trapping. secretions.
accessory 4. Observe characteristics of 4. Coughing is most effective in
muscle. cough like persistent or an upright position or head
• Dyspnea hacking or moist. Assist with down position after chest
• Productive measures to improve percussion.
cough effectiveness o cough effort.
• V/S taken as
follows:
T: 36.7
P: 57
R: 25
Bp: 100/80

Reference:
Carpenito. L .J. (1995). Nursing Diagnosis (6th Ed.), New Jersey J.B.Lippincott Company.
Student name: Akbar Ali Arain Discipline B.Sc. N-1(2007-9)