Ncp On Diabetes.docx

N.C.P ASSESSMENT SUBJECTIVE DATA; Client stated ; I am feeling a lot of breathlessness.I cant bear it any more. OBJECTIVE DATA;

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Client manifested the Tachypnea Presence of crackles on both lung fields upon auscultation use of accessory muscles RR of 28 Client may manifest the following: Cyanosis Orthopnea Diaphoresis

N.DIAGNOSI S Ineffective breathing pattern related to decreased lung volume capacity as evidenced by tachypnea, presence of crackles on both lung fields and dyspnea.

PLANNING

INTERVENTION

RATIONALES

EVALUATION

SHORT TERM GOAL;

Establish good rapport.

To gain pt ‘s trust and cooperation.

SHORT TERM:

Monitor and record vital signs.

To obtain baseline data.

Client will demonstrate appropriate coping behaviors and methods to improve breathing pattern.

Assess breath sounds, respiratory rate, depth and rhythm Elevate head of the pt.

LONG TERM GOALS: Client would be able to apply techniques that would improve breathing pattern and be free from signs and symptoms of respiratory

Provide relaxing environment. Administer supplemental oxygen as ordered.

Assisst client in the use of relaxation technique.

Client shall have demonstrated appropriate coping behaviors and To note for respiratory abnormalities methods to improve that may indicate early respiratory breathing pattern. compromise and hypoxia. LONG TERM: To promote lung expansion. The Client shall have To promote adequate rest periods to applied techniques limit fatigue. that improved breathing pattern and To maximize oxygen available for be free from signs cellular uptake. and symptoms of respiratory distress Respiratory rate To provide relief of causative within normal range, factors. absence of cyanosis, effective breathing and minimal use of

N.C.P

V/S taken as follows: T:37.4 c P:87/m R:19/m BP: 120/90mmhg

distress.

Administer prescribed medications as ordered. Maximize respiratory effort with good posture and effective use if accessory muscles.

Encourage adequate rest periods between activities.

For the pharmacological management of the patient’s condition. To promote wellness.

To limit fatigue.

accessory muscles during breathing.