Nursing Care Plan

NURSING CARE PLAN ASSESSMEN T

DIAGNOSIS

PLANNING

INTERVENTIONS EVALUATION & RATIONALE

SUBJECTIVE: “ Ubo sya ng ubo at di makahinga ng maayos” as verbalized by the mother

“ Ineffective breathing pattern related to painful/ineffec tive cough”

After 8 hours of nursing interventions , the patients breathing pattern will be improve

-Monitor vital signs to serve as a baseline data. -Avoidance of irritants; smoking, allergens, and industrial chemicals to prevent further irritation. -Increased fluid intake to thin mucus and make it easier to expectorate. -Deep breathing exercise to improve air circulation and breathing. - Positioning to facilitate breathing ( Fowler’s or orthopneic) -Providing adequate nutrition via small, frequent meals to meet nutritional requirements and to avoid suffocation. -Avoidance of extremes of heat and cold to avoid further cough.

-goals partially met. -After 8 hours of nursing interventions , the patients breathing pattern was improved.

Interdependent: -Use of meds: bronchodilators , expectorants and liquefying agents as indicated to thin mucus and easy to expectorate. -cautious use of oxygen as indicated because it could suppress respiratory drive.