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Functional Health Patterns and 8 Nursing Diagnosis for Asthma

Nursing Care Plan for Asthma : Functional Health Patterns - Nursing Diagnosis

1. Health Perception – Health Management Pattern
  • Clients complain of shortness of breath, coughing, mucus difficult out.
  • Complain easily tired and dizzy.
  • Drug usage data.
  • Clients know / do not know the cause of the attack.
2. Nutritional – Metabolic Pattern
  • Nausea, vomiting, no appetite.
  • Shows signs of dehydration, dry mucous membranes.
  • Cyanosis, a lot of sweat.
3. Elimination Pattern

4. Activity – Exercise Pattern
  • Activity is limited because of wheezing and shortness of breath.
  • Smoking habits.
  • Cough and mucus that is difficult to remove.
  • Use of accessory muscles during inspiration.
5. Cognitive – Perceptual Pattern
  • The extent to which the client's knowledge about the disease.
  • The ability to overcome the problem.
  • The weakening process of thinking.
6. Sleep – Rest Pattern
  • Lack of sleep complaints.
  • Tired from the attack of shortness of breath and cough.
7. Self-perception – Self-concept Pattern
  • Clients likely to reveal the strategy to overcome the attack, but was unable to cope if the attack comes.
8. Role – Relationship Pattern
  • Disruption role in the attack.
  • Feel embarrassed if there is an attack.
9. Seuality – Reproductive Pattern

10. Coping – Stress Tolerance Pattern
  • Deny.
  • Angry.
  • Desperate.
11. Value – Belief Pattern






Nursing Diagnosis for Asthma

  1. Ineffective Airway Clearance r / t increased production of secretions.
  2. Impaired gas exchange r / t O2 supply disruption.
  3. Activity intolerance (in performing self-care) r / t shortness of breath, and physical weakness.
  4. Risk for imbalanced Nutrition: less than body requirements r / t input inadequate: nausea, vomiting and loss of appetite.
  5. Anxiety r / t shortness of breath and scared.
  6. Ineffective breathing pattern r / t decline in lung expansion during acute attacks.
  7. Risk for infection r / t inadequate primary defense (cilia work and persistence decrease secretions).
  8. Knowledge deficit r / t lack of information.

Pulmonary Tuberculosis (TB) - 3 Nursing Diagnosis, Interventions and Rational

Nursing Diagnosis for Plan Tuberculosis (TB) : Ineffective airway clearance related to the accumulation of purulent secretions in the airway.

Goal: Airway clearance back effectively.

Nursing Interventions:
  • Assess respiratory function, for example; breath sounds, speed and rhythm.
  • Give the patient semi-Fowler's position or high Fowler effectively assist the patient to cough and deep breathing exercises.
  • Maintain fluid intake at least 2500 ml / day, except, contra indications.
  • Collaboration for the administration of drugs according to indications, mucolytic drugs.

Rational:
  • Decreased breath sounds may indicate atelectasis, crackles, wheezing showed accumulation of secretions inability to clean the airway.
  • The position helps maximize lung expansion and lower respiratory effort.
  • High input of fluids helps to thin the secretions, making it easily removed.
  • Mucolytic agents decrease the viscosity and adhesion of lung secretions for easy cleaning.

Nursing Diagnosis for Plan Tuberculosis (TB) : Imbalanced Nutrition Less than Body Requirements related to the production of sputum, anorexia.

Goal: Demonstrate increased weight.

Nursing Interventions:
  • Record the patient's nutritional status, record of skin turgor, weight and degree of underweight, ability / inability to swallow, a history of nausea-vomiting.
  • Supervise the input or output and weight periodically.
  • Provide oral care before and after the act of breathing.
  • Encourage eating little and often with foods high in calories and high in protein.
  • Collaboration with a nutritionist to determine the composition of the diet.

Rational:
  • Useful in defining the degree / problems in determining appropriate intervention options.
  • Useful in measuring the effectiveness of nutrition and fluid support.
  • Lowering bad taste because the rest of the sputum or leftover medicines.
  • Maximize nutrient inputs as energy needs and decrease gastric irritation.
  • Provide assistance in planning a diet with adequate nutrients for metabolic and dietary needs.


Nursing Diagnosis for Plan Tuberculosis (TB) : Knowledge Deficit: on the conditions, rules of action and displacement.

Goal: To declare understanding of disease processes / prognosis and treatment needs.

Nursing Interventions:
  • Assess the patient's ability to learn. Example: the problem of weakness, the level of participation and the best environment.
  • Emphasize the importance of maintaining a high protein and carbohydrate diet and adequate fluid intake.
  • Explain the drug dose, frequency, expected work and long treatment reasons
  • Emphasize to not drink alcohol and do not smoke.
Rational:
  • Learning depends on the emotional and physical readiness improved in individual stages.
  • Meet the metabolic needs, help minimize the weaknesses and improve healing.
  • Increase cooperation in the treatment program and prevent withdrawal of the drug.

Risk for Injury - NCP for Cesarean Section


Nursing Care Plan for Cesarean Section

Nursing Diagnosis : Risk for Injury related to biochemical function or regulation, the effects of anesthesia, tissue trauma.

Goal:
  • Demonstrate behaviors to reduce risk factors and / or self-protection.
  • Free from complications.

Itervention:

1. Review the prenatal and intra prenatal record, the factors of clients in complications.
Rationale: The presence of risk factors such as fatigue miometrial, excessive uterine distension, slow oxytocin stimulation, or thrombophlebitis a prenatal, allowing clients more susceptible to post-operative complications.

2. Monitor blood pressure, pulse and temperature. Note the skin is cold, wet, weak pulse and subtle, changes in behavior, delayed capillary refill, or cyanosis.
Rationale: High blood pressure can indicate the occurrence or continuation of hypertension. Hypotension and tachycardia may indicate dehydration and hypovolemia but may not occur until the circulating blood volume has been decreased to 35% - 50%, pyrexia may indicate infection.

3. Inspection bandage against excessive bleeding.
Rationale: Surgical wounds with drain, can dampen the bandage, but seepage is usually not visible and can indicate the occurrence of complications.

4. Note the catheter and amount of lochia flow and consistency of the fundus.
Rationale: The flow of lochia should not be much or contains clots. Fundus must remain contracted, firmly on the umbilicus. Protrusion of the uterus resulting in increased blood flow and loss.

5. Encourage exercise foot / ankle and early ambulation.
Rationale: Increased venous return, preventing ataxia / buildup on the lower extremities, lower the risk of phlebitis.

5. Inspection incision regularly, note the slowdown, or a change in healing.
Rationale: Excessive Stretching the incision, slowing the healing can cause clients tend to tissue separation and possible hemorrhage.

6. Replace lost fluids intravenously, according to the program.
Rationale: Average blood loss typically 600-800 ml, but prenatal physiological edema, increasing the need for replacement of large fluid volumes.

7. Monitor hemoglobin / hematocrit Post-surgery, compared with preoperative levels.
Rationale: Clients with a hematocrit of 33% or greater and an increase in the plasma with respect to pregnancy can tolerate the actual blood loss.

8. Increase the oxytocin infusion if uterine relaxation and / or heavy lochia.
Rationale: Stimulate miometrial contractility and decrease blood loss.