Name of Patient:_____________ Age:__

Diagnosis:__________________

Assessment Diagnosis Planning Intervention Rationale Evaluation

O=Dysapnea, Acute Pain r/t After 4 hours of >Elevate head of bed >Promotes chest After 4 hours of
Coughing, inflammation nursing change position expansions and nursing
Pain, and intervention the frequently expectorations intervention the
Discomfort persistent patient will patient was able
cough display patent >Assist patient with deep >To facilitate to display patent
airway with breathing sounds maximum expansion airway with breath
breath sounds of the lungs sounds clearing
clearing and >Demonstrate or help and absence of
absence of patient learn to perform >Splinting reduces dysapnea
dysapnea activity like splinting chest discomfort and
chest and effective force deeper more
coughing while in upright forceful coughs
position

>Force fluids to at least >Aids in Mobilization

3000 ml per day

>Offer warm rather than >to expectorate

cold fluids secretions