NURSING CARE PLAN

NURSING ANALYSIS GOALS & INTERVENTION RATIONALE EVALUATION

DIAGNOSIS OBJECTIVES
Ineffective Your airways GOAL:
breathing branch out inside After 8 hours of
pattern r/t your lungs like an nursing
respiratory upside-down tree. interventions,
muscle fatigue At the end of each the client will be
able to establish
branch are small,
an improved
balloon-like air
Subjective: normal/effective
sacs. In healthy
respiratory
• Chief complain: people, both the pattern.
Difficulty of airways and air
Breathing sacs are springy OBJECTIVE:
• He experienced and elastic. When
difficulty in
you breathe in, The client will be
breathing
before he was each air sac fills able to:
admitted in the with air like a
hospital with small balloon. The 1. Provide for • Elevate Head • To promote The client was
non productive balloon deflates relief of of the bed. physiological/ able to relief
cough. when you exhale. causative Psychological causative
• “Matagal na In COPD, your factors. ease of factors.
akong inuubo. maximal
Wala namang airways and air
inspiration.
plema. sacs lose their
shape and become
• Encourage
Nahihirapan 2. Maintain good The client was
akong
slower/deeper • To assist
floppy, like a breathing able to maintain
huminga” as respirations, client in
stretched-out pattern. good breathing
stated. use of pursed- “taking
rubber band. lip technique, control” of pattern.
etc. the situation.
Cigarette smoking
Objective: is the most 3. Promote • Administer • For
common cause of wellness. oxygen at management The client was
• RR= 34 cpm lowest of underlying able to promote
COPD. Breathing
• Has O2 2-3 Lmp concentration pulmonary wellness.
at bed side for in other kinds of
irritants, like indicated and conditions.
PRN
pollution, dust or prescribed
• Non productive
respiratory
cough chemicals, may
• Exerts effort
medications.
also cause or
upon respiration contribute to
or when • Encourage
COPD.Quitting
breathing, adequate rest • To limit
difficulty in smoking is the periods. fatigue.
breathing. best way to avoid
developing COPD. • Maintain calm
attitude while
Treatment can dealing with
make you more client and SO. To limit level of
comfortable, but anxiety.
there is no cure.