ASSESSMENT DIAGNOSIS OBJECTIVES INTERVENTION RATIONALE EVALUATION

OF CARE
Difficulty of Ineffective After 30 Independent: -Elevation of the After 30 minutes
Breathing (rapid breathing pattern minutes of - Elevated head bed facilitates
of nursing
and shallow) related to nursing of respiratory
decreased lung intervention, the bed for function by use intervention,
Subjective: expansion as the client will about 30 of gravity. It also
the client
“Nahihirapan ako sa evidenced by experience degrees and ask decreases
paghinga.” as cough lessened the client to pressure on the manifested
verbalized by the difficulty of assume dorsal abdomen when
lessened
client. breathing as recumbent assuming the
manifested by position. position. difficulty of
Objective: decreased in
breathing as
- Nasal Flaring RR from 27 - Encouraged - Promote chest
-slight cyanotic cpm to 20cpm deep breathing expansion manifested by
nailbeds with the exercises
decreased in
-rapid shallow absence of -Precipitators of
breathing nasal flaring, - Kept allergic type of RR from 27 cpm
-RR: 27cpm and presence of environmental respiratory
to 20cpm with
calm breathing. pollution to a reactions that
minimum can trigger or the absence of
exacerbate
nasal flaring,
- Monitored onset of acute
respiratory episode. and presence of
patterns,
calm breathing.
including rate, - Assesses the
depth, condition of the
and effort. client
Goal met.