SUBJECTIVE: Health Perception - Health → Ineffective Health • Increased albuterol MDI Management Pattern Maintenance use at home up to five (5) or six (6) times a day • 30-pack-year history of smoking: recently she’s been smoking half a pack per day to “clear out lungs” in the morning OBJECTIVE: • Chest x-ray hyperinflation, flat diaphragm
SUBJECTIVE: Nutritional Metabolic Pattern → Readiness for Enhanced
• Complained of getting Nutrition full fast despite regular → Imbalanced Nutrition diet (less than body requirement) SUBJECTIVE: Activity - Exercise Pattern → Ineffective Airway • Unable to climb one Clearance flight of stairs without → Impaired gas exchange stopping but is able to → Activity Intolerance walk down the flat driveway 10 years without difficult • Experienced jitters and racing heart OBJECTIVE: • Increased anterior- posterior (AP) chest diameter • Slight use of accessory neck muscles • Distant breath sounds with occasional rhonchi • Seven (7) days prior to admission patient suffered from exceptional shortness of breath and greenish sputum in increased volume