Professional Documents
Culture Documents
HEALTH DEFICIT
FAMILY NURSING
CARE PLAN
ASSESSMENT:
-Lack of knowledge or
Inadequate skill in carrying out the
knowledge of necessary intervention
preventive or treatment of care
measures -(i.e. complex therapeutic
regimen or healthy
lifestyle program)
PLANNING:
AFTER 6 HOURS OF NURSING INTERVENTION THE PATIENT WILL BE ABLE TO:
Breathing remained
within normal limits,
Verbalize
not difficult to
understanding of
respirate, and
causative factors and Maintain clear, open
demonstrate doesn't use aids
airways and minimal
behaviors that would breathing muscle
decreased breath
improve breathing
sounds upon
pattern
auscultation.
NURSING INTERVENTION:
INDEPENDENT INTERVENTIONS
1. Auscultate breath sounds. Note adventitious breath sounds like
wheezes, crackles and rhonchi
2. Elevate head of the bed, have patient sit on edge of the bed
3. Keep environmental pollution to minimum like dust, smoke and
feather pillows.
4. Encourage or assist abdominal or pursed lip breathing exercises
5. Assist with measure to improve effectiveness of cough effort.
6. Increased fluid intake to 3000ml per day. Provide warm or tepid
liquids
ON S :
EN TI ibed.
T ERV s cr
I VE IN s p re
OR AT o rs a
LL AB di l at
C O c ho
b ro n
ist e r
min
Ad
METHODS OF NURSE
FAMILY CONTACT:
Home Visit
MATERIAL RESOURCES:
HUMAN RESOURCES:
-Emilio G Perex Memorial District ospital , Hagonoy Rizal
-BSM-2-YA-31 GROUP 3
-Clinical Instructor: Ma'am Lorena Castillo
-Guttierez Family
FINANCE RESOURCE
-Expenses for transportation of the student-nurse
EVALUATION:
AFTER 6 HOURS OF NURSING INTERVENTION THE PLAN WAS MET. THE
PATIENT WAS ABLE TO:
Verbalize understanding
of causative factors and Breathing remained
demonstrate behaviors within normal limits, not
that would improve difficult to respirate and
breathing pattern doesn't use aids
Maintain clear, open
breathing muscle
airways and minimal
decreased breath sounds
upon auscultation
THANK YOU!!