DATE ASSESSMENT NURS PLANNING IMPLEMENTATION EVALUATION

ING
(Cues and (Objectives -
DIAG
evidence/ long term and
NOSIS NURSING RATIONALE/
objectives and short term)
INTERVENTION JUSTIFICATION
subjective.

Subjective Cues: Ineffective SHORT TERM: Short Term Goal

Breathing After 15 minutes of INDEPENDENT: Evaluation

FULLY
“Lisoda ginhawa uy!” Pattern as Nursing
As expressed by the evidenced Interventions, the  Monitor respiratory  This will notify the
patient will be to rate health care team of any
patient. by
increased
respirator
establish a normal
and effective
anomalies
MET,
Objective Cues:
*Increased
y rate
respiratory pattern as
evidenced by:
 Impart pursed lip
breathing technique
 This will make the
patient’s breaths more After an
*Normal Respiratory even and intentional
Respiratory Rate, 38
cpm
*Rapid and shallow
Range, 20-30cpm
*Absence of rapid  Teach patient how to  Deep regular breathing
hour of
breathing
*Use of accessory
and shallow breathing
*Not making use of
do deep regular
breathing
will help the patient take
in the necessary oxygen. nsg.
muscles accessory muscles
 Position patient to
promote easier
 Slight elevation
appropriate for age will
intervent
LONG TERM:
By the end of duty,
the client will:
breathing maximize
expansions and allow
lung
ion/s the
*Demonstrate
adequate and
secretions to descend via
gravity patient
symmetrical lung
expansions  Increase fluid intake  Taking in water will
help loosen up viscid
shall be
*Demonstrate proper
breathing exercises secretions that stick to
the patient’s throat.
able to
DEPENDENT:
verbalize
 Assist in the
 Giving medications will
help the patient’s body
understa
treatment
administering
by fight off the disease that
cause the ineffective
nding of
conditio
medications as breathing pattern
ordered