COMMUNITY ACQUIRED PNEUMONIA- MODERATE RISK

A Case Study Presented To

The Faculty of Nursing and Health Sciences Department

School of Nursing and Health Sciences

Biliran Province State University

Naval, Biliran

In Partial Fulfilment

of the Course Requirement for the degree

Bachelor of Science in Nursing

Members:

Pahamotang, Kylle
Pallo, Eize Kate
Perino, Haidy
Quimbo, Icel Jean
Ramoso, Iren
Sacare, Desiree
Tadic, Reginald Allen
Tigley Steven Angelo
Vergara, Joyce Trecia
Villalino, Ryanne Isabelle

October 2023
 AKNOWLDEGEMENT

The aim of this study was attained through the help and guidance of the
following people who have extended their time, support and encouragements to
make this study possible.

Now more than ever, the researchers would want to express their gratitude
and give thanks to Heavenly Father for being the source of their talent, for giving
them patience, strength, wisdom, and courage that enabled us to conduct this study.

To their devoted families, who have shown them so much love and care, are
always there to offer support when things have been challenging and have been for
them since the study’s formation.

To Dr. Willard N. Riveral and Dr. Sillmark T. Bacason, their clinical

instructors/advisors, for all the patience, advice and undying support and kindness.
Their mere guidance enabled them to produce the best result.

To Dr. Sandra Angelica F. Chiong and Sir Nestor T. Ibañez for giving them
the opportunity to be exposed in the clinical settings for their On-The-Job Training at
OSPA - Farmers Medical Center.

To their patient and their significant others for their cooperation and
preparedness to take part in this study. For providing them with essential details
regarding this study and made their doors available to them.

Last but not least, they would like to express our sincere appreciation to their
anonymous colleagues for their encouragement and role as inspiration which helped
them believe in their capacity.
 DEDICATION

We would like to give our Heavenly Father this product of our labor. Father,
our All-Powerful God, without him our case would be impossible to prove.

To our parents, friends, and our fellow nursing students, we dedicate this to
everyone who has a passion for this profession. Additionally, we provide this to those
that work diligently to set the quality standard for the advancement of the most
honorable profession on earth - the field of Nursing.
 TABLE OF CONTENTS

TITLE PAGE

I. Introduction 1
II. Objectives 3
III. Nursing Assessment
III.1. Patient’s History/Profile 3
III.2. Nursing/Health History
III.2.1. Present Health History 5
III.2.2. Past Health History 5
III.2.3. Family Health History 6
3.3 Physical Assessment 6
3.4 Gordon’s Functional Health Pattern 18
3.5 Level of Growth and Development
3.5.1 Normal Development of a middle-adult 21
3.5.2 The ill person at a particular stage of patient 23

3.6 Diagnostic Test 24

IV. Pathophysiology and Rationale

4.1.1.Anatomy and Physiology of the Respiratory 27

System

4.1.2 Physiologic Process Involved 28

4.2 Pathophysiology
4.2.1 Schematic diagram of Community 32
Acquired Pneumonia
4.2.2. Disease process and its effects to the 33
organs/ system involved
IV.1. Comparative chart showing the classical & clinical 33
Signs and symptoms of Community Acquire Pneumonia,
Undifferentiated
Type
V. Nursing interventions
5.1 Actual patient care
5.1.1 Nursing Care Plan 36
5.1.2 Drug Therapeutic Record 53
5.1.3 Health Teaching Plan 72
VI. Evaluation and implications 80
6.1 Nursing Education
6.2 Nursing Practice
6.3 Nursing Research
VII. Referral and Follow-up 81
VIII. Reference 82