INTRODUCTION- My patient name Suraj Singh He admitted in male medical Ward in hospital Dr.

Bhimrao Ambedker hospital on 20/9/2023 with the complaints of runny nose, fever, cough, feeling fullness
of chest, breathing problem. General condition was poor and he was diagnosed Bronchitis.

PROFILE OF THE PATIENT

Name - Suraj Singh

Age/sex - 16year/male
IP no - 23422890
Date of admission - 20/9/2023
Unit/Ward - Male medical ward
Religion - Hindu
Education - 12th pass
Occupation - Study
Income - 15000/-per month
Diagnosis - Bronchitis
Address - Near of Dindayal garden street no.5 ghadi chowk
Date of care started - 20/9/2023
Date of care ended - 27/9/2023
Chief complaints - My client complaint is fever, feeling fullness of
chest, runny nose, shortness of breath.

HEALTH HISTORY
 Past medical –. My patient had no any past medical history
 Past surgical history- My patient had no any past surgical history

FUNCTIONAL HEALTH HISTORY:-

HEALTH PERCEPTION- HEALTH MANAGEMENT PATTERN:-

 Present medical history–My client came to hospital with the complain of shortness of breath,
fever, runny nose, feeling fullness of chest.
 Present surgical history-.My patient has no any present surgical history.
NUTRITIONAL- METABOLIC PATTERN:-

 Non-.Vegetarian : My client is taking non vegetarian diet. He is taking 3-4gm sodium daily and
now patient weight is 65 kg. And while eating sometimes feels shortness of breath
  No. of meals per day : Normally 3 times take meal per day and taken oily food
 Any allergic to any food items: No any allergy.

ELIMINATION PATTERN:-

 Bowel pattern- he had normal regular bowel pattern. Patient feet or ankle not having swelling and
never strain to have a bowel movement.
 Bladder pattern- he had normal urine pattern.

ACTIVITY-EXCERCISE:-

 Patient activities of daily living or exercise limited because of his disease condition before one week
patient was able to perform usual activities and he feels discomforts while exercise usually patient
was doing 20 min. Exercise daily.

SLEEP-REST PATTERN:-

 patient had insomnia during night and in day time due to breathlessness .Patient use one pillows to
sleep at night, sometimes wake up at night and feel as he cannot breath, patient not feels sleep apnea
and 2-3 times a night he wake up to urinate.

COGNITIVE-PERCEPTION PATTERN:-

 Hearing acquity is normal, vision acquity is normal and patient experience dizziness and have chest
pain.

SELF PERCEPTION- SELF CONCEPT PATTERN:-

 Patient has anxiety as he diagnosed as pleural effusion

ROLE- RELATION PATTERN:-

 Family health history:- my client Mr. Suraj Singh was suffer from Bronchitis disease and my
client’s other family member are healthy, No any history of hereditary disease like systemic illness
(DM, hypertension, asthma, convulsion, malignancies), communicable disease, psychiatric disease,
cardiovascular disease and congenital disorders. This illness not affected role that he play in daily
life.

FAMILY HISTORY

 Family health history-No family history of hereditary disease like systemic illness etc.
  Pedigree chart- key points-

Patient

Female

Male

Male (Death)

Female(Death)

FAMILY COMPOSITION:-

Name of the Relationship Age/ Educational Occupational Marital Health

Family Member with Patient Sex Status Status Status Status
Mr.Ved Singh Father 38yr/M 5th pass Farmer Married Good
Mrs. Juhi Singh Mother 35yr/Fe 5th pass Housewife Married Good
Suraj Singh Patient 16yr/M 12th pass Study Unmarried Poor
Trisha Singh Sister 14yr/Fe 10th pass Study Unmarried Good

SEXUALITY- REPRODUCTIVE PATTERN:-

 There is no specific problems noticed, no history of sexually transmitted diseases.

COPING-STRESS TOLERANCE PATTERN:-

 Patient is cooperative with the treatment and nursing care he has anxiety and stress due to his illness
he take mind divisional technique to divert mind.

VALUES-BELIEF PATTERN:-

 He is believe in god and he is belonging to Muslim religion he is go to temple on vocation.

SOCIOECONOMIC STATUS:
  Social factors –Mr.Suraj singh relationship with other is good. My client belong from Nuclear
family, live in his own pakka house, with proper facilities of – water, ventilation, electricity is
properly supply, drainage, waste disposal, latrine, clinic, health centers is not available nearer to the
client house, market, temple, school and transportation near the house, hospital is not available
nearer to the clients house.

 Economic factors- Client family income is Rs. 15,000/- month and she belongs to middle class
family

PHYSICAL EXAMINATION

GENERAL APPERANCE
 Level of consciousness: Conscious.
 Orientation: Oriented to place/time and person.
 Activity: Dull
 Body built: Normal.
 General grooming: Clean and appropriate.
 Position/posturing: Posture and position is normal
 Facial expression: Facial expression is anxious.
 Other observations: Look’s dull/tense.

VITAL SIGN
 Temperature:- 100.4°F
 Pulse:- 90 beat/minute
 Respiration:- 28breath/minute
 BP:- 110/80 mmHg
 SPO2 :- 93%

SKIN INSPECTION AND PALPATION

 Colour and vascularity: He is fair; pale colour is present and no any Abnormalities all over the
body.
 Turgor and mobility: Skin elasticity normal and able to move.
 Temperature and moisture: Skin are warm and dry over all body and other abnormalities absent.
 Nails: Pink.
 Nails beds and lunulae: Nail beds are pale and other abnormalities of nail are absent in my client.
 Body hair growth: Colour is brown and black thin.
 Skin integrity: No any type of abnormalities.

HEAD INSPECTION AND PALPATION

 Shape: Round shape and other abnormality and disorder are absent.
 Face: Sound
 Facial: Facial expression is anxious.
 Hair: Normal hair in all over the body and other abnormalities hair are absent in my patient.
  Condition of scalp: Dandruff is absent.
 Messes and lumps: Masses and lump is absent.
 Facial puffiness: No facial puffiness.

EYES INSPECTION AND PALPATION

 Eyebrows: Normal and other abnormalities are absent in my client.
 Eyelashes: Normal but short and other abnormalities are absent.
 Eyelids: Close simultaneously and other abnormalities are absent.
 Shape and appearance: Normal in shape and other abnormalities are absent.
 Sclera: White and other abnormalities absent in my client.
 Conjunctiva- Pale pink.
 Iris: Normal.
 Cornea: Clear and other abnormalities milky, Opaque, and cloudy cornea are absent in my client.
 Pupils: Equal pupil size and round shape and other abnormalities are absent.
 Lacrimal glands: Tearing is present and other abnormalities are absent in my client.
 Visual field & vision: Normal.
 Use of glasses: No uses contact lens or glasses.

EARS INSPECTION AND PALPATION

 Pinna: Pinna shape are oval and other abnormalities pinna irregular ear are absent in my client.
 Level in relation to eyes: Top of pinna level with outer canthus of the eye.
 Canal: Ear canal is clean and other abnormalities discharge, redness and foreign body are absent in
my client.
 Cilia: Present.
 Cerumen: Present.
 Tympanic membrane: Pearly white and no any inflamed, cone of light, land mark, scarring,
bubbles and fluid is present in my client.
 Hearing : Normal
 Tuning folk test: Normal hearing
 Hearing aids : No

NOSE AND SINUSES INSPECTION AND PALPATION

 Size and shape: Small and shape is nares symmetrical and other abnormalities are absent in my
patient.
 Nasal septum: Nasal septum normal located in midline and no perforation seen in nasal septum.
 Nasal mucosa and turbinate: Nasal mucosa is wet, redness is present.
 Nasal cavity- right nasal cavity is normal, but in left nasal cavity excessive discharge is present.
 Patency of nares: Obstruction and any abnormality is absent.
 Olfactory : Normal
 Sinuses: Inflammation and tenderness is present.
MOUTH AND PHARYNX INSPECTION
 Lips: colour-Dry.
 Teeth: Yellowish and other abnormalities are absent in my client.
 Dental caries and fillings: No dental caries present
 Dental hygiene: Dental hygiene is good.
 Breathe odour: Bad odour, odour of food or drug are present in client.
 Gums: Colour is pink, moist gum and sensitivity is present. Bleeding gums present and other
abnormalities are absent in my client.
 Facial and gloss pharyngeal : Normal
 Tongue: Pink colour and dry tongue
 Hypoglossal: Normal
 Mucosa: Intact and dry. No any lesion, leukoplakia and masses are present in my client.
 Palate: Moist and no any other abnormalities dry palate and color changes are absent in my client.
 Uvula: Normal
 Pharynx: No seen any type of dysphasia.
 Tonsils: Normal tonsil present.
 Temporomandibular joint: Fully mobile symmetrical joint.

NECK INSPECTION AND PALPATION

 Appearance: Symmetrical.
 Thyroid:- Normal/palpable.
 Trachea: Trachea present in midline.
 Lymph nodes: Normal.

CHEST
 Shape and size- Symmetrical, lesion, shiny and scar are absent.
 Respiratory rate – 28 b/m Normal and irregular
 Thoracic cage shape –No barrel chest shape is normal shape.
 Skin colour and condition – Normal
 Breathe sound – wheezing sound present.
 Movement of chest wall-Normal
 Palpation: - Tenderness is absent
 Percussion: Resonance sound presents no fluid collection.
 Lung auscultation –Wheezing sound present
 Heart rate: normal S1,S2 sound heared, pulse rate is 90 b/m and blood pressure is 110/80 mmHg,
S3, S4 is absent

ABDOMINAL EXAMINATION
 Enlargement : Abdominal distension is absent
 Contour: Normal.
 Skin : Not intact
 Pain and tenderness: No pain.
  Fluid collection is absent.
 Bowel sound present.

EXTREMITIES
 Back: Normal shoulder level but pain is present and not any abnormalities.
 Vertebral column alignment: Straight no any abnormalities.
 Joints: Deformities are absent.
 Range of motion: Normal.
 Extremities: Symmetrical and dry extremities. No any variation, clammy and flabby extremities are
absent.
 Lower extremities: Normal.

GENITALIA AND RECTUM

 Rectum: Normal
 male genitalia: Normal
 Urine output – Normal

INFERENCE

My client came to hospital with the complain of shortness of breath, fever, runny nose, feeling fullness of
chest his general appearance is, he is conscious, look anxious his body temperature is 100 °F and 93%
SPO2,respiration is 28b/m nasal mucosa is wet and redness is present, lips is dry and wheezing breath sound
is present.

INVESTIGATION:-
 DATE INVESTIGATION NORMAL VALUE PATIENT REMARK
VALUE
20/9/2023 Haemoglobin 13-18g/dl 12g/dl Decreased

Red blood cell 4.5-5.6 million/µl 5.2 million/µl Normal

count

Packed cell volume 40-54% 48% Normal

Mean Carpuscular 27-32 pg 30pg Normal

haemoglobin

Platlet count 1.50-4.00Thous 3 thousand/µl Normal

and/µl
Totl leukocyte 4.0-10.0 17.0 Increased
count Thousand/cumm Thousand/cumm

Differential count 40-75 % 80% Increased

Neutrophils

Lymphocyte 20-45% 48% Increased

Monocyte 2-10 % 8% Normal

C Reactive Protein 0-6 mg/L 45 mg/L Increased

 CHEST X-RAY A/P-Increased retrosternal airspace on the lateral radiograph

 Name of the Dose Route/ Mechanism of Indication Contraindication Side Effect Nurse’s
Drug frequency action Responsibility
Inj-Augmentin 500 IV/ BD Bind to bacterial cell - Intra abdominal - Liver problem, Headache, nausea -Obtain history
wall, causing cell infection. hemolytic anemia, vomiting. before initiating
mg/
death. clavulanate gallbladder Rashes, dizziness, therapy to
100 resist action of beta - respiratory tract disease, renal nausea, vomiting determine previous
lactamase, an infection impairment. use or reactions to
ml
enzyme produced by penicillin or
- Skin and skin
bacteria that is cephalosporins.
structure
capable of
- Patient with -elderly patient
inactivating some - known allergy to receiving prolong
penicillin
the amoxicillin treatment are at
group of increase risk for
antibiotics. hepatic
dysfunction

Tab 10 Oral/OD Used to control and - Esophagitis Numbness, GI- abdominal For asthma,
prevent symptoms associated with tingling sensation, pain, diarrhea, administer once
Montelukast mg
caused by asthma. Is GERD. sinus - hyperglycemia daily in the
also used to relieve pain/swelling,
- Decrease relapse evening. for
symptoms of hey muscle weakness
fever and allergic rates of day time allergic rhinitis,
rhinitis and night time may be
heartburn. administered at
- To treat any time of day.
syndromes caused
by lots of stomach
acid
 Name of the Dose Route Freq. Mechanism of action Indication Contra- Side Effect Nurse’s
Drug Indication Responsibility
Inj. 500m IV BD Replace endogenous Management of Liver disease, Depression, Head-to-toe
cortisol in deficiency adrenocortical kidney disease, headache, dizziness, patient
Hydrocortisone g
state insufficiency heart rhythm diarrhea, assessments for
disorder, constipation, rash, potential side
pregnancy and itching, mouth effects.
hypersensitivity. sores.
Laboratory
monitoring
should be done.
Inj. Pantoprazole 40mg IV BD Bind to an enzyme in - Esophagitis Hypersensitivity, GI- GI bleeding, -Assess arthritic
the presence of acidic associated with lactation, abdominal Pain pain and
gastric PH, preventing GERD. pediatric EENT-tinnitus limitation of
the final transport of
- Decrease GU – acute renal movement before
hydrogen ion into the
gastric lumen relapse rates of failure and periodically
day time and during therapy
night time
heartburn. -Assess pain and
limitation of
- To treat movement,note
syndromes type,location,and
caused by lots of intensity
stomach acid beforeand 30-60
min after
administration
 DOROTHEA OREM: SELF-CARE DEFICIT THEORY

Dorothea Orem is a nurse theorist who pioneered the Self-Care Deficit Nursing Theory. Get to know
Orem’s biography and works, including a discussion about the major concepts, subconcepts, nursing
metaparadigm, and application of Self- Care Deficit Theory.

In 1971, Orem’s career as an author began with the publication of her book, Nursing: Concepts in Practice
(now in its sixth edition). This book was the original foundation for her theory of self-care, a concept that
is still taught in nursing colleges to this day.

This broad theory she defined as “the act of assisting others in the provision and management of self-care
to maintain or improve human functioning at home level of effectiveness.” Orem’s theory focuses on each
individual and “the practice of activities that individuals initiate and perform on their own behalf in
maintaining life, health, and well-being.”

Orem’s Theory of Nursing

There are three parts to Orem’s general theory of nursing:

 The theory of self-care, which focuses on the performance or practice of activities that individuals
perform on their own behalf. Those might be actions to maintain one’s life and life functioning, develop
oneself or correct a health deviation or condition.
 The theory of self-care deficit, which defines when nursing is needed because a person is limited or
incapable of providing self-care and needs help.
 The theory of nursing system, which focuses on the relationship between a nurse and a client and the
wholly or partial compensatory nursing system and supportive-educative system that takes place between
nurse and a person.
 Self-Care Theory
 Dorothea Orem’s Self-Care Deficit Theory focuses on each “individual’s ability to perform self-care,
defined as ‘the practice of activities that individuals initiate and perform on their own behalf in
maintaining life, health, and well-being.'” The Self-Care or Self-Care Deficit Theory of Nursing is
composed of three interrelated theories: (1) the theory of self-care, (2) the self-care deficit theory, and
(3) the theory of nursing systems, which is further classified into wholly compensatory, partially
compensatory and supportive-educative.
 Major Concepts of the Self-Care Deficit Theory
 In this section are the definitions of the major concepts of Dorothea Orem’s Self-Care Deficit Theory:
 Nursing
 Nursing is an art through which the practitioner of nursing gives specialized assistance to persons with
disabilities, making more than ordinary assistance necessary to meet self-care needs. The nurse also
intelligently participates in the medical care the individual receives from the physician.
 Humans
 Humans are defined as “men, women, and children cared for either singly or as social units” and are the
“material object” of nurses and others who provide direct care.
 Environment
 The environment has physical, chemical, and biological features. It includes the family, culture, and
community.
 Health
 Health is “being structurally and functionally whole or sound.” Also, health is a state that encompasses
both the health of individuals and groups, and human health is the ability to reflect on oneself, symbolize
experience, and communicate with others.
 Self-Care
 Self-care is the performance or practice of activities that individuals initiate and perform on their own
behalf to maintain life, health, and well-being.
 Self-Care Agency


 Orem’s Self-Care Theory: Interrelationship among concepts. Click to enlarge.

 Self-care agency is the human’s ability or power to engage in self-care and is affected by basic
conditioning factors.
 Basic Conditioning Factors
 Basic conditioning factors are age, gender, developmental state, health state, socio-cultural orientation,
health care system factors, family system factors, patterns of living, environmental factors, and resource
adequacy and availability.
 Therapeutic Self-Care Demand
APPLICATION

Mother, father,sister,
cousin

Perform self care able Nurses, nurse leader

to do daily routine
work

Application of orem’s theory

Society- Mother,father,sister,cousin

Agency-Nurses,nurses leader

Patient agency- Perform self care able to do daily routine work

NURSING DIAGNOSIS

1. Acute pain related to coughing as evidence by patient verbalization & patient facial expression.

2. Altered thermoregulation related to infection as evidence by checking vital sign

3. Ineffective airway clearance related to increased sputum production as evidence by pain and
discomfort, planned treatment modalities.

4. Risk for spread of infection related to compromised lung defense system as evidence by inadequate
food intake.
5. Risk for pulmonary infection related to respiratory tube infection as evidence by self assessment
6. Impaired communication related to shortness of breath as evidence by communicating with the
patient
7. Lack of health awareness related to disease and treatment process as evidence by questioning
answering
sment Nursing Goal Planning Implementation Rationale Evalu
diagnosis
ctive Acute pain Relief To assess the patient pain Assessment the level of pain To know the At the
related to from level is to be done patient of my
coughing as pain. condition patien
nt evidence by relief
lain that patient Teach patient to gargle with Gargle with salt water by the Helps to pain
l pain in verbalization salt water atleast thrice a day patient is to be done promote absorv
roat & patient healing facial
facial expres
expression. Teach to patient to take warm Warm drinks for drinking is Helps to throug
drinks for drinking done it helps to reduce the reduce the use of
episode of cough episode of scale=
cough
Semisolid diet given
ctive Meals that are appealing and For easily
Give analgesic drug to relief appetizing to the patient are swallowing
from pain provided and digestion
vation I
that Analgesic drug tablet
t has Paracetamol 500 mg BD
n his according to physician Helps to
by prescription given reduce pain

ssion
Assessment Nursing Goal Planning Implementation Rationale
diagnosis

Subjective Altered Maintain Check the patient vital Vital sign monitoring has to Vital sign checking
data thermoregul body sign be done temperature=100.4 help to identify the
Patient ation related temperat Pulse=90 beat/min Patient condition
complain that to infection ure Respiration=28 breath/min
he feel as evidence Blood pressure=130/80
hotness in his by checking
body vital sign To maintain room Put on the fan of the room Help to maintain the
temperature room temperature

Objective data
On remove extra cloth Removing extra cloth from Help to decrease patien
observation I the patient body has to be body temperature
found that done
patient has
fever by sponging with normal Sponging with normal water Help to reduce patient
checking vital water has to be done body temperature
sign

antipyretic drug to be Tablet paracetamol 500 mg Antipyretic helps to

administer has to be given maintain body
temperature
Assessment Nursing Goal Planning Implementation Rationale E
diagnosis
Subjective Ineffective Maintain Monitor vital sign of the Monitoring vital sign is to These data will help in A
data airway patent patient be done initiating nursing o
Patient clearance airway Temperature=100.4 action and subsequent p
complain related to Pulse = 90 beat/minute treatment a
that he not to increased Respiration=28 breath/min t
take breath sputum Blood pressure=120/80 m
properly production R
as evidence
by Change patient position Positioning every 2 hourly Adequate fluid intake
breathing has to be done Help to thin the
difficulty secretion

Advice to the patient At least 3-4 liter water Helps to clear the
Objective Increase fluid intake intake in a day has to be airway
data done
On
observation
I found that Teach to patient about Teaching about coughing Helps to loosen the
patient has Coughing exercise exercise is to be done thick secretion and
breathing enable them to
difficulty expectorate easily

Administer nebulization Neb. Budecort/duoline Respule

every 3 hourly by physician budecort/duoline help
prescription is done to smoothen the
respiratory tract
Assessment Nursing Goal Planning Implementation Ration
diagnosis
Subjective Risk for Reduce Assess the general condition Assess patient general To get
data spread of the risk of of the patient condition about hygiene, sufficie
Patient infection infection comfortable knowle
complain that related to about p
he had no compromised Teach patient to take healthy Plan patient diet like high Health
knowledge lung defense diet protein diet, warm drinks for help to
about this system as drinking -up imm
disease evidence by
inadequate Teach patient to maintain Personal hygiene like bathing Person
food intake. personal hygiene regularly, maintain oral hygien
hygiene properly to prev
from
infectio

Objective data Maintain hygiene during Providing hygienic care Hygien

performing procedure during nebulization, help to
On medication administration preven
observation I infectio
found patient
had lack of Collect sputum smear before Sputum smear Sample Sputum
knowledge antibiotic administration collection is done culture
about the detect g
disease by positiv
questioning gram-
answering negativ
bacteri
NURSES RECORD-
Name- Mr. Suraj singh
Age/sex- 16yr/ m
Diagnosis- Bronchitis

DATE AND MEDICATION INTAKE VITAL SIGNS NURSES NOTES

TIME /OUTPUT
T P R BP O2%
20/9/2023 Inj. Augmentin 2400/2200 100.4 90 28b 110/80 98%  Assess the vital sign
500 mg/100 ml F Beat/ brea mmHg On  Cold sponging give
Inj. Pantoprazole min th/ O2 2  Maintain Ventilatio
40 mg BD min Lit  Provide Warm drin
Inj. water
Hydrocortisone  Remove extra cloth
500 mg  Administer drug,
Tab.montelukaste
10 mg OD

21/9/2023 Inj. Augmentin 2400/2300 98.8° 88 26 110/70 99%  Advice Gargle with
500 mg/100 ml F b/m b/m mm/H On 1 water
Inj. Pantoprazole g Lit O2  Advice take Warm
40 mg BD  Meals that are appe
Inj. and appetizing
Hydrocortisone  Administer Analges
500 mg
Tab.montelukaste
10 mg OD

22/07/2022 Inj. Augmentin 2400/2200 98.4° 84 20 110/80 99%  Assess patient gene
500 mg/100 ml F b/m b/m mm/H On ½ condition about hyg
Inj. Pantoprazole g lit O2 comfortable
40 mg BD
Inj.  Plan patient diet lik
Hydrocortisone protein diet, warm d
500 mg for drinking
Tab.montelukaste
10 mg OD  Personal hygiene li
bathing regularly, m
oral hygiene proper
 Providing hygienic
during nebulization
medication adminis
HEALTH EDUCATION

DISEASE CONDITION-

 Instruct patients with BRONCHITIS to seek medical care for evaluation of new symptoms, including
fever.
 Advise them regarding their heightened risks for infection.

MEDICATION

 Advice the client to take proper medicines as ordered by physician.

HYGIENE

 Advised the client maintain personal hygiene.

 Advised the client for take daily bath.
 Advised the client to gargle.
 Advised the client to change cloth daily.

REST AND SLEEP

 Advised the client for proper take rest and sleep.

DIET

 Consume a diet high in vegetables, fruits, whole grains, low-fat dairy products
 To reduce intake of sweets, sugar-added beverages.
 Limit saturated fat to 5-6% of calories. Reduce trans-fats. Consume no more than 2,400 mg/day of
sodium.

EXERCISE
 Advised the client daily do exercise.
 Advised the client to do relaxation therapy.

FOLLOW UP

 Educate the patient follow up

BIBLIOGRAPHY

1. George Reena.Text Book Of Cardiac Nursing:First Edition.New Delhi:Jaypee

Brother Medical Publisher (P) Ltd;2017.Page No. 229.

2. Hariprasath P.Text Book Of Cardiovascular And thoracic Nursing: New Delhi:

Published By Jaypee Brother Medical Publishers (P) Ltd;Page No.302-302.

3. Janice L. Hinkle Kerry. H, Cheever Brunner And Suddarth’s. Text Book Of Medical

Surgical Nursi 1ng: 12th Edition. Volume 2. New Delhi: Published By Wolters

Kluwer (India) Pvt.Ltd; Page No.554-559.

4. Linda P.Urden, Kathleen m,stacy,Mary E,Lough.Prioriries In Critical Care

Nursing:7th Edition.Canada:Elsevier INC;Page No-256-257.

5. Venkatesan B.Text Book Of cardiothoracic Nursing:First Edition.New Delhi:Jaypee

Brother Medical Publisher (P) Ltd; 2017. Page No-223.

 SRI SATHYA SAI SANJEEVANI INSTITUTE OF
NURSING AND ALLIED HEALTHCARE SCIENCES,
ATAL NAGAR, RAIPUR (C.G)

CARE PLAN ON

bronchitis

SUBMITTED TO SUBMITTED BY

MRS. JAYA DHIWAR BHUPENDRA

SAHU

ASSOCIATE PROF. MSN MSC (N) 2 nd

YEAR