8/9/2019 Pneumonia N C P BY BHERU LAL

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NURSING CARE PLAN-1

Patient Name: - Rab Dino S/O Mola Bux Age: 50Y Sex:MaleWard No: 12Bed No: 12 Marital Status: MarriedMedical Diagnoses: Pneumonia: SAKRAND OCCUPATION: Farmer Date: 19--03-2007

Reference:

Carpenito. L .J. (1995). Nursing Diagnosis (6th Ed.), New Jersey J.B.Lippincott Company.Student name: Akbar Ali Arain Discipline B.Sc. N-1(2007-9)

ASSESSMENT

NURSINGDIAGNOSIS

PLANNING INTERVENTION SCIENTIFIC RATIONALE EVALUATION

SUBJECTIVE:I dont knowwhymy babys feetare likethis) asverbalizedby patient.

OBJECTIVE:

Use of accessorymuscle.

Dyspnea

Fatigue.

V/S takenas follows:

T: 37.3P: 80R: 25Bp: 120/80

Acute pain

r/tlocalizedinflammationandpersistentcough.

After 4 hours

of nursinginterventions, the patientwill displaypatentairway withbreathsoundsclearing andabsence ofdyspnea.

1. Elevate head of the bed,

change position frequently.

2. Assist patient with deepbreathing exercises.

3. Demonstrate or help patientlearn to perform activity likesplinting chest and effectivecoughing while in uprightposition.

4. Force fluids to at least 3000ml per day and offer warm,rather than cold fluids.

1. Lowers diaphragm,

promoting chest expansionAnd expectoration ofsecretions.

2. Deep breathing facilitatesmaximum expansion of thelungs and smaller airways.

3. Coughing is a natural selfcleaning mechanism.Splinting reduces chestdiscomfort, and an uprightposition favors deeper, more

forceful cough effort.4. Fluids especially warmliquids aid in mobilizationand expectoration of secretions.

After 4

hours ofnursinginterventions, thepatient wasable todisplaypatentairway withbreathsounds

clearing andabsence ofdyspnea.