NURSING CARE PLAN

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION

Subjective: • Actvity • Coughing is • After 4 hours Independent: • After 4 hours
intolerance the body's of nursing • Evaluate • Establishes of nursing
“Hindi ako related to way of interventions patient’s patient’s interventions
makatulog exhaustion removing , the patient response to capabilities , the patient
dahil sa ubo associated will activity. or needs and was able to
foreign
ko” as with demonstrate facilitates demonstrate
material or
verbalized by interruption a choice of a
the patient. in usual mucous from
measurable interventions measurable
sleep pattern the lungs increase in • Provide a • Reduces increase in
Objective: because of and throat. tolerance in quiet stress and tolerance in
discomfort, The two activity with environment excess activity with
• Fatigue. excessive general absence of and limit stimulation, absence of
coughing classification dyspnea and visitors during promoting dyspnea and
• Dyspnea. and s of cough excessive acute phase. rest. excessive
dyspnea. are fatigue. • Elevate head • These fatigue.
• V/S taken productive and measures
as follows: coughs encourage promotes
(producing frequent maximal
T: 37.7 phlegm or position inspiration,
P: 90 changes, deep enhance
mucous from
R: 22 breathing and expectoratio
BP: 110/80 the lungs) effective n of
and coughing. secretions to
nonproductiv improve
e coughs ventilation.
(dry and not • Encourage • Facilitates
producing adequate rest healing
any mucous balanced with process and
or phlegm). moderate enhances
Coughs are activity. natural
also divided Promote resistance.
into acute adequate
nutritional
(less than 3
intake.
weeks'
duration)
and chronic • Force fluids to • Fluids
(more than at least 3000 ml especially
per day and warm liquids
three weeks'
offer warm, aid in
duration). rather than cold mobilization
Acute cough fluids. and
is most often expectoration
caused by of secretions.
the common Collaborative:
• Administer • Aids in
viral upper
medications as reduction of
respiratory bronchospas
prescribe:
tract mucolytics or m and
infection. expectorants. mobilization
Chronic of secretions.
cough may
be caused
by a variety
of underlying
diseases
including
asthma,
cystic
fibrosis,
allergies,
GERD and
chronic post
nasal drip.