NURSING CARE PLAN

ASSESSMEN DIAGNOSIS PLANNING INTERVENTIONS EVALUATION

T & RATIONALE

SUBJECTIVE: “ Ineffective After 8 hours -Monitor vital -goals

“ Ubo sya ng breathing of nursing signs to serve partially met.
ubo at di pattern interventions as a baseline -After 8
makahinga related to , the patients data. hours of
ng maayos” painful/ineffec breathing -Avoidance of nursing
as verbalized tive cough” pattern will irritants; interventions
by the be improve smoking, , the patients
mother allergens, and breathing
industrial pattern was
chemicals to improved.
prevent further
irritation.
-Increased fluid
intake to thin
mucus and
make it easier
to expectorate.
-Deep
breathing
exercise to
improve air
circulation and
breathing.
- Positioning to
facilitate
breathing
( Fowler’s or
orthopneic)
-Providing
adequate
nutrition via
small, frequent
meals to meet
nutritional
requirements
and to avoid
suffocation.
-Avoidance of
extremes of
heat and cold
to avoid further
cough.
Interdependent:
-Use of meds:
bronchodilators
, expectorants
and liquefying
agents as
indicated to
thin mucus and
easy to
expectorate.
-cautious use of
oxygen as
indicated
because it
could suppress
respiratory
drive.