NCP Dob

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ASSESSMENT

Subjective:
Hindi ako makahinga
ng maayos dahil
masakit ang dibdib ko
as verbalized by the
patient.
Objective:

Observed to the
patient his
difficulty of
breathing
Shortness of
breath
Prolonged
expiration
V/S as follows:
o BP130/80
mmhg
o PR- 80
bpm
o RR-30
cpm
o Temp.36.1C

DIAGNOSIS
Ineffective breathing
pattern related to
difficulty of breathing
as manifested by
prolonged expiration
phases than
inspiration.

PLANNING
After 4 hours of
nursing interventions,

the patient will able


to do coping
mechanisms to
improve his
breathing pattern.

INTERVENTION
Assess for
concomitant
pain and
discomfort that
may restrict
limit respiratory
effort

Encourage the
patient position
of comfort of by
elevating the
head of the bed
or have client to
sit up in chair
Encourage
slower/deeper
respirations

Administer
oxygen at
lowest
concentration in
indicated

RATIONALE
Ineffective

breathing
pattern may
also occur
when the
patient is
experiencing
pain located in
the chest
To promote
physiologic
ease of
maximal
inspiration

use purse lip


technique, to
assist client in
taking control
of the
situation
To help patient
in breathing

EVALUATION
The patient was able
to do coping
mechanisms to
improve his
breathing pattern
after 4 hours of
nursing intervention.

Ivy Mary Grace C. Tanguilig


SN-UCU

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