DATE ASSESSMENT NEED NURSING BACKGROUND OBJECTIVES NURSING EVALUATION

CUES DIAGNOSIS KNOWLEDGE ACTIONS

02-22-18
Subjective: Inability to Ineffective At the end of 2 - Independent: Goal met. Patient
“katung sa C provide a Breathing Pattern: days respiratory rate is
herbal ma’am? O home Inspiration and/or community 1. Assess and record 20 within normal
”, as verbalized G environment expiration that does exposure, the respiratory rate and range and was
by one of the N conducive to not provide community will depth. The average able to
purok residents I health adequate ventilation. be able to rate of respiration for demonstrated
during core T maintenance integrate with adults is 10 to 20 lung expansion
group. I or It is considered the community breaths per minute. and reported
V management the state in which the organizers in It is important to take feeling rested.
E and personal rate, depth, timing, starting a plan action when there is
development and rhythm, or on herbal an alteration in the
related to pattern of breathing preparation and pattern of breathing
inadequate is altered. When the gardening: to detect early signs
knowledge of breathing pattern is of respiratory
Objective: preventive ineffective, the body Specifically, the compromise.
measures or is most likely not purok residents
 7 out of 48 immediate getting enough will: 2. Observe for
households N management oxygen to the cells. 1. Identify breathing patterns.
surveyed E due to lack of ways to how Unusual patterns
have herbal E herbal or Having a clear impart may imply and
garden D medicinal and effective airway something underlying disease
S garden is vital in patient in herbal or dysfunction.
care. Appropriate preparation
management for and 3. Auscultate
patients with gardening. breaths sounds at
oxygenation 2. Make a plan least every 2 hours.
difficulties are to This to detect
sustain or enhance 3. Participate decreased or
pulmonary in the adventitious breath
ventilation and designed/ sounds.
oxygenation, planned 4. Assess for use of
promote comfort and activities accessory muscle.
ease of breathing. 4. Work of breathing
2. Attend increases greatly as
(NANDA 14th Ed.) lung compliance
decreases.

5. Utilize pulse
oximetry to check
oxygen saturation
and pulse rate.

6. Provide
respiratory
medications and
oxygen per doctor’s
orders. This will relax
airway smooth
muscles and cause
bronchodilation to
open air passages.

7. Avail a fan in the

room. Moving air can
decrease feelings of
air hunger.

8. Encourage
frequent rest periods
and teach patient to
pace activity. Extra
activity can worsen
shortness of breath.