Client: Patient A

Care Plan by: Jose Emmanuel Ruivivar, RN

Date initiated: 26/10/2021
ASSESSMENT DIAGNOSIS OUTCOMES INTERVENTIONS RATIONALE EVALUATION
Subjective data: ● Impaired The patient will be able ● Note the quality, ● As patients The patient will be
gas to: after 8 hours of pace, rhythm, alter their able to: after 8 hours
● According to
exchange nurse-patient depth, usage of behaviors to of nurse-patient
the patient, he
results in interventions: auxiliary muscle, promote interventions:
"finds it
mucus ease, and position adequate gas
difficult to ● Sustain ● Sustain
taken for easy exchange, the
breathe." accumulatio optimum gas optimum gas
breathing while indications of
n in the exchange as exchange as
Objective date: assessing respiratory
airways. seen by good seen by good
respirations. distress are
● diaphoresis mental state, mental state,
● Encourage frequent reliant on/and
● shortness of unlabored unlabored
position changes, symptomatic of
breathe respirations, respirations,
deep breathing, and the degree of
● heart rate- 95 and normal and normal
productive lung
bpm oximetry oximetry
coughing by involvement
● chest pain values. values.
elevating the head. and underlying
● Various general health ● Various
approaches for state. approaches
improving gas for improving
● These
exchange gas exchange
approaches
encourage
maximal chest
expansion,
secretion
mobilization,
and ventilation
improvement.