CANAPI, ANGELICA A.

BSN3A

ACTIVITY 1

Instruction:

1. Watch the short story and answer the questions being asked.

2. Put your output in a short bond paper using Tahoma font size 9, single space, and a .5 border on all sides.

3. Submit your output next week (October 26, 2021).

Questions (5pts. each)

1. Give your thoughts and ideas on how to help the patient to have a good quality of life.

Base to my thougths and ideas on how to help tge patient to have a good quality of life are the ,treatment with oxygen may help you
live a better life. When you have severe COPD and low oxygen levels, it can help you live longer. You may feel more energized and
have less shortness of breath. Then you will be able to breathe easily. For some people, using oxygen during exercise can help them
improve their performance and lessen their shortness of breath. According to my research however, there are no studies that suggest
that consuming oxygen during exercise has any long-term benefits. Breathing naturally slows down during sleep since the body doesn't
require as much oxygen. People with COPD are more likely to have sleep-related respiratory difficulties, and many will have very low
blood oxygen levels while sleeping.

2. Formulate at least 3 Priority nursing care plans based on your observation.

ASSESSMENT NURSING PLANNING INTERVENTIONS RATIONALE EVALUATION

DIAGNOSIS

Subjective: Impaired gas After 8hours of Independent: Goal met.

“My child couldn’t exchange related nursing Elevetated head of bed/ To maintain airway. After 8hours of
breath” as to ventilations interventions the position client nursing
verbalized by the perfusions paient will able to appropriately, provide interventions the
patients mother. imbalance. demonstrate airway adjunts and paient was able to
improved suction as indicated. demonstrate
Objective: ventilation and improved
-Rate,rhythm and adequate Encouraged frequent ventilation and
depth of breathing oxygenation of deep breathing Promotes optimal adequate
is abnormal. tissues by HBGs /coughing exercise. chest expansion oxygenation of
-Wheezing within normal and drainage of tissues by HBGs
-Use accessory limits. secretions. within normal
muscles limits.

Auscultated breath
sounds noting Reveals presence of
crackles,wheezes. pulmonary
congestion/
collection of
secretion,
indicating need for
further
intervension.

Collaborative:
Assisted with
procedures as To improve
individually indicated respiratory
(e.q, function/oxygen-
transfusion,phlebotomy, carrying capacity
 bronchoscopy.)

ASSESSMENT NURSING PLANNING INTERVENTIONS RATIONALE EVALUATION

DIAGNOSIS

Subjective: Ineffective After 3 days of Independent: After 3 days of

“Couldn’t breath”as clearance related to nursing Auscultate breath Some degree of nursing
verbalized by the increased interventions , the sounds. Note bronchospasm is interventions , the
mother of the production of patient will adventitious breath present with patient was able to
patient. secretions. demonstrate sounds like obstructions in demonstrate
behaviours to wheezes, rhonchi airway and may not behaviors to
improve airway and crackles. be manifested in improve airway
clearance. adventitious breath clearance.
Objective:
Abnormal breath sounds.
sounds

Elevate head of the Elevation of the bed

bed ,have patient facilitates
lean on overbed respiratory function
table or sit on egde by use of gravity.
of the bed.

Keep environmental Precipitators of

pollution to a allergic type of
minimum like dust, respiratory
smoke, and feather reactions that can
pillows, according trigger or
to individual exacerbate onset of
situation. acute episodes.

Encourage or assist Provides patient

with measures to with some means to
improve cope with or control
effectiveness of dysnea and reduce
cough effort. air tapping.

Assist patient with Coughing is most

measures to effective in an
improve upright position
effectiveness of after chest
cough effort. percussion.

Increased fluid Hydration helps

intake to 3000 decrease the
ml/day. Provide viscosity of
warm or tepid secretions,
liquids. facilitating
expectoration.
Using warm liquids
may decrease
brochopasm.
 Collaborative: To reduce the
Admininister viscosity of
bronchodilators as secretions.
prescribe.

ASSESSMENT NURSING PLANNING INTERVENTIONS RATIONALE EVALUATION

DIAGNOSIS
Subjective: Anxiety related to After 8hours of Monitor vital signs To identify physical After 8hours of
“When I first told I threat or change in nursing (e.g. rapid or responses nursing
needed oxygen I health status. interventions, the irregular pulse, associated with interventions, the
got a bit worried” patient will appear rapid breathing. both medical and patient appeared
as verbalized by the relaxed and the emotional condition. relaxed and the
patient. level of anxiety will level of anxiety will
reduced to a reduced to a
manageable level. manageable level.
Use present ,touch, Being supportive
verbalization it and approachable
demenour to remin encourages
d client and to communication.
encourage
expressions or
clarification of
needs ,concerns,
unknowns and
questions.

Allow and reinforce

clients personal Taking or otherwise
reaction towards expressing feeling
the threatens to reduces anxiety.
wellbeing.

Explain everything
necessary regarding
To educate the
using oxygen and
patient regarding
their disease.
using oxygen and
their disease.

3. What are the differences and the similarities among the patient?

Patients in the first video have COPD, which means they use oxygen or live oxygen, while in the second video, the kid has asthma and
is experiencing difficulty breathing, and also the first video they use oxygen bag while the second video use mask oxygen. . The
similarities are that they both experience difficulty breathing and they can only live by using oxygen.

4. What information will you share in your client teaching, enumerate and state your rationale.

Give up smoking

Rationale: One of the most important things you can do for your health is to quit smoking.

Eat right and exercise

Rationale: COPD can make it difficult to maintain a healthy diet due to shortness of breath. Maintaining and enhancing your fitness
level requires a nutritious diet and regular exercise.
Get rest

Rationale: Rest is essential for overall health, but if you have COPD, there are various factors that might make sleeping difficult. Most
COPD-related sleep issues can be alleviated if you speak with your doctor.

Take your medications correctly

Rationale: Most people with COPD use medication to aid with their respiratory problems, both on a regular basis and on occasion. Your
drug treatment plan is unique to you, so keep track of how it's doing and talk to your doctor if you have any questions or concerns.

Use oxygen appropriately

Rationale: Oxygen treatment aids in the healthy functioning of your body. When used correctly, oxygen treatment helps you to be
more active while causing no harm to your lungs or body. It's possible that you'll need it for sleep, rest, and activity.

Learn more about COPD

Rationale: You can live a healthy and happy life with COPD. Learn about the disease. Write down your concerns or areas where you
want to see change and talk with your provider. Understanding how the disease can impact your life and what you can do to prevent
or fix problems can help you take charge of your life and live the way you want to live.

When you feel strong emotions, your breathing changes – even if you don’t have asthma.

Rationale: It may cause wheezing or other asthma symptoms in someone with asthma.