Rexie Carelle T.

Macaraeg
4-BSN-3

NURSING CARE PLAN - COUGH

ASSESSMENT DIAGNOSIS PLANNING NURSING RATIONALE EVALUATION

INTERVENTION
Subjective: Activity  After 4 INDEPENDENT: .  Establishes  After 4
“I can’t sleep intolerance hours of  Evaluate patient’s hours of
because of associated to nursing patient’s capabilities or nursing
my cough exhaustion that intervention, response to needs and interventions,
” as interrupts in the patient activity. facilitates the patient
verbalized by usual pattern of will be able choice of demonstrated
the sleep because to do more  Provide a interventions. a measurable
patient. of discomfort activities quiet increase in
due to without environment  Reduces activity
Objective: excessive feeling out and limit stress and tolerance
coughing and of breath or visitors during excess with no
 Vital Signs: dyspnea. This very tired. acute phase. stimulation, dyspnea or
T: 37.7 tiredness is promoting excessive
P:90 caused by not  Keep head rest. fatigue.
R:22 being able to raised up and
BP: 110/80 sleep well try to move  These
because they around and measures
 Dyspnea are change promotes
uncomfortable, positions often. optimum
 Fatigue coughing a lot, Take deep inspiration,
and having breaths and try enhance
trouble to cough in a expectoration
breathing. strong and of secretions
effective way. to improve
ventilation for
 Encourage better
plenty of rest breathing.
and take breaks
from activities,  Enables
but also make increasing in
sure to do some natural
exercise. resilience and
Promote eating speeds up the
healthy and healing
enough food. process.

 Force fluid  Fluids aid in

intake to at mobilization
least 3000 ml and
per day and expectoration
avoid cold of secretions
fluids. especially
warm fluids.
COLLABORATIVE
 Administer  Aids in
medications as bronchospasm
prescribe: reduction and
mucolytics or secretory
expectorants. mobilization