You are a nurse admitting a patient to the hospital from the emergency department with shortness...

You are a nurse admitting a patient to the hospital from the emergency department with shortness of breath and recent weight loss. After receiving a report from the ED nurse you ready the patient's room according unit specifications and collect the necessary equipment and forms. When the patient arrives,she is using oxygen via a nasal cannula and seems to be comfortable .As you begin your admission activities and paperwork, you note that her shortness of breath slightly increases as she answers your questions. Accompanying the patient is her daughter,who comments."This is the fourth time she's been admitted to this hospital in the past year ".The patient and her daughter demonstrate a close loving relationshijp. The daughter not only encourages her mother but also sets boundaries regarding her mother's anxiety.

a. What general priorities would you expect to establish from this information.?

b. How could you facilitate the best implementation of the plan of care?

c.How would you select evidence based nursing intervention?

d. Which interventions would you expect in this case?
e. How would you determine the success of your interventions?

Expert Solution

ANSWER

a. The most important thing in this situation is to manage the shortness of breath. Then once the patient is settled, bring the patient into a comfortable zone. Even though the daughter is very loving and set boundaries for her mother, the nurse should encourage her to ventilate her feelings and support her.

b. To facilitate the best implementation of the plan of care is by properly assessing the patient and collecting data related to patients needs and risk factors. Then based on the data obtained set short term and long term goal. Then determine the nursing interventions to meet these goals. It should be based on the patient's health conditions and nursing diagnosis. Finally, monitor the patient's progress and modify the nursing care plan as needed.

c. Determine the issue of concern or find the area which needs improvement. Collect the baseline data and develop goals. Assemble teamwork and make an action plan. Search for literature review either on the internet, books or any other resources for intervention. Consider the benefits and drawbacks of intervention. Apply the intervention inpatient care and evaluate the effect of the intervention

d. The prime most intervention must be the management of shortness of breath. Monitor SPO_2. Position the patient in semi fowlers position for maximum breathing pattern. Facilitate diaphragmatic breathing to relax muscles and to increase the oxygen level. Provide steam inhalation or nebulisation to clear the airways. Provide respiratory medications a per doctors order.

Nightingale answered 2 years ago

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You are a nurse admitting a patient to the hospital from the emergency department with shortness...

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