In: Nursing
Pneumonia is one of the major causes of morbidity, in-hospital
mortality, and readmission rates. nursing care and intervention and
current treatment modalities benefit the patient with
cost-effectiveness. observational studies including aged 74 years,
50 patients to participate in the study with the symptoms of
confusion, cough, dyspnea, fever, exploration, and respiratory
pain, tachypnea or lung crepitus, informed consent obtained.
patient from 50 one refused to participate, four had confusion, and
the other 15 excluded from studies due to inability to provide
consent. only 30 patients with pneumonia admitted to the emergency
department and medical unit. for each patient, one health
practitioner was assigned. total 40nurse,40physians, and 6
physiotherapists delivered evidence-based guidelines for health
care for the patient and they were observed during the study.
evidence-based guidelines included sputum mobilization, fluid
maintenance, nutrition, oxygen therapy, and oral care, the most
important nursing care delivered by the nurses. each patient's
individual needs followed with nursing care. The first observation
focus on ED adherence to medical treatment, treatment plan mode,
and diagnosis establishment. other observations in the medical unit
focus on nursing intervention for general management, nutrition,
fluids, mobilization, etc. there was an identifiable gap between
current clinical practice and evidence-based recommendations for an
older patient with pneumonia. there was potential serious gaps in
the diagnostic procedure and medical treatment, general management
that impact patient outcomes and safety. general management that is
nursing intervention by the nurses' oxygen therapy, sputum
mobilization, and oral care reduces the complication and hospital
length of stay and ventilator-associated pneumonia. health care
practitioner evidence-based guidelines practice and treatment for
these patients provided fewer health outcomes. while
evidence-based treatment and care with nursing care interventions
provided best practice health outcomes for pneumonia patients.