b) Plan of care
- As the patient is suffering from
shortness of breath the nursing care will be focusing on to relieve
the dyspnea ( difficulty in breathing) of the patient.
- Allow the daughter to participate
in the treatment of her mother. It will increase the patient's
confidence in curing the disease as well as it will create a
postive feeling thereby reducing the anxiety in the mother.
- Explain each and every procedure to
the client as well as to her daughter to get more cooperation from
them.
- Maintain good IPR ( Interpersonal
relationship ) with the patient and her daughter.
- Be approachable for the patient's
needs and make sure that you satisfy them.
- Ask the client to express their
emotions so that you could help them for her needs.
c) Evidence based nusing
interventions
- Evidence based interventions are
the nursing activities which are successful through the research.
By doing research in different areas of nursing helps the nurses to
adapt to a new method of patient care and update them.
- In evidence based care (EBP) there
will be evidence of what is good for a particular
intervention.
- For eg. Inorder to relieve dyspnea
in a patient using nasal prongs, if the patient is in supine
position it will again make the patient more difficult to breath
but if we provide a propped up position ( or semi fowler's position
) then it could be beneficial for the patient. This is an example
for an evidence based practice.
d) The needed nursing interventions
are,
- Assess the severity of dyspnea by
checking the respiratory rate, depth of respiration, oxygen
saturation using a pulse oxymetry.
- Provide a comfortable position to
the patient. Usually a fowler's or a semi fowler's position is
given.
- Provide back rest to the patient
for support on back and a cardiac table to support her hands so
that patient feel comfortable.
- Provide chest physiotherapy for the
patient to remove any clogged secretions in the lungs. Before doing
physiotherapy provide steam inhalation so that the secretions could
be removed easily.
- Provide warm water to drink in
order to soothen the secretions.
- Provide steam inhalation or
nebulization as per the doctor's order to soothen the secretions
and tell the patient to cough out the sputum to a sputum mug.
- Teach deep breathing and coughing
exercises.
- Provide an incentive spirometer to
the patient for lung expansion.
- Administer bronchodialators like
tablet Derephylline as per the doctor's order.
e) Success of your intervention can
be determined by the progress in the patient's conditions such
as,
- Patient's verbalization of being
well.
- Improvement in breathing after a
steam inhalation or a chest physiotherapy.
- Depth and rate of respiration
becomes normal.
- Oxygen saturation is maintained
without an external oxygen source.
- Chest X ray shows no evidence of
any sputum collection.
Note: Now a days research are
progressing in the field of nursing and nurses are following an
evidence based care for their patients for better outcome.