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Care plan and assignments - Admission/Application Essay Example

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Coarsework: Care Plan and Assignments September 20, 2012 Two care plans (Erikson development stages) Nursing Care Plan for Empyema Patient: Erikson: At Oral –sensory birth stage, patient learned to trust his human contacts. At musculo-anal stage, patient learns to self sufficient…
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Download file to see previous pages At young adult stage, patient is happily in a relationship and has many beneficial friends. Patient is a productive member of society. The elderly patient continues to make sense of one’s existence in the world. The patient finds he is an important contributor to the community. The patient despairs over some unaccomplished life objectives and goals (Shaffer, 2008). Etiology The causes of empyema (purulent pleural fluid) disease include viridians group of streptococci and diphtheroids associate with possible association to pneumonia. Pasteurella multocida also triggers the disease. Clostridium and Bacteroides trigger the Empyema ailment. Pneumocococcus, staphylococcus and betahemolytic streptococci are common culprits of empyema onset (Fisher, 2004). Nursing Diagnosis: There is occurrence of malfunction in the patient’s exhaling carbon dioxide and inhaling oxygen. There is presence of airway blocking. Likewise there is an increase in the amount of secretions. The patient is in a state of bronchial spasm (http://nursesnanda.blogspot.com/). Objectives: To ascertain the level of breathing of the patient and type of ailment. Ascertain patient’s vital signs. To learn how to alleviate the patient’s current breathing difficulty. To determine if patient needs oxygen tank to relieve breathing problem. To determine urgency of the nurse contacting the doctor for additional medical instructions. Nursing intervention: The nurse must assess the patient’s current breathing situation. The nurse must determine patient’s difficulty in breathing, in terms of number of breaths and depth of the patient’s breath. The patient speaks in a hoarse voice. The patient suffers from brochospasm. The patient should focus on the intensity or difficulty of the neck and shoulder muscles to relieve breathing difficulty (http://nursesnanda.blogspot.com) The nurse must help the patient breath better by placing the patient in a better or more comfortable position. The nurse calms the patient down by reassuring the patient that her relaxation will increase the healing process. The nurse persuades the patient to lie still and persuade the patient that the oxygen tank will increase or improve her breathing condition (http://nursesnanda.blogspot.com) Rationale: The nurse should focus on evaluating the degree of respiratory act of breathing’s difficulty. The nurse must evaluate the presence and degree of chronic disease processes. Reassuring the patient contributes to reducing lung collapse. Likewise, the nurse action contributes to updating the oxygen supply fills the patient’s immediate need for oxygen (http://nursesnanda.blogspot.com) Evaluation/Goals: Nurse action is correct resulting to patient’s responding to nurse intervention. Letting the patient take doctor-prescribed medicine alleviates the ailment. The patient’s breathing is increased with the use of oxygen tank support. Nurse action correctly makes the patient is relaxed as the patient. Consequently, patient relaxes from the nurse’s persuasive instructions to relax and let loose her tense muscles. The nurse’s checking of the vital signs and blood oxygen levels correctly indicates the patient will recover from a few days of hospital room rest and constant nurse monitoring. The nurse correctly allots more time to the patient with empyema to monitor and report changes in the patient’s vital signs and other health conditions. The nurse rightfully continues to calm and reassure the patient in order ...Download file to see next pages Read More
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