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    NANDA Nursing Diagnosis: Ineffective Breathing Pattern Related To As Evidenced by NANDA Definition

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    Trisha Vergara
    The nursing process record is for a patient with ineffective breathing patterns. The subjective data includes the patient feeling short of breath. Objectively, the patient has tachypnea, is on oxygen supplementation, and shows nasal flaring and shortness of breath. The short term goals are for the patient to feel comfortable breathing and for others to understand interventions. Nursing interventions include positioning, respiratory treatments, encouraging rest and activity pacing, and teaching breathing techniques.

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    NANDA Nursing Diagnosis: Ineffective Breathing Pattern Related To As Evidenced by NANDA Definition

    Uploaded by

    Trisha Vergara
    45 views3 pages
    The nursing process record is for a patient with ineffective breathing patterns. The subjective data includes the patient feeling short of breath. Objectively, the patient has tachypnea, is on oxygen supplementation, and shows nasal flaring and shortness of breath. The short term goals are for the patient to feel comfortable breathing and for others to understand interventions. Nursing interventions include positioning, respiratory treatments, encouraging rest and activity pacing, and teaching breathing techniques.

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    NCP-Mini-Case

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    The nursing process record is for a patient with ineffective breathing patterns. The subjective data includes the patient feeling short of breath. Objectively, the patient has tachypnea, is on oxygen supplementation, and shows nasal flaring and shortness of breath. The short term goals are for the patient to feel comfortable breathing and for others to understand interventions. Nursing interventions include positioning, respiratory treatments, encouraging rest and activity pacing, and teaching breathing techniques.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    45 views3 pages

    NANDA Nursing Diagnosis: Ineffective Breathing Pattern Related To As Evidenced by NANDA Definition

    Uploaded by

    Trisha Vergara
    The nursing process record is for a patient with ineffective breathing patterns. The subjective data includes the patient feeling short of breath. Objectively, the patient has tachypnea, is on oxygen supplementation, and shows nasal flaring and shortness of breath. The short term goals are for the patient to feel comfortable breathing and for others to understand interventions. Nursing interventions include positioning, respiratory treatments, encouraging rest and activity pacing, and teaching breathing techniques.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    NURSING PROCESS RECORD

    Patient’s Name: Patient A.

    Medical Diagnosis:

    NANDA Nursing Diagnosis: Ineffective breathing pattern related to as evidenced by

    NANDA Definition:

    CUES/Defining DESIRED GOALS NURSING INTERVENTION RATIONALE EVALUATION


    Characteristics
    Subjective: Short Term Goal:  Place patient with proper  A sitting position permits
     Significant Other body alignment for maximum lung excursion
    verbalizes,  Patient indicates, either maximum breathing and chest expansion.
    “Gahanguson siya verbally or through pattern.
    permi” behaviour, feeling
    Objective: comfortable when  Provide respiratory 
     Tachypnea; RR: 24 breathing. medications and oxygen, NO EVALUATION
    cpm  Significant others will per doctor’s orders.
     Patient is hooked with verbalize understanding of
    O2 inhalation @ 2 specific interventions
    LMP vial nasal cannula intended for patient needs.
     Nasal Flaring  Encourage frequent rest  Extra activity can worsen
     Shortness of breath Long Term Goal: periods and teach the shortness of breath.
    patient to pace activity. Ensure the patient rests
     By discharge patient between strenuous
    maintains an effective activities.
    breathing pattern, as
    evidenced by relaxed  Encourage small frequent  This prevents crowding of
    breathing at normal rate meals. (If Patient the diaphragm.
    and depth and absence of Vommits, NPO for 4
    dyspnea. hours)

     Teach the patient about  These measures allow


    pursed-lip breathing, the patient to participate
    abdominal breathing, in maintaining health
    performing relaxation status and improve
    techniques, performing ventilation.
    relaxation techniques,
    taking prescribed
    medications (ensuring the
    accuracy of dose and
    frequency and monitoring
    adverse effects),
    scheduling activities to
    avoid fatigue, and provide
    for rest periods.

    Reference: ________________________________________________________________________________________________________________________

    NURSING PROCESS RECORD

    Patient’s Name:.

    Medical Diagnosis:

    NANDA Nursing Diagnosis:

    NANDA Definition:
    CUES/Defining DESIRED GOALS NURSING INTERVENTION RATIONALE EVALUATION
    Characteristics CLASSIFICATION
    Subjective: Short-term Goals:
     Significant other  Significant others will be
    verbalizes, “Sige siyag able to verbalize
    sukaha tas green ang understanding with
    color sa suka.” causative factors when
     Significant other known and necessary
    reports that, “Mabiyaan interventions for the
    raman gud mi sa balay patient
    kay ga trabaho si Papa  Significant others will be NO EVALUATION
    so permi mi able to verbalize and
    gakapasmohan tas demonstrate selection of
    hilig pa gyud ni siya foods or meals that is
    mukaon ug mga suitable for patient needs.
    junkfoods” Long Term Goals:
    Objective:  By discharge, patient and
     Dry mucous significant others will be
    membrane able to demonstrate
     Poor skin turgor behaviour, lifestyle
     Underweight; BMI: changes to regain
    13.29 appropriate weight.
     Anorexia

    Reference: ________________________________________________________________________________________________________________________

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