This document discusses the nursing care plan for a child with pneumonia. Six problems are identified: ineffective airway clearance, dyspnea, fever, pain, anxiety, and activity intolerance. For each problem, the nursing diagnosis, interventions, and expected outcomes are outlined. Nursing interventions include positioning, suctioning, medication administration, breathing exercises, tepid sponging, education, and activity management. The goals are to maintain a clear airway, relieve symptoms, reduce fever, manage pain and anxiety, and improve activity tolerance.
This document discusses the nursing care plan for a child with pneumonia. Six problems are identified: ineffective airway clearance, dyspnea, fever, pain, anxiety, and activity intolerance. For each problem, the nursing diagnosis, interventions, and expected outcomes are outlined. Nursing interventions include positioning, suctioning, medication administration, breathing exercises, tepid sponging, education, and activity management. The goals are to maintain a clear airway, relieve symptoms, reduce fever, manage pain and anxiety, and improve activity tolerance.
This document discusses the nursing care plan for a child with pneumonia. Six problems are identified: ineffective airway clearance, dyspnea, fever, pain, anxiety, and activity intolerance. For each problem, the nursing diagnosis, interventions, and expected outcomes are outlined. Nursing interventions include positioning, suctioning, medication administration, breathing exercises, tepid sponging, education, and activity management. The goals are to maintain a clear airway, relieve symptoms, reduce fever, manage pain and anxiety, and improve activity tolerance.
This document discusses the nursing care plan for a child with pneumonia. Six problems are identified: ineffective airway clearance, dyspnea, fever, pain, anxiety, and activity intolerance. For each problem, the nursing diagnosis, interventions, and expected outcomes are outlined. Nursing interventions include positioning, suctioning, medication administration, breathing exercises, tepid sponging, education, and activity management. The goals are to maintain a clear airway, relieve symptoms, reduce fever, manage pain and anxiety, and improve activity tolerance.
CHILD WITH PNEUMONIA GENERAL OBJECTVE At the end of this lecture/discussion, the student should be able to demonstrate an understanding of nursing management of pneumonia SPECIFIC OBJECTIVES
At the end of the lecture/discussion
students should be able to: 1.Identify the nursing problems of a child with pneumonia 2.Outline the nursing care of a child with Pneumonia, using a nursing care plan. PROBLEM IDENTIFIED
Nursing diagnosis • Ineffective airway clearance related to accumulation of thick secretions evidenced by cough/wheezing Objective • Child’s patent airway will be maintained through out hospitalization Nursing Intervention
Nursing intervention /Rationales
i) I will position child in a semi-fowler’s position supported with pillows to increase room for lung expansion, depending on child’s age ii) I will suction the secretions from airway to remove clogged secretions iii) Administer prescribed analgesic to relief pain e. g Paracetamol 10-15mg/kg QID Nursing intervention cont’
v) I will monitor and record respirations 4 hourly
to ascertain patient’s response to treatment vi) Capillary refill
viii) Warm environment
ix) Keep patient warm x) Steam inhalation Evaluation Evaluation • Child’s patent airway maintained through out hospitalization evidenced by child breathing easily, respirations are within normal (28 to 32breaths per minutes) Problem Identified # 2 2.Dyspnoea Nursing Diagnosis • Dyspnoea due to impaired gas exchange related to retained secretions and pulmonary infection evidenced by laboured breathing Objective • . To relieve dyspnoea within 30 – 60minutes of admission Nursing Intervention Nursing Intervention/Rationales i. I will place a child in a propped up position using pillows and a back rest supported with pillows in order to promote lung expansion. ii. I will clear the airway by proper suctioning in order to maintain a patent airway that promotes passage of air. iii. I will administer prescribed oxygen to a child whenever necessary i.e. 1.5 to 2 litres per minute to perfuse body tissues. Nursing intervention cont’ iv. I will encourage a child depending on the age to be doing deep breathing exercises to promote lung expansion. v. I will encourage a child to avoid suppressing a productive cough in order to expectorate the accumulated secretions Evaluation Evaluation • Dyspnoea relieved after 1 hour of nursing intervention as evidenced by child’s normal breathing pattern of 28- 34 breaths/minute. Problem Identified #3 3.fever Nursing Diagnosis • Impaired thermoregulation related to infection and inflammatory process evidenced by elevated temperature of above 39.3 degrees Celsius. Objective • Child’s temperature will be reduced within 2hours Nursing Intervention Nursing intervention • I will do tepid sponging to a child to reduce temperature by evaporation. • I will encourage the parent to give a lot of fluids a child to promote heat loss through micturition and sweating. • I will open nearby windows and doors to promote air circulation and heat loss by convection. Nursing Intervention cont’ I will Administer prescribed antipyretics like paracetamol 10-15 mg whenever necessary and antibiotics such as benzyl penicillin50,000 to 100,000iu to reduce temperature and clear the infection respectively Evaluation. • Child’s temperature is reduce to about 36.2 to37.2 degrees Celsius within 2hours Problem Identified # 4 Problem identified 4.pain Nursing diagnosis • Pain related to inflammatory process evidenced by restlessness and crying Objective • child will experience no pain within 1to 2 hours Nursing Intervention Nursing intervention • I will administer prescribed analgesic to relief pain such as paracetamol 10- 15mg /kg • I will assess response to pain control measures using pain rating scale to intensity or severity of pain • I will encourage Patient if old to assume a position that he feels most comfortable to relief pain Nursing Intervention cont’ • I will encourage diversional activities appropriate to age or condition capabilities Evaluation • Child is relieved from pain within 1 hour evidenced by calm and rest Problem Identified #5
Problem identified 5.Anxiety Nursing diagnosis • Anxiety related to the hospital environment and unfamiliar procedures evidenced by fear Objective • Child will experience reduction of anxiety throughout hospitalization Nursing Intervention Nursing intervention • I will explain the disease process to the child and the parent to allay anxiety. • I will explain unfamiliar procedures and equipment to child and parents to gain co- operation. • I will explain the actions of the drug and their side effects to gain confidence Nursing intervention cont’ • I will explain the importance of completing of the treatment and not to share with anyone to avoid drug resistance.
Evaluation • Child experience no fear evidenced by playing and engaging in activities of daily living. Problem Identified #6 Problem identified 6.Activity intolerance Nursing diagnosis • Activity intolerance related to fatigue evidenced by dyspnea Objective • To improve child’s activity tolerance Nursing Intervention Nursing intervention •I will maintain a child on bed rest to reduce activity as this reduces oxygen needs of the body. •When a child is improves, his exercise schedule will be balance with rest to avoid exhaustion and prevent fatigue through good distribution of oxygen to vital organs including the lungs Evaluation Evaluation • Child is able to tolerate exercises as evidenced by his movements in bed and tolerance of deep breathing exercises Summary We have discussed the nursing management of a child with pneumonia using the nursing care plan. We have identified the problems and we talked about the nursing interventions/rationales and the outcomes. REFFERENCE • Lewis etal, (2004) Medical Surgical Nursing, assessment and management of clinical problems, 6th edition, Mosby, Philadelphia. • Lewis etal, (2007) Medical Surgical Nursing, assessment and management of clinical problems, 7th edition, Mosby, Philadelphia
A Study To Assess The Effectiveness of Video Assisted Teaching Programme On Toilet Training of Toddlers Among Parents in A Selected Rural Area at Mangalore, Dakshina Kannada, Karnataka State
A Study To Assess The Effectiveness of Video Assisted Teaching Programme On Toilet Training of Toddlers Among Parents in A Selected Rural Area at Mangalore, Dakshina Kannada, Karnataka State
