NURSING CARE PLAN .pptx

NURSING CARE PLAN

1. NURSING CARE PLAN MS. POOJA SEN NURSING LECTURER (MHN)

2. DEFINITION Involve determining before and the strategies or course of action to be taken before implementation of nursing care. MS. POOJA SEN NURSING LECTURER(MHN)

3. PURPOSE Nursing care plans are an important part of providing quality care. They help to define the nurse's role in the patient's treatment. Provide consistency of care and allow the nursing to customize its interventions for each patients. It promotes holistic treatment of the patients and helps define specific goals for the patients. Defining patients' goals. MS. POOJA SEN NURSING LECTURER(MHN)

4. STEPS OF NURSING CARE PLAN MS. POOJA SEN NURSING LECTURER(MHN)

5. NURSING CARE PLAN CRITERIA S- SPECIFIC M – MEASURABLE A – ACHIEVABLE R – RELEVENT T – TIME BOUND MS. POOJA SEN NURSING LECTURER(MHN)

6. EXAMPLE OF NURSING CARE PLAN MS. POOJA SEN NURSING LECTURER(MHN)

7. Nursing Diagnosis #1: Ineffective Airway Clearance (3-Part) Subjective Data: “I can’t breathe properly.” “I feel tightness in my chest.” Objective Data: Wheezing on auscultation Use of accessory muscles Cough with thick sputum RR = 28 breaths/min O₂ sat = 89% on room air

8. Diagnosis: Ineffective airway clearance related to bronchospasm and increased mucus as evidenced by wheezing, dyspnea, and ineffective cough Goal: Patient will maintain a clear airway with normal breath sounds and effective coughing within 24–48 hours.

9. Intervention 1. Monitor respiratory rate, breath sounds, and O₂ saturation every 2–4 hours 2. Encourage fluid intake if not contraindicated 3. Administer prescribed bronchodilators and corticosteroids 4. Teach patient to perform deep breathing and coughing exercises 5. Position in high Fowler’s position Evaluation: Patient is coughing effectively, O₂ sat improved to 95%, breath sounds clearer, and respiratory rate decreased to 20 bpm.