• Perform/assist client in learning airway clearance techniques, particularly when airway congestion is a chronic/long-term condition. The diagnosis column will include some assessment data. More From DarkCeades. that would account for all the other symptoms you mention and support that nursing diagnosis. When the abdominal wall excursion during inspiration, expiration, or both do not maintain optimum ventilation for the individual, the nursing diagnosis Ineffective Breathing Pattern is one of the issues nurses need to focus on. b. prolonged nausea. The indicators dyspnea, restlessness, orthopnea, excessive amount of mucus, respiratory rales, and ineffective cough showed a significant (p <0.005) linear relationship with the identification of inef-fective airway clearance. Thus, the presence of these Aug 23, 2016 - Use this nursing diagnosis guide to formulate your Ineffective Airway Clearance care plan. Ineffective Airway Clearance - Free download as Word Doc (.doc) or read online for free. She is scheduled for a modified radical mastectomy. Risk for ineffective airway clearance r/t inability to clear mucus by cough and expectoration (immature lungs?) you might want to consider ineffective airway clearance. NURSING CARE PLAN Ineffective Coping ASSESSMENT DATA NURSING DIAGNOSIS DESIRED OUTCOMES* Nursing Assessment Ruby Smithson is a 55-year-old mother of four children who is hospitalized with breast cancer. Nursing care plan. The appropriate outcome statement for a patient with a nursing diagnosis of ineffective airway clearance related to thick secretions is that the patient will: a. increase intake to 1000 mL daily to liquefy secretions. Carousel Previous Carousel Next. Ineffective Management of Therapeutic Regimen: Individual 19. In the … ... Imation Data. Assess respirations; note quality, rate, pattern, depth, flaring of nostrils, dyspnoea on exertion, evidence of splinting, use of accessory muscles, position for breathing. Ineffective Airway Clearance 17. and the subjective probability of identifying the in-effective airway clearance diagnosis. It is considered the state in which the rate, depth, timing, and rhythm, or the pattern of breathing is altered. The subjective data the nurse records following a head-to-toe examination includes: a. rash on back. ... Subjective: Ineffective Increased Goal: After an Goal met. The subjective data are dependent on the patient’s thoughts, actions, and feelings, and are usually composed of: Patient’s verbalization / chief complaint, e.g. Learn the interventions, goals, and outcomes. Ruby was relatively healthy until she found a lump in her right breast 1 week ago. Maintaining the airway is always the first priority, especially in cases of trauma, acute neurological decompensation, or cardiac arrest. This is a nursing care plan and diagnosis for Tracheostomy or Tracheotomy. … Ineffective Breathing Pattern 18. what you are missing is another nursing diagnosis altogether. It includes nursing diagnosis for: Risk for ineffective airway clearance, risk for infection, and impaired verbal communication.As a nurse you may encounter a patient who has a tracheostomy. (Refer to NDs ineffective Breathing Pattern, impaired Gas Exchange, impaired spontaneous Ventilation.) Ask yourself, “Why did I choose this particular diagnosis?” The answer should lie in the assessment data.
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