Ang Pusa

NURSING CARE PLAN

|ASSESSMENT |DIAGNOSIS |SCIENTIFIC INTERFERENCE |PLANNING |INTERVENTION |RATIONALE |EVALUATION |

| | | | | | | |

|Subj. |Ineffective airway |Ineffective airway clearance|Short Term Goal: |Independent: | | |

|“Marami pa kong plema sa|clearance related to |is the inability to clear |After 5 hours of nursing|Assess patient’s condition |-to serve as baseline | |

|lalamuna.. Parang |retained secretions |secretions or obstructions |interventions, the |Monitor respirations and |data |After 5 hours of nursing |

|barado.”, as verbalized | |from the respiratory tract |patient will be able to |breath sounds | |interventions, the |

|by the patient | |to maintain aclear airway |expectorate secretions | |-to determine if there |patient was able to |

| | | |readily |Encourage deep breathing |is an indicative of |expectorate secretions |

|Obj. | | | |and coughing exercises |respiratory distress |readily |

|-non-productive cough | | |Long Term Goal: |Position patient |-to maximize efforts | |

|-difficulty vocalizing | | |After 8 hours of nursing|appropriately |...