Page 11 - Altered Obstructive Nursing Care
P. 11

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        Knowledge Deficit



        Related to

        •  Lack of information/unfamiliarity with information resources
        •  Information misinterpretation
        •  Lack of recall/cognitive limitation


        Outcomes

        •  Verbalize understanding of condition/disease process and treatment.
        •  Identify the relationship of current signs/symptoms to the disease process and correlate these with
            causative factors.
        •  Initiate necessary lifestyle changes and participate in the treatment regimen.



                     Nursing Interventions                                       Rationale

          Nursing Assessment

          Explain and reinforce explanations of the           Decreases anxiety and can lead to improved
          individual disease process. Encourage patient       participation in the treatment plan.
          and SO to ask questions.


                                                              Monitoring disease process allows for
          Discuss the importance of medical follow-up         alterations in the therapeutic regimen to meet
          care, periodic chest x-rays, sputum cultures.       changing needs and may help prevent
                                                              complications.

          Therapeutic Interventions


                                                              Pursed-lip and abdominal or diaphragmatic
                                                              breathing exercises strengthen muscles of
          Instruct and reinforce the rationale for            respiration, help minimize collapse of small
          breathing exercises, coughing effectively, and      airways, and provide the individual with means
          general conditioning exercises.                     to control dyspnea. General conditioning
                                                              exercises increase activity tolerance, muscle
                                                              strength, and sense of well-being.

          Stress importance of oral care and dental           Decreases bacterial growth in the mouth, which
          hygiene.                                            can lead to pulmonary infections.


          Discuss the importance of avoiding people
          with active respiratory infections. Stress need     Decreases exposure to and incidence of
          for routine influenza and pneumococcal              acquired acute URIs.
          vaccinations.



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