Page 18 - PNEUMONIA NURSING CARE PLAN
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Nursing Interventions Rationale
including the patient’s energy level and
cognitive level.
Therapeutic Interventions
Fatigue and depression can affect ability to
Provide information in written and verbal form. assimilate information and follow therapeutic
regimen.
Reinforce importance of continuing During initial 6–8 wk after discharge, patient is
effective coughing and deep-breathing
exercises. at greatest risk for recurrence of pneumonia.
Full-course antibiotic treatment is required to
reduce the recurrence of pneumonia and
promote a healthy immune system. Early
Emphasize necessity for continuing antibiotic discontinuation of antibiotics may result in
therapy for prescribed period.
failure to completely resolve infectious process
and may cause recurrence or rebound
pneumonia.
Smoking destroys tracheobronchial ciliary
action, irritates bronchial mucosa, and inhibits
Review the importance of cessation of smoking.
alveolar macrophages, compromising body’s
natural defence against infection.
Outline steps to enhance general health and
well-being: balanced rest and activity, well- Increases natural defence, limits exposure to
rounded diet, avoidance of crowds during pathogens.
cold/flu season and persons with URIs.
Stress importance of continuing medical follow- May prevent recurrence of pneumonia and/or
up and obtaining vaccinations as appropriate. related complications.
Identify signs and symptoms requiring
notification of health care provider: increasing Prompt evaluation and timely intervention may
dyspnea, chest pain, prolonged fatigue, weight prevent complications.
loss, fever, chills, persistence of productive
cough, changes in mentation.
This may results in upper airway colonization
with antibiotic-resistant bacteria. If the patient
Instruct patient to avoid using antibiotics then develops pneumonia, the organisms
indiscriminately during minor viral infections.
producing the pneumonia may require
treatment with more toxic antibiotics.
Encourage Pneumovax and annual flu shots for
high-risk patients. To help prevent occurrence of the disease.
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