20 January 2012

Nursing Diagnosis Nursing Care Plan for Chronic Obstructive Pulmonary Disease(COPD)

Nursing Diagnosis Nursing Care Plan for Chronic Obstructive Pulmonary Disease(COPD)
  • Impaired Gas Exchange related to ventilation perfusion inequality.
  • Activity Intolerance related to imbalance between supply with oxygen demand.
  • Imbalanced Nutrition: Less than Body Requirements related to anorexia.
  • Disturbed Sleep Pattern related to discomfort, the setting position.
  •  Self-Care Deficit Bathing / Hygiene, Dressing / Grooming, Feeding, toileting related secondary fatigue due to increased respiratory effort and the insufficiency of ventilation and oxygenation.
  • Ineffective Airway Clearance related to bronchoconstriction, increased sputum production, ineffective cough, fatigue / decreased energy and bronkopulmonal infection.
  •    Ineffective Breathing Pattern related to shortness of breath, mucus, bronchoconstriction and airway irritants.
  •   Anxiety related to threat to self-concept, the threat of death, unmet needs.
  •   Ineffective Individual Coping related to lack of socialization, anxiety, depression, low activity levels and inability to work.
  •     Knowledge Deficit related to lack of information, do not know the source of information.

    Nursing Intervention for COPD
    •     Instruct patient to avoid irritants such as cigarette smoke, aerosols, temperature extremes, and smoke.
    •     Teach about the early signs of infection should be reported to your doctor immediately: increased sputum, change in color of sputum, sputum viscosity, increased shortness of breath, chest tightness, fatigue.
    •     Give antibiotics as required.
    •     Give the patient 6 to 8 glasses of fluid per day unless there is Cor pulmonale.
    •     Teach and give the use of diaphragmatic breathing and coughing techniques.
    •     Assist in the provision of a nebulizer action, measured dose inhalers.
    •     Perform postural drainage with percussion and vibration in the morning and at night as required.
    •     Give encouragement to patients to immunize against influenzae and Streptococcus pneumoniae.