NURSING CARE PLAN-1

Patient Name: - Rab Dino S/O Mola Bux Age: 50Y Sex: Male Ward No: 12 Bed No: 12 Marital Status: Married
Medical Diagnoses: Bronchial Asthma Address: SAKRAND OCCUPATION: Farmer Date: 19--03-2007

ASSESSMENT NURSING PLANNING INTERVENTION SCIENTIFIC RATIONALE EVALUATION

DIAGNOSIS
SUBJECTIVE: Ineffective After 3 days of 1. Auscultate breath sounds. 1. Some degree of After 3 days of
airway nursing Note Adventitious breathe bronchospasm is present nursing
as clearance interventions, sounds like wheezes, with obstructions in airway interventions, the
verbalized by related to the patient will crackles and rhonchi. and may or may not be patient was able to
patient. increased demonstrate manifested in adventitious demonstrate
production of behaviors to 2. Elevate head of the bed, breath sounds. behaviors to
secretions. improve airway have patient lean on overbed 2. Elevation of the bed improve airway
clearance. table sit on edge of bed. facilitates respiratory clearance.
OBJECTIVE: function by use of gravity.
• Use of 3. Keep environmental 3. Precipitators of allergic
accessory pollution to a minimum like type of respiratory
muscle. dust, smoke and feather reactions that can trigger
pillows, according to or exacerbate onset of
• Abnormal
breath individual situation. acute episode.
sounds. 4. Encourage or assist with 4. Provides patient with
• V/S taken as abdominal or pursed lip some means to cope with
follows: breathing exercises. or control dyspnea and
T: 37.3 reduce air tapping.
5. Assist with measures to 5. Coughing is most
P: 82
improve effectiveness of effective in an upright
R: 25
cough effort. position after chest
BP: 110/80
percussion.

Reference:
Carpenito. L .J. (1995). Nursing Diagnosis (6th Ed.), New Jersey J.B.Lippincott Company.

Student name: Akbar Ali Arain Discipline B.Sc. N-1(2007-9)