Respiratory Assessment For Nurses And Care Outcomes For The Acutely Ill Ward Patient

In the first step of the Tanner (2006) model nurses use their personal knowledge and experience to notice whether the patient requires attentions based on their expectations and looking at environment of the patient. Therefore, for an experience nurse it is easier for them responding to the similar situation if she or he revisit because the knowledge is already there through experience. In the case of Mr Devi, assessment will perform using systematic assessment based on the ABCDE approach (Airway, Breathing, circulation, Disability and Exposure). The ABCDE approach is an evidence-based practice widely accepted and used by all the members of a multidisciplinary team (MDT) to assess an acutely ill patient (Harrison and Daly 2011). First, life-threatening

Assessment of a patient is a big process of decision making, it is about the collection of information which will contribute to an overall judgement of a person and the illness they may have. Lloyd (2010) states that assessment is one of the first steps which is needed to be done in the nursing process, it is a building block for a relationship and an ongoing process which lets health professionals gather the correct information to help them understand the problems and needs that the patient is going through. Most of the nursing assessment which are in use today will all have very similar aims. The difference is that how the assessment’s are carried out is where the differences come from.

In this Assessment nursing course, one of the major things that is taught is the most important part of giving proper care to a patient. Correct patient assessment is needed before any nursing care plan or treatment can be implemented. This post-review of a person’s assessment will demonstrate the proper way to go about assessing a person’s health.

Shortness of breath and wheezing are classical signs of COPD. The first part of the essay is discussed on pathophysiology of COPD. Another part is going to be informing on the pharmacology aspect of treating the disease. Nutrition also plays as a critical component of relieving the symptoms of the disease or aiding the work of medication. One of the signs that COPD can be established as a primary cause of illness is by receiving lab report on Arterial Blood Gases ABG.

Check for normal breathing, taking no more than 10 seconds: Look for chest motion, listen for breath sounds, and

The issue of consistency is raised when discussing how to ensure assessments are comprehensive, complete and that the data is recorded using the same guidelines as other nurses. To enable consistency of assessment, the same nurse should be taking the observations of a patient for the duration of a shift (Moore, 2007). This ensure that the interpretation of results don’t differ each time the vital signs are done. It also allows the nurse to detect subtle changes in the patients state that may not have been written down. For example, in most clinical environments the respiration rate is recorded as just a number, and the rhythm, degree of effort, quality of breathing and evidence of wheezing or other abnormal breathing sounds are not recorded. The rate may stay the same over a period of time while other aspects of respiration may change, and this is something that a nurse is more likely to notice if they have assessed that patient before. During handover, a nurse should tell the next nurse looking after their patients how they took observations and detail what tools they used to ensure consistency is maintained.

Shallow breathing and pain altered this patient’s comfort. Therefore, one of the nursing diagnoses can be stated as “Breathing Pattern, Ineffective r/t pain and anxiety, as evidenced by respiratory depth changes" (Ackley & Ladwig p. 175). We briefly discussed the specifics of incentive spirometry use before initiating the intervention. After return demonstration, the patient was ready to use his incentive spirometer.

Comprehensive assessments are crucial in high acuity nursing as it allows nurses to establish a baseline for the patient, determine oxygen supply and demand, provide individualized patient care, and make clinical decisions (House-Kokan, 2012). The components of a comprehensive assessment, including a physical assessment, corroborative diagnostic data, and the patient’s story will be assessed (House-Kokan, 2012).

This essay will now analyze the nursing intervention that requires for the acutely ill patient to prevent an exacerbation of chronic obstructive pulmonary disease. The nurse carried out an initial assessment of a full history, taking in consideration that the patient was over 35 years of age who has been, or still is, a cigarette smoker, with vascular related diseases and had symptoms of breathlessness on exertion, chest tightness, wheezing, coughing, sputum production especially in the morning and chest infection (Currie 2009). A physical examination was done to check the patient respiration rate, depth and rhythm, blood pressure, pulse, temperature and oxygen saturation (Lynes 2007). The acutely ill patient’s respiration was between 30-34 breaths per minute, blood pressure 580/98, pulse 110 beat per minute and saturation levels 80-82%. Increase respiration indicates that the patient was in fear, pain and anxious. Anxiety causes stimulation of sympathetic nervous activation which forces bronchioles

This assignment will explain the pathophysiology of the disease process chronic obstructive pulmonary disease (COPD). It will examine how this disease affects an individual looking at the biological, psychological and social aspects. It will accomplish this by referring to a patient who was admitted to a medical ward with an exacerbation of COPD. Furthermore with assistance of Gibbs model of reflection (as cited in Bulman & Schutz, 2004) it will demonstrate how an experience altered an attitude. In accordance with the Nursing and Midwifery Council, (NMC) Code of Professional Conduct (NMC, 2005) regarding safeguarding patient information no names or places will be divulged. Therefore throughout the assignment the patient will be referred to

Record observations of how the initial pneumograph recording was modified during the various testing procedures described below. Indicate the respiratory rate, and include comments on the relative depth of the respiratory peaks observed.

After a noninvasive respiratory testing the patient vital signs, lung sounds and Pso2 level need to be monitored. Also after an invasive respiratory testing the nurse need to monitor the patient vital signs per Dr. order or facility policy and listen for absent or reduced lung sounds. Assess for drainage, complications and infection. The nurse needs to report any change in condition to the patient

One nursing diagnosis is ineffective airway clearance related to obstructions from the respiratory tract. Increased metabolic demands may cause an ineffective breathing pattern resulting in cyanosis and pallor. Acute respiratory distress syndrome may also result in impaired gas exchange related to a deficit in oxygenation. Anxiety may affect the client related to a feeling of

Respiratory system assessment is the process of evaluating the functioning and condition of a patient’s respiratory system. During assessment of the respiratory system, the nurse takes the patient’s history and perform a physical examination on the patient. The nurse takes the patients data which include personal history, family history, history of current and past respiratory problem, allergy history or reactions to certain drugs, foods, allergens etc., and occupational history. The nurse also objective data of the patient, these data will help her to know the respiratory condition of the patient and factors that predisposes the patient to respiratory problems. The nurse also conducts a physical examination which include inspection, palpation, percussion and auscultation. Findings from the physical examination will help her in making diagnosis and to plan adequate nursing care.

Nursing topics were grouped together so that it flowed logically together and the nurse only needed to indicate negative exceptions to a healthy assessment. This would also minimize charting and clarify problematic areas in the patient’s assessment. If a section was normal, a quick check box indicating “no problems noted” was provided.