INEFFECTIVE BREATHING PATTERN

ASSESSMENT NURSING PLANNING IMPLEMENTATION

DIAGNOSIS EVALUATION
INTERVENTION RATIONALE
SUBJECTIVE: Ineffective Breathing SHORT TERM  Assess and  to detect early signs SHORT TERM
 “Mahirap Pattern related to After 2 hours of record of respiratory GOAL MET
tumayo;mapait musculoskeletal nursing interventions, respiratory rate compromise
yung mga impairment the client will and depth at After 2 hours of nursing
gamot” as demonstrate least every 4 interventions, the client
verbalized by the diaphragmatic pursed- hours demonstrateD
client lipped breathing.  to detect decreased diaphragmatic pursed-
 Auscultate or adventitious lipped breathing.
OBJECTIVE: breath sounds at breath sounds;
 Irritable LONG TERM least every 4 report changes
 (+) fatigue and After 1 week of hours.
Powerlessness nursing interventions,  These measures
 With Oxygen the client will Patient promote comfort,
inhalation at will report feeling  Assist patient to chest expansion,
3Lpm via nasal rested each day. a comfortable and ventilation of
cannula position, such as basilar lung fi elds.
 Ongoing by supporting
cystoclysis upper
 (+) deep extremities with
respiration pillows,
 Restless providing
overbed table
with a pillow to
lean on, and
elevating head
of bed.
INEFFECTIVE BREATHING PATTERN

 Administer  Supplemental
oxygen as oxygen helps
ordered. reduce hypoxemia
and relieve
respiratory distress.

 Exercise promotes
conditioning of
 Refer patient for respiratory muscles
evaluation of and patient’s sense
exercise of well-being.
potential and
development of
individualized
exercise
programz