Saturday, February 28, 2015

Nursing Diagnoses

1. Ineffective airway clearance: Patients with Cystic Fibrosis suffer from excessive thick, sticky mucus production in several body organs including the lungs. The mucus is difficult to loosen and extract without the use of specialized machines (see "Treatment")

2. Risk for infection: CF patients have frequent respiratory infections.  The mucus trapped in the lungs creates an environment that promotes bacterial growth.

3. Activity intolerance: CF patients struggle with aerobic activity and exercise because they cannot inhale as much oxygen as a person with healthy lungs.  They experience shortness of breath and fatigue with exercise. 

4. Imbalanced nutrition- less than body requirements: CF patients are not able to extract nutrients from food the way healthy people can.  As a result, patients who eat a normal balanced diet may be malnourished and require supplementation.  

5. Risk for ineffective coping:  CF patients are at high risk for ineffective coping because of the short life expectancy and impact on daily life.  Most people are diagnosed at a young age and it can be very challenging to accept a diagnosis that will eventually be fatal.  

Nursing Diagnosis
Actual or
Potential?
Related to
Plan or Outcome
Nursing Intervention
Ineffective airway clearance
Actual
Excessive mucus secretion in the lungs
Patient will expel predetermined volume of mucus (example: 50 mL) and verbalize feeling of improved breathing after treatment
Perform chest physiotherapy every 4 hours


http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacontext/RM%20NCC%20PN%207.1%20Chp%2019.pdf

http://faculty.mu.edu.sa/public/uploads/1380604673.6151NANDA%202012.pdf

4 comments:

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