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  • Nursing Care Plan (NCP)

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    Sha Pineda
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    The nursing care plan addresses a patient with ineffective breathing patterns related to pain from a COVID-19 infection. Short term goals are for the patient to demonstrate appropriate coping behaviors within 1-2 hours. Long term goals are for the patient to establish a normal, effective breathing pattern within 1-2 weeks as evidenced by relaxed breathing at a normal rate and depth with no tachypnea. Interventions include assessing breathing sounds and vital signs, elevating the head of the bed, encouraging breathing exercises and ambulation, and administering prescribed medications.

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    The nursing care plan addresses a patient with ineffective breathing patterns related to pain from a COVID-19 infection. Short term goals are for the patient to demonstrate appropriate coping behaviors within 1-2 hours. Long term goals are for the patient to establish a normal, effective breathing pattern within 1-2 weeks as evidenced by relaxed breathing at a normal rate and depth with no tachypnea. Interventions include assessing breathing sounds and vital signs, elevating the head of the bed, encouraging breathing exercises and ambulation, and administering prescribed medications.

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    2K views3 pages

    Nursing Care Plan (NCP)

    Uploaded by

    Sha Pineda
    The nursing care plan addresses a patient with ineffective breathing patterns related to pain from a COVID-19 infection. Short term goals are for the patient to demonstrate appropriate coping behaviors within 1-2 hours. Long term goals are for the patient to establish a normal, effective breathing pattern within 1-2 weeks as evidenced by relaxed breathing at a normal rate and depth with no tachypnea. Interventions include assessing breathing sounds and vital signs, elevating the head of the bed, encouraging breathing exercises and ambulation, and administering prescribed medications.

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    of 3

    Group 2 – Case 2

    Nursing Care Plan (NCP)

    Assessment Nursing Scientific Objectives Interventions Rationale Expected


    Diagnosis Explanation Outcome

    Subjective: Ø Ineffective Short term:  Establish rapport  To gain Short term:


    breathing After 1-2 hours patient’s trust After 1-2 hours
    Objective: pattern r/t of nursing and cooperation of
    The patient pain AEB interventions, nursing
    manifested the tachypnea the patient  Assess general  To obtain interventions,
    following: secondary to will be able to condition general data on the patient will
     Fever COVID-19 demonstrate patient’s have
     Tachypnea infection appropriate condition demonstrated
     Positive RT- coping appropriate
    PCR swab behaviors.  Monitor vital signs  To obtain coping
    test baseline data behaviors.
     The patient Long term:
    reports pain After 1-2 weeks  Assess breath  To note for Long term:
    in of nursing sounds, respiratory respiratory After 1-2 weeks
    hypogastric interventions, rate, depth and abnormalities of
    region, like the patient rhythm that may nursing
    uterine will be able to indicate early interventions,
    contractions establish a respiratory the patient will
    of low normal, compromise have
    intensity effective established a
     Unexplained breathing  Direct client in  To assist client normal,
    tiredness pattern, as breathing efforts as in “taking effective
     Difficulty of evidenced by needed. Encourage control of the breathing
    breathing relaxed slower and deeper situation, pattern, as
    breathing at inspirations and especially when evidenced by
     Vital Signs
    normal rate and use of the pursed- condition is relaxed
    taken as
    depth and lip technique associated with breathing at
    follows:
    absence of anxiety and air normal rate and
    tachypnea. hunger depth and
    Blood Pressure:
    absence of
    120/80 mmHg tachypnea.
     Elevate the head of  To promote
    Pulse Rate: 100 bpm the bed and/or physiological
    have the client sit and
    Respiratory Rate: 26 up in a chair, as psychological
    bpm appropriate ease of maximal
    inspiration
    Temperature: 38.7
    degrees  Encourage  To prevent
    ambulation/exercis onset or reduce
    Patient may e severity of
    manifest: respiratory
     Decrease in complications
    inspiratory or and to improve
    expiratory respiratory
    pressure muscle strength
     Decrease in
    minute  To maximize
    ventilation or  Emphasize the respiratory effort
    vital capacity importance of good
     Pursed-lip posture and
    breathing effective use of
    accessory muscles
     For the
     Administer pharmacological
    prescribed management of
    medications as the patient’s
    ordered condition

    Interventions that
    Interventions that reflect reflect Filipino values
    Filipino values and and culture
    culture

     To limit the level


     Maintain a calm of anxiety.
    attitude while
    dealing with the
    patient and
    significant other(s)
     Non-distracting
     Provide for a quiet environment
    environment that is provides optimal
    adequately opportunity for
    ventilated, dimly lit, rest and
    and free of relaxation.
    unnecessary
    personnel.
     This will reduce
     Stay with the the patient’s
    patient during acute anxiety, thereby
    episodes of reducing
    respiratory distress. oxygen
    demand.

     Presence may
     Keep environment trigger allergic
    allergen free (dust, response that
    feather pillows, may cause
    smoke, pollen) increase in
    mucus
    secretion.

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