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Family Nursing Care Plan

Intervention Plan Health Problem Family Nursing Problem Goal of Care Objectives of Care Nursing Interventions Method of NurseFamily Contact Resources Required

Cough and Colds

Inability to make decisions with respect to taking appropriate health actions due to: a. Low salience of the problem/condition b. Lack of/inadequate knowledge/insight as to alternative courses of action open to them.

After the nursing intervention the family will be able to eliminate the cough and colds and will prevent the recurrence of the disease in the future.

After nursing intervention the family will: a. acquire adequate information about the disease, including signs and symptoms of the disease, immediate health care assistance and preventive measures; b. be aware on how to reduce the chances of spreading communicable diseases to other family members; c. utilize community resources openly available in resolving the condition experienced.

1. Discuss with the family the causes, effects and complications of cough and cold. 2. Provide adequate knowledge on the various ways of maintaining cleanliness in their surroundings. 3. Explain the importance of proper food preparation, good nutrition, rest and sleep in strengthening ones resistance against illness, so as to prevent occurence of cough and colds 4. Cite ways in eliminating the disease and limiting the occurence of transmission by suggesting courses of action such as medications (e.g. measures like the application of alternative medicines like lagundi if resources in the community is inadequate) and preventive measures such as covering the mouth when sneezing or coughing and proper disposal of nasal or oral discharges. 5. Promote proper personal and environmental hygiene among all members of the family. 6. Provide information on health centers in the vicinity for immediate care assistance.

Home Visit

- Material
Resources: Visual Aids and low-cost materials needed for demonstration - Time and effort on the part of the nurse and family

Subjective:Hindi ako makatulog dahil sa ubo ko as verbalized by the patient. Objective: Fatigue. Dyspnea. V/S taken as follows:T: 37.7P: 90R: 22BP: 110/80 Actvityi ntolerance related to exhaustion associated within terruption in usual sleep pattern because of discomfort, excessive coughing and dyspnea. Coughing isthe body' sway ofre movingforeignmaterial ormucous fromthe lungsand throat.The twogeneralclassifications of coughareproductivecoughs(producingphlegm ormucous fromthe lungs)andnonproductive coughs(dry and notproducingany mucousor phlegm).Coughs arealso dividedinto acute(less than 3weeks'duration) and chronic(more thanthree weeks'duration).Acute coughis most oftencaused bythe commonviral upperrespiratorytractinfection.Chroniccough maybe causedby a varietyof underlyingdiseasesincludingasthma,cysticfibrosis,allergies,GERD andchronic postnasal drip. After 4 hoursof nursinginterventions, the patientwilldemonstrateameasurableincrease intolerance inactivity withabsence ofdyspnea andexcessivefatigue. INTERVENTION Evaluatepatientsresponse toactivity. Provide aquietenvironmentand limitvisitors duringacute phase. Elevate headandencouragefrequentpositionchanges, deepbreathing andeffectivecoughing. Encourageadequate restbalanced withmoderateactivity.Promoteadequatenutritionalintake. RATIONALE Establishespatientscapabilitiesor needs andfacilitateschoice ofinterventions Reducesstress andexcessstimulation,promotingrest. Thesemeasurespromotesmaximalinspiration,enhanceexpectoration ofsecretions toimproveventilation. Facilitateshealingprocess andenhancesnaturalresistance. EVALUATION After 4 hoursof nursinginterventions, the patientwas able todemonstrateameasurableincrease intolerance inactivity withabsence ofdyspnea andexcessivefatigue. INTERVENTION Force fluids toat least 3000 mlper day andoffer warm,rather than coldfluids. Collaborative: Fluidsespeciallywarm liquidsaid inmobilization and expectoration of secretions. Administermedications asprescribe:mucolytics orexpectorants. Aids inreduction ofbronchospasm andmobilizationof secretions.

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