Nursing Diagnosis Nursing Care Plan for Chronic Obstructive Pulmonary Disease(COPD)

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Nursing Diagnosis Nursing Care Plan for Chronic Obstructive Pulmonary Disease(COPD)

• Impaired Gas Exchange related to ventilation perfusion inequality.


• Activity Intolerance related to imbalance between supply with oxygen demand.


• Imbalanced Nutrition: Less than Body Requirements related to anorexia.


• Disturbed Sleep Pattern related to discomfort, the setting position.


•  Self-Care Deficit Bathing / Hygiene, Dressing / Grooming, Feeding, toileting related secondary fatigue due to increased respiratory effort and the insufficiency of ventilation and oxygenation.


• Ineffective Airway Clearance related to bronchoconstriction, increased sputum production, ineffective cough, fatigue / decreased energy and bronkopulmonal infection.


•    Ineffective Breathing Pattern related to shortness of breath, mucus, bronchoconstriction and airway irritants.


•   Anxiety related to threat to self-concept, the threat of death, unmet needs.


•   Ineffective Individual Coping related to lack of socialization, anxiety, depression, low activity levels and inability to work.


•     Knowledge Deficit related to lack of information, do not know the source of information.

Nursing Intervention for COPD

•     Instruct patient to avoid irritants such as cigarette smoke, aerosols, temperature extremes, and smoke.


•     Teach about the early signs of infection should be reported to your doctor immediately: increased sputum, change in color of sputum, sputum viscosity, increased shortness of breath, chest tightness, fatigue.


•     Give antibiotics as required.


•     Give the patient 6 to 8 glasses of fluid per day unless there is Cor pulmonale.


•     Teach and give the use of diaphragmatic breathing and coughing techniques.


•     Assist in the provision of a nebulizer action, measured dose inhalers.


•     Perform postural drainage with percussion and vibration in the morning and at night as required.


•     Give encouragement to patients to immunize against influenzae and Streptococcus pneumoniae.

Sources:http://nursing-careplans.com/nursing-care-plan-chronic-obstructive-pulmonary-disease-copd

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