The RN is updating the plan of care for a patient with a medical diagnosis of pneumonia. The patient was admitted yesterday, with a respiratory rate of 28, crackles in the right middle and lower lobes, a dry cough, and oxygen saturation of 90% on room air. The patient was using a bedside commode until earlier today, because of shortness of breath with any activity. The following nursing diagnoses and outcomes were included in the plan of care at the time of admission:

Nursing diagnosis: Impaired gas exchange related to ventilation perfusion imbalance as evidenced by oxygen saturation of 90%.

Expected outcome: Patient will demonstrate oxygen saturation greater than 95% within 24 hours.

Nursing diagnosis: Ineffective airway clearance related to retained secretions as evidenced by crackles in the right middle and lower lobes.

Expected outcome: Patient will demonstrate clear breath sounds in bilateral upper and lower lobes within 24 hours.

Nursing diagnosis: Ineffective breathing pattern related to hyperventilation as evidenced by shortness of breath and RR of 28 breaths per minute.

Expected outcome: Patient will demonstrate RR between 12-20 breaths per minute within 24 hours.

Nursing diagnosis: Activity intolerance related to imbalance between oxygen supply and demand as evidenced by shortness of breath when ambulating.

Expected outcome: Patient will demonstrate no shortness of breath with ambulation within 24 hours.

The patient has been receiving treatment for the past 24 hours, and currently has a respiratory rate of 20 breaths per minute, crackles in the right lower lobe, breath sounds clear in all other lobes, oxygen saturation of 94% on 2 liters of oxygen via nasal cannula, and denied shortness of breath when ambulating to the bathroom an hour ago.

Initial Discussion Post:

• How will the RN update the plan of care?
• Include one intervention to address each of the nursing diagnoses that are still applicable.
• What criteria will be used to determine if the remaining applicable nursing diagnoses have resolved?

Base your initial post on your readings and research of this topic.Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  100 words.

 

 

Cynthia Dunn 

 

2 posts

 

Re:Topic 2 DQ 2

 

Communication is a tool to accomplish work and meet goals. In order to accomplish this, it must be effective communication which includes the ability to be clear, direct, straightforward, and to use frequent message transmission (Huber, 2014, p. 110). In order to communicate a shared vision with stakeholders on a community project, I would utilize, persuasion, negotiation, and bargaining. Verbal communication would be a primary method used, which includes written as well. The stakeholders in return must have a degree of listening, trust, self-disclosure, and feedback should occur (Huber, 2014, p. 119).  There are many details that are involved in presenting this vision to the stakeholders, which include, developing an action plan, implementing the plan, a blueprint if you will, and evaluating the process, prior to this, one must set targets and goals for success (Huber, 2014, p. 330). I would first present the organization’s mission statement and core values, state the objectives, the financial information, and strategies it will take to reach the objectives, as well as the resources needed, such as staff, food, space, etc. In an article I found, I like the way they have set up a diagram with the aim, primary drivers and secondary drivers, I am sure there are many diagrams and PowerPoints and formats of presenting a plan to stakeholders, but I would start with something simple such as this diagram that looks organized, simple, and detailed (Zavadsky, 2015, p. 51).

 

 

 

Huber, D. (2014). Leadership and nursing Care Management (5^thed.). Maryland Heights, MO: Saunders Elsevier. ISBN-13: 9781455740710

 

Zavadsky, M. (2015). Strategic Planning for Rapid Implementation. EMS World, 44(1), 50-53. Retrieved from http://eds.b.ebscohost.com.lopes.idm.oclc.org/eds