Nursing Diagnosis Desired Outcomes Nursing Rationale and Evaluation of Interventions APA Reference Interventions Independent (I) Collaborative (C) Impaired Goal: Patient will have Care team Increased Patient able to Spontaneous COPD managed with will ensure ventilation maintain proper Ventilation proper medication and regular allows for levels of oxygen in will maintain proper O2 oximetry proper O2 the blood, as well levels monitoring delivery to as proper tissue and O2 tissues and perfusion to all therapy as proper tissue organs. required (C) perfusion to all Hematology Nurse and areas of the profiles show Patient will: care team body. values in Patient displays low maintain an will (Lewis et al, consideration of SpO2 levels SpO2 level of cooperate 2010) maintenance of 98% or higher with daily underlying Patient displays Patient will assessments conditions SOB at rest and show lowered and with exertion levels of subjective anaemia gathering of Patient unable to assessment manage ventilation information levels on own Deficient Goal: Patient will be able Nurse and Education of Patient able to Knowledge to answer questions care team health answer care team regarding self-care of will spend maintenance questions underlying conditions, time daily in results in higher surrounding health diabetic diet, COPD teaching levels of and illness in management and patient about successful satisfactory manner Patient lacks necessary lifestyle proper health recovery (Ho & understanding of changes and medication maintenance Yan, 2010) Patient displays underlying health protocol (C ) knowledge conditions Collaborative necessary to Patient will: team such as maintain own Patient unable to Partake in diabetic health explain the reason educational nurse will for the acute decline sessions with educate Patient able to in health care staff. patient in understand proper Demonstrate proper medication regimen Patient unable to knowledge when diabetic and has system in maintain asked lifestyle place for proper medication regimen Understand the maintenance maintenance of and necessary levels etiology and (C) medication regimen of health progression of all diagnoses Patient has Patient lacking necessary necessary support community and and resources to family supports in maintain optimum place to help with levels of health health maintenance
Nursing Diagnosis Desired Outcomes Nursing Interventions Independent (I) Collaborative (C) Rationale and APA Reference Evaluation of Interventions Impaired Spontaneous Ventilation Patient displays low SpO2 levels Patient displays SOB at rest and with exertion Patient unable to manage ventilation levels on own Goal: Patient will have COPD managed with proper medication and will maintain proper O2 levels Patient will: maintain an SpO2 level of 98% or higher Patient will show lowered levels of anaemia Care team will ensure regular oximetry monitoring and O2 therapy as required (C) Nurse and care team will cooperate with daily assessments and subjective gathering of assessment information Increased ventilation allows for proper O2 delivery to tissues and proper tissue perfusion to all areas of the body. (Lewis et al, 2010) Patient able to maintain proper levels of oxygen in the blood, as well as proper tissue perfusion to all organs. Hematology profiles show values in consideration of maintenance of underlying conditions Deficient Knowledge Patient lacks understanding of underlying health conditions Patient unable to explain the reason for the acute decline in health Patient unable to maintain medication regimen and necessary levels of health Patient lacking necessary support and resources to maintain optimum levels of health Goal: Patient will be able to answer questions regarding self-care of underlying conditions, diabetic diet, COPD management and necessary lifestyle changes and medication protocol Patient will: Partake in educational sessions with care staff. Demonstrate knowledge when asked Understand the etiology and progression of all diagnoses Nurse and care team will spend time daily in teaching patient about proper health maintenance (C ) Collaborative team such as diabetic nurse will educate patient in proper diabetic lifestyle maintenance (C) Education of health maintenance results in higher levels of successful recovery (Ho & Yan, 2010) Patient able to answer care team questions surrounding health and illness in satisfactory manner Patient displays knowledge necessary to maintain own health Patient able to understand proper medication regimen and has system in place for proper maintenance of medication regimen Patient has necessary community and family supports in place to help with health maintenance