While providing interventions to a patient, you will be exposed to the infectious respiratory disorder. Choose one of the respiratory disorders selected by a classmate and explain how you would provide compassionate and emphatic care to the patient while also taking the necessary precautions to protect yourself.
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Choose one of the infectious respiratory disorders from this module to discuss the multidimensional care strategies for this disorder.
Pneumonia is one of the most popular infectious respiratory disease there is. We, as nurses, hear about people getting pneumonia all the time. There are many different multidimensional care strategies for this disease. The nurse would want to include respiratory for proper management of nebulizers and possible cough and deep breathe exercises. The nurse will want to assess to see if the patient has gotten their vaccine for pneumonia. “Vaccination can help prevent pneumonia. Currently, there are two pneumonia vaccines: pneumococcal polysaccharide vaccine (PPSV23) and pneumococcal conjugate vaccine (PCV13) for prevention of pneumonia” (Ignatavicius, Workman, Rebar, & Heimgartner, 2021). Lastly the nurse will want to ensure the patient knows how to manage the disease at home. “No special changes are needed in the home. If the home has a second story, the patient may prefer to stay on one floor for a few weeks, because stair climbing can be tiring. Toileting needs may be met by using a bedside commode if a bathroom is not located on the level the patient is using. Home care needs depend on the patient’s level of fatigue, dyspnea, and family and social support” (Ignatavicius, Workman, Rebar, & Heimgartner, 2021). There might be a lot of changes for the patient as they are recovering from this disease. Making sure they are prepared on how to properly care for themselves and help eliminate pneumonia in their lungs.
List these interventions based on priority and include rationale as to why you prioritized in this manner.
- Establish patent airway
- If a patient is not having an adequate airway then the patient is not getting the proper oxygen that is needed. We need to ensure that we, as nurses, have a proper airway to ensure the patient is getting enough oxygen. “Potential for airway obstruction due to inflammation with excessive pulmonary secretions, fatigue, muscle weakness” (Ignatavicius, Workman, Rebar, & Heimgartner, 2021).
- Ensure proper gas exchange in lungs
- If a patient is not having proper gas exchange in the lungs, then they are going to have a hard time getting oxygen in the lungs. This will put them at risk for Respiratory Acidosis. “Decreased gas exchange due to decreased diffusion at the alveolar-capillary membrane” (Ignatavicius, Workman, Rebar, & Heimgartner, 2021).
- Ensure fluid is getting out lungs
- If there is fluid in the lungs, the patient is not getting adequate airway which leads to the first priority. This will also impair the gas exchange happening in the lungs. If the patient has an impaired gas exchange then they are risk for Respiratory Acidosis. The fluid in the lungs could lead to sepsis in the body. “Potential for sepsis due to the presence of microorganisms in a very vascular area and reduced immunity” (Ignatavicius, Workman, Rebar, & Heimgartner, 2021).
Ignatavicius, D.D., & Workman, M.L., Rebar, C. & Heimgartner, N. M. (2021). Medical-surgical nursing: Concepts for interprofessional care (10th ed.). Elsevier.
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