What is a goal for ineffective breathing pattern?
Goals and Outcomes Patient maintains an effective breathing pattern, as evidenced by relaxed breathing at normal rate and depth and absence of dyspnea. Patient’s respiratory rate remains within established limits. Patient’s ABG levels return to and remain within established limits.
What is a short term goal for ineffective airway clearance?
The following are the common goals and expected outcomes for Ineffective Airway Clearance. Patient will maintain clear, open airways as evidence by normal breath sounds, normal rate and depth of respirations, and ability to effectively cough up secretions after treatments and deep breaths.
What is the goal for shortness of breath?
The aim when positioning a patient with dyspnoea is to maximise respiratory function while reducing physical effort, therefore the individual should be comfortable and well supported.
What is short term goal in nursing care plan?
Short-term goal – a statement distinguishing a shift in behavior that can be completed immediately, usually within a few hours or days. Long-term goal – indicates an objective to be completed over a longer period, usually over weeks or months.
What type of nursing diagnosis is ineffective breathing pattern?
Diagnoses
| NANDA-I Nursing Diagnoses | Definition |
|---|---|
| Ineffective Breathing Pattern | Inspiration and/or expiration that does not provide adequate ventilation. |
| Ineffective Airway Clearance | Inability to clear secretions or obstructions from the respiratory tract to maintain a clear airway. |
What is ineffective airway clearance?
Ineffective airway clearance occurs when an artificial airway is used because normal mucociliary transport mechanisms are bypassed and impaired. Nursing assessment and intervention are the keys to maintaining airway patency in the patient with an artificial airway in place.
What can Ineffective airway clearance be related to?
ineffective Airway Clearance may be related to increased production and retained pulmonary secretions, bronchospasm, decreased energy, fatigue, possibly evidenced by wheezing, difficulty breathing, changes in depth and rate of respirations, use of accessory muscles, and persistent ineffective cough with or without …
What are examples of short-term goals?
A short-term goal is any goal you can achieve in 12 months or less. Some examples of short-term goals: reading two books every month, quitting smoking, exercising two times a week, developing a morning routine, etc.
How do you write a short-term nursing goal?
SMART is an acronym for the guidelines nurses should use when setting their goals:
- Be specific. Setting broad nursing goals allows them to be open for interpretation.
- Keep it measurable. For goals to be effective, there must be some way to measure your progress.
- Keep it attainable.
- Be realistic.
- Keep it timely.
What interventions can be done for terminally ill patients experiencing ineffective breathing patterns?
Types of interventions
- Breathing training or breathing control exercises (e.g. diaphragmatic breathing, pursed lip breathing, body position exercises, respiratory muscle training).
- Cool air (e.g. use of a handheld fan).
- Chest wall vibration.
What are signs of ineffective breathing?
The nurse selects Ineffective Breathing Pattern after validating this patient is demonstrating the associated signs and symptoms related to this nursing diagnosis:
- Dyspnea.
- Increase in anterior-posterior chest diameter (e.g., barrel chest)
- Nasal flaring.
- Orthopnea.
- Prolonged expiration phase.
- Pursed-lip breathing.
- Tachypnea.
Why is ineffective airway clearance a priority?
It should be pointed out that ineffective airway clearance, as well as other respiratory diagnoses, are usually priority because they directly affect tissue oxygenation, requiring quick and resolutive interventions.