Need help with exam revision; 24 year old Muslim with Viral Pneumonia

K+MgSO4, BSN · Jan 5, 2012

mobility includes chest mobility..............so auscultation of the chest (don't say you don't do it it is part of a nursing assessment) crackles? decreased air entry? rhonichi? sputum (blurgh!!) colour consistency, resp rate, use of accessory muscles, Sa02 room air / supplemental 02 ability to mobilise with pneumonia, contact precautions that prohibit pt from leaving room? understanding pt has of need to sit up & out of bed

Plan

Deep breathing & coughing education of inhaler technique nebuliser education 02 therapy ?? humidification safe management of sputum coughing into tissue and throwing it away if in isolation education re why. Education of family

Interventions

DB&C round of 5/6 each hour, sputum specimen sent a/w analysis pressure area care with 02 eg ears with nasal prongs on. Sa02 monitoring & resp rate 4 hourly

Evaluation improvement in RR & Sa02 decrease in sputum, change in colour, decreased demand for 02 increase mobility tolerance.

Maybe thrown in re DVT...........heparins/clexanne made from pig mucus. Does the pt understand why we are giving them the product that is against their religious beliefs..............do they have informed consent, have they been counselled re same. use of TEDS and calf compression boots instead, exercises to reduce blood statis in lower limbs.

Fiona59 · Jan 6, 2012

I think you'd better toss in some references to cultural practices since they've made the patient's religion a factor. Is the patient male or female? Married or living at home? Arab, Indian sub-continent, western convert, southeast Asian?

I think there is a few things to be considered.

ayla2004, ASN, RN · Jan 12, 2012

need help with a written exam that i have coming up in the next few weeks.
the scenario is of a 24 year old muslim with viral pneumonia.
i need to select three activities of daily living using roper logan and tierney model.
i have selected breathing, mobility and communication.
for each of these three topics i need to cover assessment, planning, interventions and evaluation. would it be possible for someone to do me an example of say mobility as i am struggling :/

the other posters have been gviing good advice however since you are posting on the uk board i'm guessing your a uk student nurse.

where it has been mentioned mobility inculdes breathing it doesn't under that adl.

chest care auslation etc, uk rn don't listen for beath sounds. we do note rr depth. chest systemy, effort(use of accessory muscles) purse lip breathing, sats, does the pt need supplementy oxygen to maintain sats?, does the pt have nebs prn nebs, inalers?

may need chest physio,

mobility

rlt what is normal for the patient and what could/has changed due to illnes

what does the patient state is normal, what can they do now,

plan goals for daily and discharge,

pt will be able to ...ideal

planing this with the pt use their words in quotesintervention shold include bt not limited to

include saftey such as suitable footwear, mobility aids, possible need for supervison with walking, toileting needs, think fall prevention. hat hospital acquired thrombsis so teds/flotons and lmwh.

encourage siting pt up or out as best chest care,]refer to physio for chest/walking assesment s if concerned.

evaluate what has happen per shift

K+MgSO4, BSN · Jan 13, 2012

I studied in Ireland 2002-2006 and I was not taught to auscultate for breath sounds but the ward I worked on the sister was ex ICU and taught me how to. It is not hard nor a magical mystery. Buy a semi decent stethoscope (NOT the rubbish lying on the ward for BPs) and google breath sounds. Keep listening and you will learn the difference.

ZippyGBR, BSN, RN · Jan 17, 2012

I studied in Ireland 2002-2006 and I was not taught to auscultate for breath sounds but the ward I worked on the sister was ex ICU and taught me how to. It is not hard nor a magical mystery. Buy a semi decent stethoscope (NOT the rubbish lying on the ward for BPs) and google breath sounds. Keep listening and you will learn the difference.

exactly

it's only the reverse snobbery of Nursing that prevents people from doing it .

ayla2004, ASN, RN · Jan 17, 2012

I wasn'saying it beyond a UK nurse and learning breath sounds is on my to do list. Rather for the OP question, who marks the essay want to read on the basis wha a ward nurse would be doing. Making chest pt via a physio part of the plan would be stanard care.