Assessment Health Family Goal of Care Objective of Nursing Method of Resources

Problem Nursing Care Intervention Family Required

Problem Contact
Subjective: Cough as a Ineffective After the Short Term: Diagnosis: Home Visit Material
“Nagsimula health airway nursing After 8 hours Monitor depth Resources:
and ubo ko deficit. clearance intervention, of nursing of, chest Paper and pen.
noong tag- related to the patient intervention, movement,
ulan dahil sa productive will become the patient respiration and Human
lamig ng cough as independent will breath sounds, Resources:
panahon at evidence by in managing demonstrate: noting rate and Time and effort
naiirita ako coughing with cough. - Decrease in sounds. of both the
kapag ako’y whitish rate and student nurse
inuubo,” as secretions. depth of Evaluate and the family.
verbalized by respiration client’s cough
the patient. Inability to - Absence of or gag reflex Financial
recognize the dyspnea and swallowing. Resources:
Objective: possible - Decreased Money for the
- Productive effect of in productive Treatment: student nurse
cough with productive coughing Prescribe the transportation.
whitish cough. patient the
secretions Long Term: right medicine.
- Fast Risk for the After 2
breathing whole members consecutive Educative:
- Increased of the family visits, the Encourage
and change in to acquire patient will patient to
rate and cough. be free from: perform chest
depth of - Dyspnea tapping.
respiration Low intake of - Productive
- Dyspnea water. coughing Advice patient
- RR: 34cpm - Changes in to increase
rate of oral water
respiration intake.

Encourage
patient to
cover mouth
while coughing.