Breathlessness: Impacts, Interventions and Outcomes Essay

Shallow breathing and pain altered this patient’s comfort. Therefore, one of the nursing diagnoses can be stated as “Breathing Pattern, Ineffective r/t pain and anxiety, as evidenced by respiratory depth changes" (Ackley & Ladwig p. 175). We briefly discussed the specifics of incentive spirometry use before initiating the intervention. After return demonstration, the patient was ready to use his incentive spirometer.

I am currently studying HNC Health Care and as part of my course I have to complete a graded unit, this will entail three stages; Planning, development and evaluation. This will be carried out while on placement within a hospital setting, within the planning stage I have to choose a patient and assist them with a nursing activity. I have chosen to follow Roper Logan and Tierney twelve activities of daily living the reason for this is that I find it to be the nursing model that is most effective as each activity has its own importance to the survival of life; also it follows the objectives of my graded unit. I have chosen the AL of eating and drinking as the patient I have chosen has severe Rheumatoid arthritis and has lost the use of her

I would tell the doctor to stop if he didn’t start and grab a manual ventilator and try to find a replacement mechanical ventilator.

The (Institute of Medicine Report ,2010) pointed that there was need in the transformation of nursing

7. Did the minute ventilation increase, decrease, or not change with exercise? of course the minute ventilation increase tremendously after exercising.

Persona is a wonderful film that explains the story of a young nurse and an actress. The film presents a mixture of horrific and psychological drama. Animal slaughter is an important element of symbolism in the film. Animal slaughter shows an act of sacrifice for ritual purpose. Most importantly, the act of animal slaughter is used to support themes of death and insanity in a great way. When audience sees the killing and mutilation of an animal, they understand that there is an eminent danger from outside (Bergman).

Orem’s Self-Care Model (2001) was developed by the American nurse Dorethea Orem and is very person centred by concentrating on what the patient is able to do independently and focussing care around that aspect (Barratt, Wilson and Wollands, 2012). However, it has been criticised for the use of complex language, terminology and concepts (Murphy, Williams and Pridmore, 2010). RLT was used in this case due to Susan’s main concern of shortness of breath (SOB) affecting all her AL and is the sole model used on the admitting ward and local NHS trust admittance paperwork.

This essay will now analyze the nursing intervention that requires for the acutely ill patient to prevent an exacerbation of chronic obstructive pulmonary disease. The nurse carried out an initial assessment of a full history, taking in consideration that the patient was over 35 years of age who has been, or still is, a cigarette smoker, with vascular related diseases and had symptoms of breathlessness on exertion, chest tightness, wheezing, coughing, sputum production especially in the morning and chest infection (Currie 2009). A physical examination was done to check the patient respiration rate, depth and rhythm, blood pressure, pulse, temperature and oxygen saturation (Lynes 2007). The acutely ill patient’s respiration was between 30-34 breaths per minute, blood pressure 580/98, pulse 110 beat per minute and saturation levels 80-82%. Increase respiration indicates that the patient was in fear, pain and anxious. Anxiety causes stimulation of sympathetic nervous activation which forces bronchioles

For the purpose of this essay, I will discuss the case of a five years old patient presenting to my place of work with the symptom of shortness of breath (SOB). To maintain confidentiality the pseudonym “Ryan” will be used to refer to the child and Ryan’s mother will be frequently referred to as “mum”.

The model is used by the nurse for assessing the relative independence of the patients along with its potential for independence in the daily living activities. The independence of patient is observes at the range of complete dependence to complete independence (Holland, 2008).The daily living activities must not be used as a checklist. Rather Roper, states that they must be views as the cognitive approach towards care and assessment of the patients, instead of just limiting it to list of boxes on paper, but in the approach of nurse to and organisation of her care, the model provides a way for the nurses to deepen their understanding of models along with its practical

About a year ago, I came home from work one night and walked into the kitchen to where my mother was standing. There was a feeling of uneasiness and the panic began to clench my stomach. She looked so sad, so stressed; maybe it was the frizzy hair, the bags beneath her eyes, the way her back slouched in a low negative curve, or her eyes. Her eyes looked at me before she turned them away, but in that fragment of a second, it’s almost like I could look inside her narrow eyes and search until I would come upon this thing. This thing has no name, but it scares her. She wouldn’t exactly explain to me what it was but I felt the sudden movements of uncertainty with the way she shifted her body and

Respiratory therapy refers to both a subject area within clinical medicine and to a distinct health care profession. During the 20th century, there were many health care fundamental transformations. Here are 10 possible predictions of what may occur in the future of respiratory care: (1) Less focus on raising PaO2 as a primary goal in managing patients with acute hypoxemic respiratory failure. (2) More attention to

Breathlessness has been characterized as an unpleasant or uncomfortable respiratory sensation. Patients undergoing breathlessness are often described as being dyspnoeic, or having dyspnoea, which means difficulty in breathing (Prigmore, 2005). Uronis, et al, (2006) reports that 95% of the COPD patients, 78.6% cancer patients and 75% of patients with disease associated with dyspnea claimed that such condition is one of the most distressing symptoms from any cause. Dyspnoea is a subjective experience; therefore, self-report is the foundation for the assessment (Puntillo, et al, 2014). Parameters used to assess pain are also used in the dyspnea assessment, which include onset of symptom, frequency, severity and exacerbating or alleviating factors (Indelicato, 2006). Effective communication is associated with better clinical outcomes and higher patient satisfaction in healthcare settings (Fleischer, et al, 2009). However, poor communication may lead to insufficient management of condition (Higginson & Constantinids, 2002). Therefore, in order to accomplish the effective communication and empower the patient, a nurse needs to identify and be aware of the factors that enhanced and impeded communication with patient experiencing dyspnoea. This essay will critically analyse the therapeutic strategies that enhance communication with dyspneic patients, in terms of using close-ended questions, non-verbal communication, active listening, silence and clarification.

The cardiac ward used Roper, Logan and Tierney model to assess the patients being admitted to the ward as a way of comparing how a patient’s life has changed due to illness or admission to the hospital (Roper N, 1980). This model was the first to be developed in the United Kingdom. Tierney (1998) claims the contribution that the model has made to nursing is that it has encouraged nurses to refocus on health rather than ill health. The model also shows the complexity of nursing. The model covers the patient’s whole lifespan. In the model patients are seen as engaging in twelve basic activities of living (Pearson et al 2005). The twelve activities of living are maintain a safe environment, communicating, breathing, eating and drinking, eliminating, personal cleansing and dressing, controlling body temperature, mobilising, working and playing, expressing sexuality, sleeping and dying. Each activity is seen to have five influencing factors, those being, biological. Psychological, socio-cultural, environmental and politico-economic. A copy of my own assessment of Ann using this model is included in the appendix.

Jane’s asthma was acute severe. Initially to alleviate some of Jane’s breathlessness she was sat up right in the bed and supported with pillows to improve air entry. Due to her low oxygen saturations she was placed on 40% oxygen via Hudson mask (BTS 2006), as Jane was mouth breathing the mask was the appropriate device to use to ensure adequate oxygenation (Walsh 2002). According to Inwald et al (2001) hypoxemia is frequently a primary cause in numerous asthma related deaths. By administering oxygen promptly, for acute severe asthma, serious hypoxemia