Nursing Interventions for Pneumonia

Additional radiological test I would order for JT would be a chest radiograph (posteroanterior and lateral) due to his presenting signs and symptoms. What I would expect to see is an infiltrate on the chest radiograph, which is considered the gold standard for diagnosing pneumonia when other clinical presentations are present. In addition, a CT may be necessary if the radiograph is negative with the above signs and symptoms. The appearance of an interstitial infiltrates on the chest radiograph could be due to Pneumocystis jirovecii and viruses' and lobar consolidation due to bacteria (Bartlett, 2017). However, radiographic appearance

An important nursing intervention for a patient with COPD is to improve functional capacity of the lungs with oxygen use (ANA, 2012). An oxygen saturation value of 90% or higher is the optimal goal for the patient (ANT, 2012). Patients should be instructed on how to use oxygen properly and safely,

Choice “E” is the best answer. This patient lives in a nursing home, which makes nursing home–acquired pneumonia (NHAP) the likely diagnosis. The condition described is a typical pneumonia, of which Streptococcus pneumoniae is the most common cause. Similar microorganisms cause NHAP and community-acquired pneumonia (CAP), so they are diagnosed and treated the same way.

The purpose of this paper is to assess the effects of oral care on ventilator-associated pneumonia for inpatient

What is the best evidence based nursing practice in attempting to reduce (VAP) ventilated associated pneumonia? I decided to do an evidence based paper on VAP after talking to respiratory therapy on the sixth floor of Chippenham hospital during my clinical studies. I have a friend who has spent many years as a RN in the critical care unit and has seen the effects of different methods in reducing VAP first hand. This is a nursing intervention and the sole responsibility of the nurse. I can’t think of a better topic to research considering I am in my first semester of nursing school. I am very excited to share what I have found. I have found a large amount of information on different methods to reduce VAP but have decided on three to

Among critically-ill patients in acute care facilities, pneumonia is one of the most frequently acquired hospital infections (Curtin, 2011). Ventilator-associated pneumonia (VAP) is the second most common healthcare-associated infection (HAI) in the United States and it is responsible for approximately 25% of infections that occur in intensive care units (Sedwick et al., 2012). VAP is defined as a hospital-acquired lung infection that develops in patients who are intubated and receiving mechanical ventilation at the time of or within 48 hours prior to the onset of infection (Sedwick et al., 2012; Gianakis et al., 2015). The definition of VAP, provided by the Centers for Disease Control and Prevention (CDC), encompasses a combination of radiological,

This paper will discuss the prevention of ventilator associated pneumonia utilizing the ventilator associated pneumonia care bundle and the impact it has on clinical practice. Topics that will also be discussed include potential barriers that may arise during the implementation of the bundle strategies, how they can be overcome and finally educational strategies for families.

The clinical manifestations of pneumonia will be different according to the causative organism and the patient’s underlying conditions and/or comorbidities (Smeltzer, et al). Some of the manifestations are

J.C. was admitted to the floor with a diagnosis of pneumonia with sinusitis. According to Lewis, Dirksen, Heitkemper, Bucher, and Harding, pneumonia is an acute infection of the lung parenchyma (Lewis, Dirksen, Heitkemper, and Bucher, 2014, p.

Typical symptoms associated with pneumonia include cough, chest pain, fever, and difficulty in breathing. Diagnostic tools include x-rays and

Ventilator –associated pneumonia (VAP) is a hospital acquired infection affecting the respiratory system which occurs on hospitalized patients in critical care unit on mechanical ventilator. VAP is the second most common hospital acquired infection (HAI) with high mortality and morbidity rate for ventilated patients in intensive care unit. (Bingham. Ashley, Jong & Swift, 2010). Patients on mechanical ventilator spend more days in the hospital which in turn affects health care cost. VAP prevention is ongoing for nurses working in Intensive care unit. It is the duty of the nurses to help in VAP prevention by adhering to the interventions in the ventilator bundle in their daily

Ventilator associated pneumonia (VAP) is among the most fatal hospital acquired infections, with mortality ranging from 15% to 70%. Ventilator associated pneumonia is also known to increase length of stay which directly affects unit budgets. In 2010 the institute for health care improvement added daily oral care with chlorahexidine to the five evidence based interventions which include, “(1) head-of-bed elevation between 30 degree and 45 degree; (2) a daily “sedation vacation” and a readiness-to-wean assessment; (3) peptic ulcer disease prophylaxis; (4) deep vein thrombosis prophylaxis; (5) daily oral care with chorahexidine.” (Lim, et al., 2015)

Jane Peterson has a principle diagnosis of acute pneumonia. Pneumonia is characterised as an inflammatory infection of the lung tissue, specifically affecting the alveoli (“Pneumonia”, 2017). The infection may affect one or both the lungs and can be caused by a virus, bacteria and even fungi in people with compromised immune systems (“Pneumonia”, 2017). Additionally, exposure to a sufficient portion of organisms, other risk factors also contribute to the development of pneumonia, such as cigarette smoke, malnutrition, abnormal anatomical structure and difficulty swallowing (Gale Encyclopedia of Children’s Health, 2015).

Mrs. A (pseudonym) is an 83-year-old Samoan female of Christian religion who was admitted to an urban hospital on 02/04/15 by GP referral. She came in with chest pain associated with productive cough and shortness of breath (SOB) on exertion. She also complained of having recurrent episodes of vomiting mixed with saliva and fatigue. She has a history of asthma, hypertension, type 2 diabetes mellitus on Metformin and double incontinence due to a long-standing history of intermittent constipation. Her chest computed tomographic (CT) revealed right lower lobe opacity indicating pulmonary consolidation, which means that her right lower lung has accumulated exudates in the alveoli that would have normally been filled by gas, indicative of bacterial pneumonia. Furthermore, a sputum gram stain sample collected from Mrs. A showed gram-positive bacteria, which is also a characteristic of pneumonia. Her blood tests revealed a high haemoglobin count, which may be caused by an underlying lung disease, as well as high white blood cell count confirming the presence of infection. Considering all diagnostic results, Mrs. A was diagnosed with right lower lobe bacterial pneumonia.

Pneumonia is a common infection of the lungs that millions of people acquire every year, it is most commonly contracted through the air we breathe and varies in severity due to the person, their health and the situation. Pneumonia may be caused by bacteria, viruses or fungi. Bacterial infection occurs after a cold or on its own, Streptococcus pneumonia is most common form. Cold and flu viruses can sometimes cause pneumonia but these cases are usually mild. Fungi pneumonia is most commonly found in people with weak immune systems or people with chronic health problems (Mayo Clinic, 2014). Bacterial pneumonia is less contagious then a common cold or flu, but can still be caught through sneezing or coughing which puts out germs into the air that others can breathe in, or touching an object and leaving germs on it which someone else could then touch and then can transfer into their system if they touch their mouth or nose (NHS Choices, 2014). The most common way to check for pneumonia is to have a doctor listen to your lungs to check for crackling or bubbling sounds, if the doctor believes pneumonia is present they may do further testing.