Deficient Knowledge related to COPD

Definition of Deficient Knowledge:

The absence or lack of cognitive information, with respect to the specific topic.

Defining characteristics:

• verbalization of the problem,
• follow the instructions inaccuracies,
• inappropriate behavior.

Related factors:

• cognitive limitations,
• interpretation of the information is wrong,
• lack of desire to seek information,
• do not know the sources of information.

NOC - Deficient Knowledge of COPD:

• Kowlwdge: Disease process
• Kowledge: Health behavior

Expected Result :

• Patients and families expressed an understanding of the disease, condition, prognosis and treatment programs
• Patients and families are able to carry out procedures correctly explained
• Patients and families are able to explain again what is described nurse / other health care team.

NIC - Deficient Knowledge related to COPD :

• Teaching: Disease Process

• Give an assessment of the patient's level of knowledge about specific disease processes
• Describe the pathophysiology of the disease and how this relates to the anatomy and physiology, in a proper way.
• Describe the signs and symptoms usually appear on the disease, in an appropriate manner
• Describe the disease process, in an appropriate manner
• Identification of possible causes, in a proper way
• Provide information to patients about the condition, in a proper way
• Avoid a hopeless
• Provide information to families about the progress of patients in an appropriate manner
• Discuss lifestyle changes that may be necessary to prevent complications in the future or control the disease
• Discuss the choice of therapy or treatment
• Support the patient to explore or get a second opinion in a proper way or the indicated
• Exploration of possible sources or support, in a proper way
• Refer patients to the group or agency in the local community, in an appropriate manner
• Instruct patients about the signs and symptoms to report on health care providers, in an appropriate manner.

»»  READMORE...

Ineffective Airway Clearance of COPD

Ineffective Airway Clearance Definition: The inability to clear secretions or obstruction of the respiratory tract to maintain airway hygiene.

Limitation of Characteristics:

• Dyspnoea, decrease in breath sounds
• Orthopneu
• Cyanosis
• Abnormalities of breath sounds (rales, wheezing)
• Difficulty speaking
• Cough, ineffective or no
• Eyes widened
• Production of sputum
• Fidget
• Changes in frequency and rhythm of the breath

Related factors:

• Environment: smoking, tobacco smoke, passive smoking, infection
• Physiological: neuromuscular dysfunction, hyperplasia of the bronchial wall, airway allergy, asthma.
• Obstruction of the airway: airway spasm, secretion retention, the amount of mucus, the artificial airway, bronchial secretions, presence of exudate in the alveoli, the presence of foreign bodies in the airway.

NOC - Ineffective Airway Clearance of COPD:

• Respiratory status: Ventilation
• Respiratory status: Airway patency
• Aspiration control

Expected outcomes are:

• Demonstrate effective cough and breath sounds are clean, no cyanosis and dyspnea (capable of removing the sputum, was able to breathe easily, no pursed lips)
• Showed a patent airway (the client does not feel suffocated, breath rhythm, respiratory frequency in the normal range, there is no abnormal breath sounds)
• Able to identify and prevent factors that can inhibit airway.

NIC - Ineffective Airway Clearance of COPD :

(1) Airway Suction

• Make sure the needs of oral / tracheal suctioning
• Auscultation of breath sounds before and after suctioning.
• Inform the client and family about suctioning
• Ask the client to do a deep breath before suction.
• Give oxygen using nasal to facilitate suksion nasotrakeal
• Use sterile tools that every action
• Instruct the patient to rest and breathe in after the catheter removed from nasotrakeal
• Monitor patient's oxygen status
• Teach the family how to perform suction
• Stop suksion and give oxygen if the patient showed bradycardia, increased oxygen saturation, etc..

(2) Airway Management

• Open the airway, chin lift technique guanakan or jaw thrust if necessary
• Position the patient to maximize ventilation
• Identify the patient's need for the installation of an artificial airway device
• Replace the mayo if needed
• Perform chest physiotherapy if necessary
• Remove secretions by coughing or suctioning
• Auscultation of breath sounds, note the presence of additional noise
• Apply suction to the mayo
• Give bronchodilators if necessary
• Provide NaCl humidifiers Damp wet gauze
• Adjust intake to optimize fluid balance.
• Monitor respiration and oxygen status

»»  READMORE...