Skip to main content

Nursing Care Plan for Chronic Obstructive Pulmonary Disease (COPD) with 10 Nursing Diagnosis

Chronic Obstructive Pulmonary Disease
Chronic Obstructive Pulmonary Disease (COPD) is a chronic lung disease is progressive, meaning the disease lasts a lifetime and is slowly deteriorating from year to year. In the course of this disease there are phases of acute exacerbation. Various factors play a role in the course of the disease, among other risk factors are factors that cause or exacerbate illnesses such as smoking, air pollution, environmental pollution, infection, genetic and weather changes.

The degree of airway obtruksi happened, and identification of components that allow for reversibility. Stage of the disease outside the lung and other diseases such as chronic sinusitis and pharyngitis. That ultimately these factors make further deterioration occurs sooner. To perform the management of COPD should consider these factors, so that the treatment of COPD for the better.

Chronic obstructive pulmonary disease is a broad classification of disorders that includes chronic bronchitis, bronchiectasis, emphysema and asthma, which is an irreversible condition associated with dyspnea on exertion and decreased air flow in and out of the lungs.

Chronic obstructive pulmonary disease is a lung disorder characterized by impaired lung function in the form of prolonged expiratory period caused by the narrowing of the airways and not much changed in the period of observation for some time.

Signs and symptoms will lead to two basic types:

  • Have a dominant direction of the clinical picture of chronic bronchitis (blue bloater).
  • Have a clinical picture towards emphysema (pink puffers).
Signs and symptoms are as follows:
  • body weakness
  • cough
  • shortness of breath
  • Shortness of breath on exertion and breath sounds
  • wheezing
  • prolonged expiratory
  • form the barrel chest (Barrel Chest) in advanced disease
  • the use of accessory muscles
  • decreased breath sounds
  • sometimes found paradoxical breathing
  • leg edema, ascites and clubbing

10 List of Nanda Nursing Diagnosis for COPD

1. Ineffective airway clearance related to: bronchoconstriction, increased sputum production, ineffective cough, fatigue / lack of energy, bronchopulmonary infection.
2. Ineffective breathing pattern related to: shortness of breath, mucus, bronchoconstriction, airway irritants.
3. Impaired gas exchange related to: ventilation perfusion inequality.

4. Activity intolerance related to: imbalance between oxygen supply with demand.
5. Imbalanced Nutrition: less than body requirements related to: anorexia.
6. Disturbed sleep pattern related to: discomfort, sleeping position.
7. Bathing / Hygiene Self-care deficit related to: fatigue secondary to increased respiratory effort and ventilation and oxygenation insufficiency.
8. Anxiety related to: threat to self-concept, threat of death, purposes that are not being met.
9. Ineffective individual coping related to: lack of socialization, anxiety, depression, low activity levels and an inability to work.
 10. Deficient Knowledge related to: lack of information, do not know the source of information.

Read More : https://nursing-care-plan.blogspot.com/2011/12/nursing-care-plan-for-chronic.html

Popular posts from this blog

Appendectomy - Nursing Care Plan for Preoperative and Postoperative

Definition of Appendicitis Appendicitis is an inflammation that often occurs in the appendix which is a serious case of abdominal surgery are the most common. Appendectomy An appendectomy is the surgical removal of the vermiform appendix. This procedure is normally performed as an emergency procedure, when the patient is suffering from acute appendicitis. In the absence of surgical facilities, intravenous antibiotics are used to delay or avoid the onset of sepsis; it is now recognized that many cases will resolve when treated perioperatively. In some cases the appendicitis resolves completely; more often, an inflammatory mass forms around the appendix, causing transruptural flotation. This is a relative contraindication to surgery. Etiology of Appendicitis Appendicitis is a bacterial infection caused by obstruction or blockage due to: Hyperplasia of lymphoid follicles Fecalith presence in the lumen of the appendix Appendix tumor The presence of foreign objects suc...

Hyperthermia related to Neonatal Sepsis

  Nursing Diagnosis and Interventions for Neonatal Sepsis Sepsis is a syndrome characterized by clinical signs and symptoms of severe infection that can progress toward septicemia and septic shock. (Doenges, 1999) While neonatal sepsis is a severe infection that affects neonates with systemic symptoms and there are bacteria in the blood. Neonatal sepsis course of the disease can take place quickly so often not monitored, without adequate treatment babies can die within 24 to 48 hours. (Surasmi, 2003). Nursing Diagnosis and Interventions for Neonatal Sepsis Hyperthermia   related to damage control temperature, secondary to infection or inflammation. Expected outcomes: The body temperature within normal limits. Pulse and breathing frequency within normal limits. Intervention and Rationale: 1. Monitoring of vital signs every two hours and monitor skin color. R /: Changes in vital signs that would significantly affect the regulatory processes or metabolism in the body. 2. Observat...

Hyperthermia and Acute Pain - NCP for Mastoiditis

  Nursing Care Plan for Mastoiditis Mastoiditis is an inflammation of the mastoid bone, usually from the tympanic cavity. The expansion of middle ear infections repeatedly can cause changes in the mastoid, such as thickening of the mucosa and accumulation of exudate. Over time there is inflammation of the bone (osteitis) and collecting exudate / pus that more and more, eventually finding a way out. The weak areas are usually located behind the ear, causing an abscess superiosteum. According to George (1997: 106), the clinical manifestations in patients with mastoiditis include: The fever usually disappear and arise. Pain tends to settle and throbbing, located around and inside the ears, and experience tenderness in the mastoid. Hearing loss. Tympanic membrane bulging contain skin that has been damaged and discuss sebaceous (fat). Posterior canal wall hanging. Postauricular swelling. A large discharge through the ear canal and the odor. Nursing Diagnosis and Interventions for Mastoi...