NCP- DOB (Click Here)

ASSESSMENT	DIAGNOSIS	OBJECTIVES OF CARE	INTERVENTION	RATIONALE	EVALUATION
Difficulty of Breathing (rapid and shallow) Subjective: “Nahihirapan ako sa paghinga.” as verbalized by the client. Objective: - Nasal Flaring -slight cyanotic nailbeds -rapid shallow breathing -RR: 27cpm	Ineffective breathing pattern related to post surgical state as manifested by nasal flaring, pale skin, slight cyanotic nailbeds, rapid shallow breathing, RR of 27 cpm	After 30 minutes of nursing intervention, the client will experience lessened difficulty of breathing as manifested by decreased in RR from 27 cpm to 20cpm with the absence of nasal flaring, and presence of calm breathing.	Independent: - Elevated head of the bed for about 30 degrees and ask the client to assume dorsal recumbent position. - Encouraged deep breathing exercises - Kept environmental pollution to a minimum - Monitored respiratory patterns, including rate, depth, and effort. Dependent: -Gave supplemental oxygen as ordered (2LPM via nasal cannula) Collaborative: - Obtained blood specimen for Arterial Blood Gas study	-Elevation of the bed facilitates respiratory function by use of gravity. It also decreases pressure on the abdomen when assuming the position. - Promote chest expansion -Precipitators of allergic type of respiratory reactions that can trigger or exacerbate onset of acute episode. - Assesses the condition of the client - helps in giving adequate oxygen to the client - assess the condition of the client	After 30 minutes of  nursing intervention, the client manifested lessened difficulty of breathing as manifested by decreased in RR from 27 cpm to 20cpm with the absence of nasal flaring, and presence of calm breathing. Goal met.