NUR 214 F 1: ASSIGN REVIEW; Restr/Interst/Vasc Lung Dis.; PAH

Grade Level:

6

Subject:

Day 2

Start Date:

End Date:

Goal Summary:

Clients with oxygenation needs: (1) Implement caring interventions in response to their diverse needs and inherent value; (2) Assess adaptation to internal and external changes; (3) Implement individualized prevention strategies; (4) Apply the nursing process while providing comprehensive, collaborative care; (5) Demonstrate effective communication including information technologies; (6) Demonstrate professional behaviors consistent with the nursing profession; (7) Use appropriate teaching strategies in providing health education; (8) Participate in self-directed learning through researching and planning appropriate nursing care.

Standards Met:

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Essential Questions:

5. Nursing Management of Care (sections applicable to DAY 2 are listed)
A. Safe and Effective Care Environment
iv. Anticoagulation bleeding precaution initiation
B. Health Promotion and Maintenance
i. Teach persons about effects of smoking on pulmonary function
ii. Encourage those over 50 or with respiratory problems to receive influenza vaccination yearly.
C. Psychosocial considerations
i. Assess effect of respiratory problem on patient’s ADLs, work, and leisure life
ii. Explain all procedures, restrictions, and follow up requirements to patients having tests
v. If intubation is a concern, discuss/support patient and family
D. Physiologic Integrity
i. Immediately report alterations in respiratory status; assess breathing effectiveness in those with SOB or altered mental status
ii. Application of oxygen to any hypoxic patient
iii. Pre & post procedural and operative management
v. Use laboratory data and clinical manifestations to evaluate the adequacy of oxygenation and ventilatory interventions- prioritize

Understandings:

This chapter 34 focuses on the care of patients who are critically ill from respiratory problems.
Pulmonary embolism requires immediate identification by the nurse and must often be based on symptomatology that the patient exhibits.
Discuss the management of anticlotting therapy, including laboratory monitoring for these patients, to decrease further respiratory compromise.
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This chapter 32 focuses on the care of patients with noninfectious lower respiratory problems.
There are many similarities between the disorders presented, especially in regard to pathophysiology, resultant clinical manifestations, and findings from diagnostic tests.
Presenting these as a group of symptoms and findings common to all noninfectious respiratory problems may help students make better application of the material across the wide range of disorders.
It is important to remind students that disorders affecting breathing are not only life-threatening but cause anxiety and fear in patients.
Viewing the patient holistically and emphasizing clinical decision-making and problem-solving can help make the knowledge gained from this chapter foundational to patient care

Content Goals:

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Skill Goals:

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Other Information:

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Reflection:

Remind students about YOUTUBE!! The Day 2 correlating video is VERY complete and will help out a lot with understanding the disease processes as a group.

Lessons:

Assessments: