Nursing care plan for managing acute respiratory failure in a Korean patient
The following is a nursing care plan example for a 38-year-old Korean female diagnosed with acute respiratory failure and hypoxia secondary to obesity. The focus of the nursing care plan is on the stabilization of oxygen saturation through proper education on weight management and breathing techniques, monitoring of vital signs, including administration of supplemental oxygen, and utilization of certified translation services due to language barriers. In collaboration, a nurse plan should be designed with a nutritionist and physiotherapist in order to highlight the individual diet and exercise program. This academic paper example serves as a reference for nursing students who wish to seek guidance on the management of complex respiratory conditions among patients of different cultures and languages.
Octobre 30, 2024
* The sample essays are for browsing purposes only and are not to be submitted as original work to avoid issues with plagiarism.
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Nursing Care Plan for Acute Respiratory Failure with Hypoxia and Obesity
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Nursing Care Plan for Acute Respiratory Failure with Hypoxia and Obesity
Patient Information
The patient is a 38-year-old Korean female, standing 5’4” tall and weighing 230 lbs, with a
BMI of 39.5, classifying her as obese. She presents with acute respiratory failure and
hypoxia. On admission, her vital signs include blood pressure of 145/90 mmHg, heart rate of
110 bpm, respiratory rate of 28 breaths/min, and oxygen saturation of 88% on room air. The
patient has limited English proficiency and thus presents with a language barrier; she also has
a developmental delay and requires heavy family involvement in healthcare decisions, which
reflects her cultural background.
Nursing Diagnosis
Risk of impaired respiratory function related to obesity and acute respiratory failure as
manifested by dyspnea, low oxygen saturation, and difficulty managing breath patterns.
Discharge Planning
The patient will be discharged from the hospital with hypoxia and acute respiratory
failure management resources, including weight management that optimizes respiratory
function. This shall be complemented by a new diet plan with follow-up appointments with a
nutritionist and home health nurse to help her get accustomed to the healthier way of life
(Singh et al., 2022). Follow-up visits with the primary physician shall also be conducted in
light of continuous assessment and readjustment of the care plan if necessary.
Goals and Objectives
Short-term
The patient will demonstrate an oxygen saturation of at least 92% on room air as
revealed by continuous pulse oximetry before the end of this shift.
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Long-term
The patient will be able to discuss, within two weeks, how weight management
affects respiratory status, and will initiate an individualized exercise program with support as
demonstrated through active participation and feedback during teaching sessions.
Behavioural Objective
The patient will be able to do deep breathing exercises on their own without
assistance upon discharge; and enlist three dietary changes which would help enhance the
respiratory system with the dietician's assistance.
Interventions and Rationale
1. Oxygen Saturation and Respiratory Rate Monitoring
●Intervention: Monitor and record oxygen saturation level and respiratory rate every 2
hours.
●Rationale: The close monitoring for respiratory distress allows for early detection and
thus interventions promptly to maintain oxygen within the desired range (Singh et al.,
2022).
2. Administer Supplemental Oxygen as Ordered
●Intervention: Provide supplemental oxygen via nasal cannula as per physician’s orders
to maintain oxygen saturation above 92%.
●Rationale: The supplemental oxygen lessens hypoxia and thus allows the respiratory
systems of the patient to work more effectively and with less pressure (Singh et al.,
2022).
3. Position Patient in Semi-Fowler's Position
●Intervention: Position the patient in semi-Fowler's position, 30-45 degrees, to
facilitate lung expansion and decrease dyspnea.
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●Rationale: The semi-Fowler's position improves lung expansion because there will be
less pressure on the diaphragm. This may be the most comfortable position for the
obese patient with a respiratory diagnosis (Singh et al., 2022).
4. Translator Services, Patient Education
●Intervention: Utilize a certified translator to communicate all information clearly and
assure understanding by the patient and his family of all care instructions provided.
●Rationale: Good communication helps ensure patient compliance and cooperation in
the delivery of health literacy and informed consent to actively participate in her care
(Singh et al., 2022).
5. Formulate and Implement a Nutritional and Physical Activity Plan
●Implementation: In collaboration with a nutritionist, provide a dietary plan which will
help in weight loss and minimize respiratory effort, and similarly a physiotherapist
will help in making an exercise schedule that is safe to perform.
●Rationale: Obesity contributes to respiratory failure. Weight loss minimizes pressure
on the lungs and enhances respirations, improving the quality of life(Singh et al.,
2022) .
6. Teach Breathing Exercises and Airway Clearance Techniques
●Intervention: Instruct the patient on deep breathing exercises and the use of an
incentive spirometer to promote lung expansion.
●Rationale: The exercises provide strengthening of respiratory muscles, assist in
mobilizing secretions, and optimize oxygenation for the purpose of improving
ventilation patterns and minimizing the complication of atelectasis (Singh et al.,
2022).
7. Discharge Planning and Follow-Up Care
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●Intervention: Schedule a follow-up appointment with a primary care physician and a
respiratory therapist after discharge.
●Rationale: Ongoing medical follow-up ensures progress and enables timely changes in
plans of care for the realization of long-term health improvements and goals (Singh et
al., 2022).
Evaluation
Oxygen Saturation Goal Met
The patient’s oxygen saturation levels consistently remained above 92% on room air
by the end of the shift, meeting the short-term goal.
Patient Education and Involvement Goal Partially Met
The patient, upon discharge, actively engaged in breathing exercises. With teaching,
he listed three positive dietary changes to make, but may require reinforcement to maintain
these changes over time.
Weight Management Goal Progress
The patient attended the nutritional counseling session and demonstrated
comprehension of the benefits from the diet plan, yet he may still be monitored for support
after discharge.
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References
Singh, P., Liew, W., & Negar, A. (2022). Airway management in patients suffering from
morbid obesity. Saudi Journal of Anaesthesia,16(3), 314.
https://doi.org/10.4103/sja.sja_90_22
Octobre 30, 2024
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Academic level:
Graduate
Type of paper:
Care plan
Discipline:
Nursing
Citation:
APA
Pages:
5 (1375 words)
* The sample essays are for browsing purposes only and are not to be submitted as original work to avoid issues with plagiarism.
