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This Concept Map, created with IHMC CmapTools, has information related to: Acute - Pneumonia, Risk for ineffective health maintenance: Assess: Recently quit smoking (smoked 50 years) Refuses flu or pneumonia vaccine Age over 65 change of season lives alone recently widowed obesity Interventions: Emphasize importance of continuing smoking cessation Educate on benefits of vaccinations Educate on proper dress and protection during weather changes Use open ended questions to identify needs and self-care encourage social groups participation in church and or civic organizations Promote a healthy diet/exercise program Desired Outcome remain smoke free avoid flu and worsening or redevelopment of pneumonia describe measure to protect herself during changing climates / bad weather become active Obtain a healthy weight verbalizes importance of avoiding infection ???? MT 67 year old female, 5ft 1 inch, 175 pounds admitted with dyspnea / pneumonia CXR= areas of consolidation over bilateral lower lobes, Impaired Gas exchange: related to decreased functional lung tissue Assess: pleuritic chest pain rapid shallow respirations shortness of breath crackles cough small amount of yellow sputum O2 sats 90% on room air Interventions: Oxygen @ 2 liters elevate head of bed cough and deep breathe encourage fluids incentive spirometry ambulate expectorant bronchodilator antibiotic analgesic Desired Outcomes: O2 sats greater than 95% - short term remain free of respiratory distress patient understand importance of interventions Clear lung fields - intermediate prevent reoccurance of pneumonia- long term ???? Acute pain: pleuritic chest pain rates pain 7 on a scale of 0-10 cough Interventions: Analgesics Use pillow for support when coughing encourage fluids and ambulation oxygen bronchodilators Desired Outcomes: Patient rates pain at 3 or less pleuritic chest pain resolves patient is able to ambulate and provide self care, Risk for ineffective health maintenance: Assess: Recently quit smoking (smoked 50 years) Refuses flu or pneumonia vaccine Age over 65 change of season lives alone recently widowed obesity Interventions: Emphasize importance of continuing smoking cessation Educate on benefits of vaccinations Educate on proper dress and protection during weather changes Use open ended questions to identify needs and self-care encourage social groups participation in church and or civic organizations Promote a healthy diet/exercise program Desired Outcome remain smoke free avoid flu and worsening or redevelopment of pneumonia describe measure to protect herself during changing climates / bad weather become active Obtain a healthy weight verbalizes importance of avoiding infection ???? Acute pain: pleuritic chest pain rates pain 7 on a scale of 0-10 cough Interventions: Analgesics Use pillow for support when coughing encourage fluids and ambulation oxygen bronchodilators Desired Outcomes: Patient rates pain at 3 or less pleuritic chest pain resolves patient is able to ambulate and provide self care, Impaired Gas exchange: related to decreased functional lung tissue Assess: pleuritic chest pain rapid shallow respirations shortness of breath crackles cough small amount of yellow sputum O2 sats 90% on room air Interventions: Oxygen @ 2 liters elevate head of bed cough and deep breathe encourage fluids incentive spirometry ambulate expectorant bronchodilator antibiotic analgesic Desired Outcomes: O2 sats greater than 95% - short term remain free of respiratory distress patient understand importance of interventions Clear lung fields - intermediate prevent reoccurance of pneumonia- long term ???? MT 67 year old female, 5ft 1 inch, 175 pounds admitted with dyspnea / pneumonia CXR= areas of consolidation over bilateral lower lobes, MT 67 year old female, 5ft 1 inch, 175 pounds admitted with dyspnea / pneumonia CXR= areas of consolidation over bilateral lower lobes ???? Acute pain: pleuritic chest pain rates pain 7 on a scale of 0-10 cough Interventions: Analgesics Use pillow for support when coughing encourage fluids and ambulation oxygen bronchodilators Desired Outcomes: Patient rates pain at 3 or less pleuritic chest pain resolves patient is able to ambulate and provide self care, Impaired Gas exchange: related to decreased functional lung tissue Assess: pleuritic chest pain rapid shallow respirations shortness of breath crackles cough small amount of yellow sputum O2 sats 90% on room air Interventions: Oxygen @ 2 liters elevate head of bed cough and deep breathe encourage fluids incentive spirometry ambulate expectorant bronchodilator antibiotic analgesic Desired Outcomes: O2 sats greater than 95% - short term remain free of respiratory distress patient understand importance of interventions Clear lung fields - intermediate prevent reoccurance of pneumonia- long term ???? Risk for ineffective health maintenance: Assess: Recently quit smoking (smoked 50 years) Refuses flu or pneumonia vaccine Age over 65 change of season lives alone recently widowed obesity Interventions: Emphasize importance of continuing smoking cessation Educate on benefits of vaccinations Educate on proper dress and protection during weather changes Use open ended questions to identify needs and self-care encourage social groups participation in church and or civic organizations Promote a healthy diet/exercise program Desired Outcome remain smoke free avoid flu and worsening or redevelopment of pneumonia describe measure to protect herself during changing climates / bad weather become active Obtain a healthy weight verbalizes importance of avoiding infection