Nursing Assessment Deep Breathing Aerobics

Question: Describe about the Nursing Assessment for Deep Breathing Aerobics. Answer: 1. Deep breathing aerobics are significant for pain regulation, to make the Gill relaxed, and to release tension in the ribcage barricade and back. I would advise Gill to continuously practice deep inhalation using her diaphragm, no less than7 times per day. I would encourage her to be sitting in a relaxed chair or to lie down on her back. Gill needs to take a gentle, deep inhalation through her nose to increase her chest and belly (Calandruccio, Grear, Mauck, Sawyer, Toy Weinlein, 2016). Furthermore, Gill has to hold for about some 2 seconds before breathing out. She can then breathe out slowly. This excursive need to be repeated for about 4 to 5 times a day to be effective. However, Gill can utilize the inducement spirometer supplied to her at the sanatorium to sure she is breathing deeply. The importance of the practice is to open the breathing system to ensure that Gill has sufficient blood supply in the body. I would teach her the importance of the practice and encourage being doing the exercises daily. I would also warn her about the dangers of not performing the exercise like causing the breathing system not to supply sufficient blood and the nutrients to the hips where the operations would be done. Her performance of the practice therefore would encourage successful healing process. Vigorous ankle ROM exercises are also another very important area that requires the patient to perform as a post-operative breathing exercises and movement restrictions. Gill needs to be moving her ankle and feet continuously to strengthen them, the legs need to be kept straight, and she has to avoid bending her knees and hip (Chang, 2016). She has to leave her toes on the floor and to lift her heel down and up. She has to exercise the weight bearing on her ankles and perform some simple walking practices with the help of the crutches. These practices would encourage the strengthening of the hip muscles to promote quick healing process (Ciccone, 2016). To make Gill understand these practices, I will perform with her as I show her the right procedures to use during the practices. However, I would assign someone who would monitor her and help her where necessary to ensure she does them well. 2. I will considerinformation of agony, observing site and intensity by use of the scale of 0 to 10. Note causing factors and the nonverbal pain signs. The practice is advantageous in influential pain controlling needs and efficiency of the treatment program. Similarly, recommend for or offer firm cushion or bed board, lesser pillow (Flynn Khanuja, 2015). The reason for this is to enhance the elevation of the linens with the bed support as required. There has to be soft and flabby mattress, big pillows avert preservation of appropriate body position, introducing some strain on affected joins. The elevating of bedstead linens decreases pressure on swollen or aching joints. Gill has to assume the location of ease when in couch or while sitting in a chair. This practice help in the promotion of the bed rest as designated. In acute exacerbation, the whole bed rest is necessary like in the case of Gill, till the subjective and objective progresses are identified to reduce pain or hurt to joint (Freitag, Julien, Bates, Dan, Boyd, Richard, Shah, Kiran, Barnard, Adele, Huguenin, Leesa, Tenen, 2016). I will also place and screen use of cushions, the sandbags, the trochanter rolls, bandages, supports. The practice would help in resting painful joins and upholds neutral positioning.The use of bandages would reduce pain and lessen injury to joint; however, lengthy idleness can end in hurt of joint flexibility and function. Gill has been encouraged to frequent modifications of position to help her move on the bed, assisting affected linkages below and above evading jerky movements. The practice shall help in the prevention of overall weakness and joint difficulty and soothes joint, lessening the joint movements and the associated pain. Gill will be taking warm bath at bedtime; she has to use warm, soggy bandages to injured joints many times per day (In Aaron, 2015). I will have to observe the temperature water and that of the compress, steam bath this is because heat encourages muscle lessening and flexibility, reductions of pain, and dismisses daybreak stiffness. The practices are depicted to promote the faster healing process of Gill. Furthermore, the practices are geared towards ensuring that Gill is protected from the unnecessary injuries to the joints and the hip. 3. Diclofenalac orally the use of the drug is to reduce pain because diclofenac is shown to be a nonsteroidal anti-inflammatory painkiller used in the treatment of from mild to moderate pain, aids to relieve signs of arthritis like osteoarthritis or the rheumatoid arthritis conditions, such as stiffness, joint pain , and swelling (In Hayat, 2016). Therefore the drug is administered to help in the reduction of pain. Combination chondroitin /glucosamine orally- these drugs are effective in the production of a range of other elements that are entailed in structuring of the tendons, tendons, cartilages, and the abundant fluids that environs the joints. The cartilages and the fluids cushion the joints, poor support of the joints often result in the frictions, stiffness and pains (In Ignatavicius, In Workman, In Blair, In Rebar In Winkelman, 2016). The drugs however, increase the degree of fluid and cartilage surrounding the joints and assist in prevention of such pains and stiffness. The drugs also aid osteoarthritis of the spine and the hip. Subcutaneous enoxaparin the drug is used in the treatment or prevention blood clotting named deep vein thrombosis (DVT) that can result in the blood closings in the breathing system especially the pulmonary embolism. A DVT may occur after some forms of surgery, due to a long illness (In Jones, 2016). The drug prevents harmful blood clots practice inside blood vessels. The clotting is harmful to the health of Gill because they might cause further injury to the affected tissues. The drug is therefore used for some days after hip surgery. It is helpful in the prevention of blood lumps from developing in the blood vessel of hips after the operations. The nursing responsibility is to ensure that Gill has the right dosage and observes the right time of taking the drugs. I will ensure that the drugs are taken alongside the correct foodstuffs. I will ensure frequent monitoring of the patient and record any signs of the effects of the drugs and record them (In Nicassio, 2016). The patient information will have to be kept in correctly format. The drugs will have to be well stored as per the prescription of the doctors. I will be responsible for the informing Gill of the name, goals, the actions and latent side paraphernalia of drugs that are given to her. I will be checking the suitability of the drugs to be certain about the expiry dates and the validity of the drugs. I will instruct Gill about reportable signs, such as pain, burning, irritating, or distension and possible reactions particular to the drug. Additionally, I will be monitoring the side effects of the drug through the observation of the body reactions to ascertain that Gill is responding appropriately to these 3 medications you will be administering. 4 . Nursing Care Plan: Gill Note: Dot points may be used in care plan. The number of spaces below is not an indication of how many nursing problems you have to include. Add or delete to meet your needs. A spare blank copy is below if you need to add more. Nursing problem: Family Support Programs Related to: Medical care system Goal of care Nursing interventions/actions Rationale Indicators your plan is working The family member will verbalise reduced anxiety on Gill. She would feel well supported and love. She will be less stressful and hence be relaxed to offer ample time for the treatment process to be done. . 1. Provide enlightening materials about therapeutic, joining, dressing variations. 2. Provide medical appointment to social amenities or maternal sustenance groups. Being malleable while training family about the wound care. 3. Provide motivational and social facilities like television that help to keep her calm and encourage her. 4. Ask some relatives to frequently pay her visits (Lepus, Robinson, Fathman, Miklos, Wyss-Coray Stanford University 2016) 5. Take her out for socialization practices and being more friendly to share her worries 1. The knowledge lessens anxiety and stress (In Watson, 2015). 2. the practices allow for expelling of doubts and blame feelings, and offer chats on helpful thoughts about the process of handling the medication and the long-term maintenance Gill will be learning in diverse ways, with fairly a less cross-examinations too. 3. The process shall promote her responsibility in promoting self-care programs. 4. The programs reduce the patients fears and promote the collaboration with the medical practitioners. The family has confidence in the program characterized with no indicators of anxiety. The patient is collaborative and healing process if fastened. Nursing problem: Sleep Configuration Troubles Related to: Body functioning Goal of care Nursing interventions/actions Rationale Indicators your plan is working Lessening of pain and decrease of injuries. prevention of frictions and further weakening of the joint Hit enter to make sections longer 1. Changing Gills position often. 2. Performing a variety of gesticulation exercises. 3. Promoting continuous sleep through use of medicines. 4. proper positioning of the body and especially the affected joints 1. It enhances the reduction of joint stiffness and stops contractures. 2. The sleep deficiency can upsurge pain observation 3. Promote easy administration of the drugs especially dressing the wounds (Magee, Zachazewski, Quillen Manske, 2016) 4. promote quick healing while encouraging the mobility of the joints with less pains felt Emotional state of bodily and psychological comfort. the patient look relaxed and null cases of pain reported Nursing problem: Risk for scarce Fluid difficult and fluid output Related to: Homeostasis Goal of care Nursing interventions/actions Rationale Indicators your plan is working Gill will sustain adequate urine output and the balance of the body fluids in the joints and the body generally 1. Observing vital indicators, central vein pressure, tube refill time, and the pounds 2. Managing Venous and oral liquids as well-organized. 3. Approximating unresponsive fluid injuries. 4. Introducing urinary tube. 5. Checking for hypernatremia and hyperkalemia in the body fluids to ascertain the effects of the drugs administered to her 1. Gill is originally at jeopardy for hypovolemic tremor and requires fluid resuscitation 2. Careful control of fluid necessities and safeguarding proper consumption help save the patient properly hydrated. 3. Injuries are augmented within the first 3 hours after injury. Plasma is vanished through injury since the capillary will be damaged (Shrestha, Swastina, Dave, Amish, Losina, Elena, Katz, 2016). 4. Helps preserve precise output dimension during serious care phase 5. Sodium is also lost during the excessive bleeding as well as potassium lost from injured cells, therefore, triggering electrolyte inequities Gill maintains standard urine production and injury to the joint is not extreme. Nursing problem: Psychotherapy Related to: Emotional control Goal of care Nursing interventions/actions Rationale Indicators your plan is working Gill will decrease anxiety and unnecessary tensions 1. Providing continuousness of care programs 2. Making her participate in some group errands and activities. 3. encourage her to socialize more and be free to chart with friends 4. providing internment facilities 1. Aids in building a trustful relational relationship 2. Decreases anxieties and overstimulation and inspires rest Gill articulates and demonstrates signs of reduced anxiety levels Nursing problem: Nutritional concerns Related to: Health living Goal of care Nursing interventions/actions Rationale Indicators your plan is working Gill will retain her weight and exhibit adequate nutrient concentrations Hit enter to make sections longer 1. Provision of a multivitamin supplements in the meals. 2. Providing chances to Gill for selecting her foods which are rich in vitamins and the minerals. 3. Weighing Gill daily. 4. ensuring she feeds on the foods that body building and the vitamins 1. Vitamins aid in the healing process. 2. Promotes the acquaintance of appetite to encourage the intake of food (Strand, Vibeke, Lim, Sooyeol, Takamura, 2016). 3. Offers objective assessment Gill retains her weight, acceptable hydration and standard nutrient content Nursing problem: Risks of Infection Related to: Immunity Goal of care Nursing interventions/actions Rationale Indicators your plan is working Following the treatment intervention Gill cannot acquire any illness. Confirmation of swelling and redness, negative results on blood culture. Hit enter to make sections longer 1. Placing Gill in a secluded room, and restraining visitors. 2. Captivating vital signs often. And checking the entire leukocytes computation. 3. Carrying out hand cleanliness the surround of the patient and before and after touching the patient. 4. the use of standard protection like gloves, gown and mask 5. Evaluating helical colour 6. Meticulous sterile wound covering. 1. To counter nosocomial infection 2. An upsurge in fever is an infection. 3. To avert spread of bacteria. 4. To screen position of Gills joint marks of infection. After the time of treatment intercession Gill was not infected as per the prove of no swelling and inflammation 5. In caring for the patient with osteoarthritis disease it is vital to recall that numerous variables rule on the deliberation that one can deliver. During this entire task, I had the opportunity to reinforce my understanding about diverse exercises, for instance, To start with, the value of maintaining a balanced diet by advising Gill to understand diet as a section of the cure and use the foodstuffs that contain proteins and calories for reducing the hazard of metabolic disturbing effects and encourage rapid salvage from osteoarthritis surgery. Furthermore, the joint dressing and observance of the right positioning of the patient are vital practices that reduce the pain and injury to the joint after the operations (Xiao, Ya-Ping, Tian, Fa-Ming, Dai, Mu-Wei, Wang, Wen-Ya, Shao, Li-Tao, Zhang, 2016). It is important the nurses that will handle Gill to note that she is on the healing process and care need to be taken concerning the nursing process. She is able to walk slightly and she must not be forced to use the crutches hence she must be support well to avoid further injury to her hip. Furthermore, she is still weak and needs to feed on more carbohydrates to supply her with energy. Gill must be observed well she does not like taking full dosage because she fears drugs, therefore, the nurses attending to her have to be keen and ensure that she meets the doctors prescriptions (Strand, Vibeke, Lim, Sooyeol, Takamura, 2016). The rehabilitation process has to consider that Gill has not healed yet therefore she has to be positioned well and turned on the bed to prevent pain and injuries if she is left to perform the practices alone. Lastly, Gill is supportive and social she has to be taken out for some socializing practices to reduce anxiety. References Calandruccio, J. H., Grear, B. J., Mauck, B. M., Sawyer, J. R., Toy, P. C., Weinlein, J. C. (2016). Common Complications in Orthopedics, An Issue of Orthopedic Clinics. Chang, Jiun Chiun. (2016). Understanding the role of sclerostin in post-traumatic osteoarthritis development in mice. eScholarship, University of California. Ciccone, C. D. (2016). Pharmacology in rehabilitation. Flynn, J. A., Khanuja, H. S. (2015). Arthritis: Your annual guide to prevention, diagnosis, and treatment. Freitag, Julien, Bates, Dan, Boyd, Richard, Shah, Kiran, Barnard, Adele, Huguenin, Leesa, Tenen, Abi. (2016). 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Xiao, Ya-Ping, Tian, Fa-Ming, Dai, Mu-Wei, Wang, Wen-Ya, Shao, Li-Tao, Zhang, Liu. (2016). Are estrogen-related drugs new alternatives for the management of osteoarthritis?. (BioMed Central Ltd.) BioMed Central Ltd.