RISK FACTORS: TREAMTENT: NURSING DIAGNOSIS

Risk for injury

Age Smoking cessation Chronic confusion
Male gender Pharmacotherapy Compromised family coping
Reduced lung function Limited occupational exposure to toxins Fear related to loss of self
\
Air pollution Impaired memory
Air pollution Self-neglect
Exposure to second hand smoke
Regular exercise & weight control Powerlessness
Familial allergies
Pneumococcal & annual influenza Impaired physical mobility
Poor nutrition Social isolation
Alcohol intake vaccinations Wandering
Risk for relocation stress syndrome
2X higher in Men between Ineffective health management
65-74. Risk for other directed violence
3X higher in Men between Insomnia
NURSING INTERVENTIONS
75-84.
Establish an effective communication
system with the patient and his family
to help them adjust to the patients
SIGNS/SYMPTOMS: altered cognitive abilities.
Chronic & Progressive Dyspnea Provide emotional support to the patient
Coughing and his family.
Administer ordered medications and
Sputum Production
Wheezing & Chest Tightness Chronic Obstructive note their effects. If the patient has
trouble swallowing, crush tablets and
open capsules and mix them with a
Pulmonary Signs:
o Weight loss, Pulmonary Disease
semi soft food.
Protect the patient from injury by
providing a safe, structured
environment.
MEDICATIONS Provide rest periods between activities
Tacrine (Cognex) because the patient tires easily.
Encourage the patient to exercise as
Donepezil (Aricept) ordered to help maintain mobility.
Rivastigmine (Exelon) Encourage patient independence and
allow ample time for him to perform
Galantamine (Reminyl) Pathophysiology tasks.
Memantine (Namenda) A progressive airflow limitation that is not fully Encourage sufficient fluid intake and
adequate nutrition.
Ginkgo biloba (nutritional reversible and, during the course of the disease, lung Take the patient to the bathroom at
supplement) tissue that becomes abnormally inflamed. The least every 2 hours and make sure he
knows the location of the bathroom.
changes manifested include peripheral airway Assist the patient with hygiene and
inflammation, airway fibrosis, hypertrophy of smooth dressing as necessary.
muscles, hyperplasia of goblet cells, and resultant Frequently check the the patients vital
DIAGNOSTICS: mucus hypersecretion, and eventually, the
signs.
Monitor the patients fluid and food
Spirometry testing intake to detect imbalances.
Inspect the patients skin for evidence
of trauma, such as bruises or skin
Complications breakdown.
*Risk for Falls *Memory Loss Encourage the family to allow the
Reference
patient as much independence as
*Impaired Judgment
possible while ensuring safety to
*Aspiration *Dysphagia *Pneumonia Ingatavicius, D.D., and
the patient Workman,
others.M.L.
Medical Surgical Nursing:
*UTIs *Urinary Incontinence
Patient-Centered Collaborative
Care. St. Louis, MO: Elsevier.
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Ignatavicius, D. D., &Workman, L. M. (2013). Medical- Surgical Nursing: Patient-Centered Collaborative Care. 7th ed. St. Louis:

Saunders.

Lilley, L. L., Collins, S. R., Harrington, S., Snyder, J. (2011). Pharmacology and the Nursing Process. 6th ed. St. Louis: Mosby.

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Jessica Wilson NU240