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Impaired 1. Sitting patient in high fowler's position with arms resting on table – tripod Administration of oxygen
oxygenation position. Rationale: Due to consolidation, oxygenation is impaired due to
due to reduced perfusion which leads to reduced diffusion of oxygen around the body.
Rationale: Increase the concentration of oxygen during inspiration which
consolidation The intervention promotes greater air entry (inspiration) to increase
increases available oxygen for perfusion.
in lower lobe oxygenation.
of L) lung.
2. Encourage deep breathing and coughing. Rationale: deep breathing increases
amount of air entering the lungs and can stimulate coughing to promote
expectoration to reduce airway obstruction and promote increased air entry.
Reassess skin integrity and pain, perform prescribed treatment for patients hand
Painful hand 1. Analgesics medication (prescribed by Dr)
(wound or meds), rest, ice, compress and elevate
due to fall.
Encourage rest and support the area. Rationale: Resting the knee’s and
Painful knees 1. Diet and exercise plan (with nutritionist and physiotherapist)
supporting them is a means to relieve pressure and stress on the affected joint.
(4/10)
To therefore reduce pain. Rationale: Longer term intervention in order to help the patient lose weight/
secondary to
prevent weight gain to relieve pressure and stress on the joints.
osteoarthritis.
2. Apply heat / cold packs to the joint. Rationale: Heat packs may improve 2. Anti-inflammatory medication (prescribed by GP)
circulation, lubricate joints and relax muscles to reduce pain; Cold packs may Rationale: Non-steroidal anti-inflammatory drugs (NSAIDs) reduce
numb the pain and reduce swelling and inflammation. inflammation and relieve pain.
Falls risk due Keep their bed at lowest position at all times, use bed and chair alarm as Physiotherapy, nutritious meals, effective medication
to aloc needed, move patient closer to nurse station to keep an eye on, utilise more fall
score to assess their risk each shift.
Priority Nurse Intervention Collaborative intervention
problem
Impaired 1. Sitting patient in high fowler's position with arms resting on table – tripod Administration of oxygen
oxygenation position. Rationale: Due to consolidation, oxygenation is impaired due to
due to reduced perfusion which leads to reduced diffusion of oxygen around the body.
Rationale: Increase the concentration of oxygen during inspiration which
consolidation The intervention promotes greater air entry (inspiration) to increase
increases available oxygen for perfusion.
in lower lobe oxygenation.
of L) lung.
2. Encourage deep breathing and coughing. Rationale: deep breathing increases
amount of air entering the lungs and can stimulate coughing to promote
expectoration to reduce airway obstruction and promote increased air entry.
Reassess skin integrity and pain, perform prescribed treatment for patients hand
Painful hand 1. Analgesics medication (prescribed by Dr)
(wound or meds), rest, ice, compress and elevate
due to fall.
Encourage rest and support the area. Rationale: Resting the knee’s and
Painful knees 1. Diet and exercise plan (with nutritionist and physiotherapist)
supporting them is a means to relieve pressure and stress on the affected joint.
(4/10)
To therefore reduce pain. Rationale: Longer term intervention in order to help the patient lose weight/
secondary to
prevent weight gain to relieve pressure and stress on the joints.
osteoarthritis.
2. Apply heat / cold packs to the joint. Rationale: Heat packs may improve 2. Anti-inflammatory medication (prescribed by GP)
circulation, lubricate joints and relax muscles to reduce pain; Cold packs may Rationale: Non-steroidal anti-inflammatory drugs (NSAIDs) reduce
numb the pain and reduce swelling and inflammation. inflammation and relieve pain.
Falls risk due Keep their bed at lowest position at all times, use bed and chair alarm as Physiotherapy, nutritious meals, effective medication
to aloc needed, move patient closer to nurse station to keep an eye on, utilise more fall
score to assess their risk each shift.