Nursing Care Plan of a Child with Asthma

Assessment Data

(Include at least three-five subjective and/or objective pieces of data that lead to the nursing diagnosis)

Goals & Outcome

(Two statements are required for each nursing diagnosis.  Must be Patient and/or family focused; measurable; time-specific; and reasonable.)

Nursing Interventions

(List at least three nursing or collaborative interventions with rationale for each goal & outcome.)

Rationale

(Provide reason why intervention is indicated/therapeutic; provide references.)

(Was goal met?  How would you revise the plan of care according to the patient’s response to current plan ?)

1. Patient complains of unending cough and tightness in the chest.

Objective

1. Patient is wheezing

1. Patient has bronchospasms

1. Patient has changing respiratory rate and rhythm

1. Respiratory depth changes are noted

1. Nasal flaring and cyanosis are noted

1. The patient will achieve and maintain an optimal breathing pattern, indicated by relaxed breathing, typical respiratory rate, and dyspnea absence.
2. The patient will achieve normal arterial blood gas outcomes and be free of cyanosis.

Diagnosis #2

1. The patient will demonstrate comprehension of the cause and therapeutic management intervention.
2. The patient will display improved airway clearance behavior.

1. Establish rest periods between activities.

1. Assess fatigue and stress

1. Monitor vital signs

1. Pace the patient’s activities

1. Foster deep breathing and coughing exercises

1. Advise patient to maintain appropriate positions to ease breathing

2. Fatigue is a sign of distress and can cause respiratory failure, hence the need to evaluate for fatigue and stress (Martin, 2023).

3. Assessing vital signs can help identify issues like vasoconstriction potential, hypotension, and tachycardia (Martin, 2023).

1. It is critical to pace the patient’s activities by dividing them into parts and taking rest breaks between the activities to prevent fatigue and enhance proper breathing efforts.

2. Breathing and coughing exercises help ease and spat excess secretions, contributing to effective mucus clearance from the lungs. The exercises also act as coping mechanisms to minimize air trapping (Macêdo et al., 2016).

3. Positions that aid or ease breathing can help reduce muscle fatigue and help with chest expansion, reducing breathing distress (Hashmi et al., 2021).

Outcome one was achieved when the patient achieved an optimal breathing pattern, relaxed breathing, and respiratory rate and with the disappearance of dyspnea. Outcome was also attained when the patient demonstrated normal arterial blood gas outcomes and was free of cyanosis.

Outcome #2

Outcome two was also achieved as the patient verbalized comprehension of the cause and therapeutic management intervention. The patient also demonstrated improved clearance behavior.