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Patients Health Needs

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Patients Health Needs

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Patient’s Health Needs

HH a 68 years old has been diagnosed with community-acquired pneumonia for the past three days. The patient has various need that requires to be met to enable him to lead a comfortable life. Mr HH is experiencing ineffective airway clearance which leads to impaired gaseous exchange. Gulanick, & Myers, (2016) acknowledges that for one to meet these need, the nursing officer in charge will suction the patient to clear the airway. Furthermore, the nurse administers oxygen to allow perfusion of all body organs efficiently.

There is also evidence of impaired nutritional, which is less than body requirements. Stupka et al., (2019) notes that the patient has anorexia, associated with bacterial toxins, odour, and taste of sputum, and feeling of medication, abdominal distention related to swallowing air during dyspnea episodes. The nurse needs first to identify the factors that are contributing to vomiting or nausea. Sputum container should be provided and removed frequently. Maintain adequate nutrition by providing high calorie, high protein diet and soft and comfortable to eat food. Apart from the above intervention, the person with COPD history is likely to have underweight. The nurse should, therefore, evaluate nutritional state and obtain baseline weight. Inflammatory process related to dehydration and infection is expected to cause hyperthermia. The patient’s temperatures should be monitored as the patients are unable to regulate their temperatures due to his age (Stupka et al., 2019) Fluid monitoring should be done to allow their balance and ensure correct temperatures.

Pharmacotherapy approaches of the condition include the following. Simonetti et al. (2014) explain that antipyretics should be administered to reduce fever and hyperthermia. After lab diagnoses, the patient is diagnosed with a massive growth of tetracycline and erythromycin-resistant streptococcus pneumonia. Since the patient is allergic to penicillin, the treatment should include; ceftriaxone 1g intravenous four times per day, and intravenous azithromycin 500mg for three days.

During the patient’s stay in the hospital, the patient must be educated about the importance of drug adherence to lower the resistance rate of bacteria to antibiotics. The patient and the family also need to know the significance of proper nutrition habits like eating small frequent meals to lower the risk of nutritional deficiency (Doenges Moorhouse & Murr, 2019). Finally, the patient must be educated on infection control measures like infection prevention and control to reduce the spread of community-acquired pneumonia.

 

 

References

Stupka, J. E., Mortensen, E. M., Anzueto, A., & Restrepo, M. I. (2019). Community-Acquired Pneumonia in Elderly Patients. Ageing health5(6), 763-774.

Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2019). Nursing care plans: Guidelines for individualizing client care across the life span. FA Davis.

Gulanick, M., & Myers, J. L. (2016). Nursing care plans: diagnoses, interventions, and outcomes. Elsevier Health Sciences.

Simonetti, A. F., Viasus, D., Garcia-Vidal, C., & Carratalà, J. (2014). Management of community-acquired pneumonia in older adults. Therapeutic advances in infectious disease2(1), 3-16.

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