NCP Hemothorax
NCP Hemothorax
NCP Hemothorax
BSN IV
EVALUATION After 1 hour of nursing interventions, the client was able to identify individually appropriate interventions to promote sleep
Allow client to continue usual sleep practices After 1 hour (e.g. presleep routines such as reading, watching of nursing television, listening to music, and meditating) interventions, whenever possible
Objective: >Change in normal sleep pattern (Awake at night, while asleep during daytime >Weakness on daytime, feeling of not well rested >Client is hospitalized
Satisfy basic needs such as comfort and warmth before sleep Reduce environmental distractions such as: >close door to client's room and put a "Vital signs only during hours" sign >use night light rather than overhead light whenever possible; >keep staff conversations at a low level and away from client's room; >close curtains between clients in a semi-private room or ward; >keep beepers and alarms on low volume; >provide client with "white noise" such as a fan, soft music, or tape-recorded sounds of the ocean or rain; have sleep mask and earplugs available for client if needed
Objective: >Inability to push food down completely through swallowing > choking before a swallow >repetitive swallowing >hyperextension of head during trial meal
After 1 hour of nursing interventions, the client was able to identify individually appropriate interventions or actions to promote intake and prevent aspiration
To stimulate swallowing
Objective: > Inability to turn side to side; move from supine to sitting or reposition self in bed >Generalized weakness >Slow bodily movements
To facilitate timely, appropriate and proper repositioning of the patient by the caregivers while preventing strains and unnecessary discomforts
To achieve patients daily need with collaborative support and through the help of proper positioning