Nursing diagnosis for Pneumonia consists of an assessment of coughing, patient air transfer techniques, suctioning methods, viscosity level of decrement, and strength of secretions.
What is Pneumonia?
Pneumonia is counted in the top 10 diseases in the United States that can cause death. Pneumonia is a lung infection that causes inflammation of parenchyma. When secretions or discharge is confined in the lung’s alveoli, Pneumonia leads to impaired gas exchange. Either one or both lungs can be affected by impaired gas exchange. Pneumonia is usually trapped by bacterial contamination that may be spread contagiously through the liquid. Nursing diagnosis for Pneumonia helps to detect that mostly, it is founded in hospitalized patients, smokers, inferior nurturing methods, and MRSA patients.
Categories of Pneumonia:
Pneumonia’s different types are found in many patients, so it will be quite helpful to differentiate the categories the Pneumonia’s patients, so nursing care plans for pneumonia and nursing assessment for Pneumonia can be easily performed. Also, treatment related to the concerned type can be easily assigned to patients.
Mainly, Pneumonia is categorized into two types:
Patients who have been transferred to ventilation within the last 48 hours are considered in the first category. In the second category, patients of the community are considered but not of the healthcare centers. In the third category, those patients are counted, who have already been under doctor observation either in a hospital or home-nursing interventions for Pneumonia from at least three months. In the last fourth category that is also known as nosocomial Pneumonia, all those patients who have been admitted to the hospital within the previous 48 hours with Pneumonia are accounted for.
Cough, inflammation, fever, chest pain, flu, or cold are casual symptoms in Pneumonia’s patients. Usually, antibiotics are referred to as these patients depending upon their medical state. Steroids are suggested by doctors to cure inflammation. Oral antibiotics are given to patients of category one, while IV antibiotics are preferred to patients of category two. Another category that is found common is aspiration pneumonia. This category patients are increased because of gastric urge, secretions in lungs, and vomiting. Many other existing categories rely on microbiology class, i.e., fungal, rickettsia, bacterial, viral, or mycobacterial.
Symptoms related to Pneumonia:
Following signs and symptoms can assist the nurses in diagnosing the related category of Pneumonia.
- Fever and coughing
- Cold or flu
- Shivering or shaking
- Nausea and change in mental state
- Deep breathing
- Chronic complications of lungs
- Chest pain
- Pain while coughing
- Poor respirations
- Weak immune system
- Phlegm in cough
If on-time, treatment is not considered, results can lead to hypoxemia, empyema, respiratory system failure, or pleural outflow related infections.
Nursing Care Plan for Pneumonia’s Goals and Outcomes:
To achieve expected results after treatment, Nursing diagnosis for Pneumonia should be considered and followed. Expected outcomes and goals are mentioned below:
- Removal or reduce in impaired gas exchange effects
- The patient’s lungs will be free of all secretions and bacteria.
- The patient will be able to elaborate on clear airways and respiration.
- After Nursing diagnosis for Pneumonia, Dyspnea related issues will be resolved.
Nursing Care Plans for Pneumonia:
Nursing diagnosis for Pneumonia assists the nurse in assessing the patient’s following states for proper treatment.
- Monitor the patient’s condition about oxygenation and impaired gas exchange and follow the impaired gas exchange nursing care plan.
- Assess the patient’s impaired airway clearance about edema and inflammation.
- If a nursing assessment for Pneumonia is not sufficient for the above care plans, you can also check activity intolerance, infection risks, and hyperthermia related nursing care plans for treatment.
- Follow acute pain nursing diagnosis to treat lung inflammation and a constant cough.
Nursing Interventions for Pneumonia:
Following nursing interventions for Pneumonia help the patient to increase the clearance of airways and support the patient to have a productive cough and healthy breathing style. After nursing assessment for Pneumonia, interventions are the next step towards effective treatment, so follow them and enjoy your health.
- Monitor the patient’s respiration rate and depth. Mostly, difficulty in breathing, chest pain, and secretion presence in lungs results in airway hindrance. And as an outcome, chest pain and accessory of muscles can help for breath.
- The presence of secretions and fluid causes impaired gas exchange. In this condition, forceful coughing can help to eliminate the discharge. Heavy coughing extracts out the secretions and can reduce the chances of Pneumonia.
- Use appropriate and required medicines like antibiotics, ABGs after doctor prescription, and advice.
- Guide the patient to encourage deep breathing. Note those points where airflow is lessened. Sometimes, Wheezes and specific sounds came out during breathing. In general, such sounds claims in the result of the concentration of secretions that limits the airways and become hurdle during respiration.
- Assess the patient’s Phlegm color, thickness, and odor. Change in any of such attributes indicates the presence of bacterial infection and can increase airway obstructions.
- The hydration state of the patient is essential during the assessment. Because if the hydration level is below from the standard scale, it can increase the secretion’s thickness and further attenuate the patient’s hydration level. So try to enhance your hydration daily.
- During lying on the bed, it is suggested to elevate the head because it decreases the diaphragm. Change the position of the patient after a specific interval. It will help for the expansion of the chest and promote mobility and easy breathing.
- Teach the patient about different exercises for deep breathing daily because deep breath is a defensive mechanism for secretion’s elimination. It assists in clearing the airways and providing relief to the patient.
- Secretions viscosity can be decreased by increasing the humidity so the patient should use the humidified oxygen. The humidifier should be neat and clean and free of bacteria.
- Examine about Flaring of nostrils. These symptoms also indicate the problem in reparations.
- If there is a problem in fluid removal, use suctions to remove the blockage while breathing. Encourage ambulation, if necessary.
- Teach patients about effective methods of hand washing and cleaning to avoid bacterias and infections.
- If a patient’s situation is getting worse, rushed him to the hospital emergently. And try to avoid the use of any medicine without doctor’s advice.
How Often Should You Get a Pneumonia Shot?
Pneumonia shot means one vaccination that is used to treat the Pneumonia. This vaccine prevents you from any viral infection or lungs related diseases. Duration, quantity, and time-related questions are typically asked and searched e.g., how often should you get a pneumonia shot? Etc.
If age is equal to or greater than two years:
A total of 4 vaccines or pneumonia shots are given to those who are younger than two years. The first shot is given at 2nd month, the second shot is given in the 4th month, the third shot is provided in the 6th month, and the final and fourth shot is provided in the 12th month. However, the last shot can be taken between the 12th and 15th month’s duration.
If age is 65 years or higher:
Total 2 vaccines or pneumonia shots are given to those who are 65 years old, which will be sufficient until the end of your life.
If age is between 2 years and 64 years:
Normally, a total of 1-3 vaccines or pneumonia shots are given for individuals are in the period between 2 & 64. But if you’re a smoker or facing any disorder related to your immune system, this shot can be varied.
Pneumonia is commonly found in children and adults, so make sure to complete your vaccine’s shot on time to stay safe and healthy.