NURSING MANAGEMENT OF ASTHMA PATIENT

Nursing Interventions and Rationales
Here are the nursing assessment and interventions for this asthma nursi

Nursing Interventions

Nursing

Assess available resources and coping skills of the family.

Assess interpersonal relationships within the family and
support systems, with emphasis on the family’s relationship with the
child diagnosed with asthma; intervene appropriately with evidence of
maladaptation; refer to counseling if
appropriate.

Assess siblings and peers at intervals, as appropriate, providing time
for questions and feelings.

Explore the family’s feelings regarding the child and the diagnosis.

Therapeuti

Provide an opportunity for the family to cope up with the
illness; anticipate the normal grief reaction of “loss of the perfect child.”

Assist the family to explore specific
feelings regarding guilt, anger,
disappointment, irritation, and fear; speak with parents about their
fears: coping with the child’s anxiety, fear of complications, fear of
death, fear of tests and procedures, fear of treatments, and the child’s
potential inability to feel “normal” as compared to peers; help family to
identify realistic and unrealistic
fears.

ing care plan.

Rationale

Assessment

Promotes the reinforcement of positive coping skills.

Promotes early recognition of interpersonal problems, especially within
the parent-child relationship.

Promotes positive relationships between siblings and peers, which can
be affected by a chronic illness that needs increased parental attention,
and so forth.
Open discussions during a history-taking can identify family-
related psychologic stress, if found early, can be the focus of
preventive services to promote adaptation.

c Interventions

Reaction may be expected in the early adjustment phase, following the
” diagnosis of chronic disease, depending on the severity.

Validates the normalcy of their feelings which promotes
stress reduction and positive coping skills.

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Encourage positive family relationships;
serve as a role model regarding attitudes and behaviors towards the
child.

Provide support to the family; assess
the family’s support systems and encourage their appropriate use; refe
to community agencies and support groups, as applicable.

Provide clear and accurate information to the family about the
condition, treatments, and implications; reinforce all information given.

Assist family in developing and implementing a home care plan,
employing age-appropriate goals consistent with activity tolerance.

Encourage child and family to perform good health habits, such as a
well-balanced diet, sufficient rest, good hygiene, and follow-up care.

Encourage family in methods to improve the child’s physical,
psychological, and cognitive development, based on the child’s current
developmental level.

Explain to child/family the potential
advantages of hyposensitization therapy where allergies cannot be
avoided, as applicable.

Teach child and family accurate use of a nebulizer, peak flow meter,
and metered dose inhaler; stress understanding of equipment usage,
cleaning, and strategies for compliance.

Teach child and family on preventive
treatment when applicable ( i.e., use of bronchodilators as prophylaxis
to prevent exercise-induced asthma).

Reinforce measures to avoid infections such as good
handwashing, cleaning and care of equipment used, and avoiding
crowds.

Promotes the family’s ability to adjust in a positive manner.

er Promotes positive adaptation within the family.
Promotes a sense of control and relieves stress; reinforcement and
individualizing the approach fosters better understanding.
Provides for a maximum level of care at home; parental participation
in the plan of care may help to strengthen compliance and foster
positive adaptation.
Promotes the body’s own natural defenses.

t Provides parents accurate knowledge on growth and development.

Avoids possible asthma exacerbation when allergen-induced.

Prevents and/or minimizes exacerbation of asthma by
early recognition.

Prevents and/or reduces asthma exacerbations.

Prevention of infection may lessen asthma exacerbations.

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Teach parents about the signs of
depression, particularly in the adolescent; suggest appropriate referrals
as needed.

s Facilitates timely collaboration between parent and healthcare care
team if a problem develops.

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Nursing Diagnosis : Fatigue
Related Factors
Common related factors for this nursing diagnosis:

• Increased work of breathing
• Hypoxia
• Respiratory distress

Defining Characteristics
The common assessment cues that could serve as defining characterist

• Apprehensiveness
• Dyspnea
• Frequent request for someone to be in the room
• Restlessness
• Tachycardia
• Tachypnea
Desired Outcomes
Common goals and expected outcomes:

• Patient will demonstrate decreased fatigue as evidenced by le
perform usual activities.

tics or part of your “as evidenced by” in your diagnostic statement.
ess irritability and restlessness, improved sleeping pattern, and ability to

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Nursing Interventions and Rationales
Here are the nursing assessment and interventions for this asthma nursi

Nursing Interventions

Nursing A

Monitor vital signs every 4 hours. Monitor frequency of work of I
breathing. s

Assess for signs of hypoxia such as change of level of D
consciousness, shortness of breath, tachycardia, irritability, fatigue, m
restlessness.

Therapeutic

Encourage simple, quiet, age-appropriate play activities as the P
child’s condition improves. b
f

Schedule and integrate nursing care to allow periods of T
uninterrupted rest and sleep. Provide a quiet and peaceful c
environment

Allow the presence of a parent (if with with younger children) or T
significant others during care. l

ing care plan.

Rationale

Assessment

Identifying and notifying changes allows immediate action that find a
solution to the problem and minimize the occurrence of fatigue.

Determining these symptoms immediately allows timely management and
minimize fatigue.

c Interventions
Physical and emotional comfort has a positive effect on the general well-
being, encourages relaxation, and decrease oxygen consumption and
fatigue.

These interventions encourages rest and lessens stress, oxygen
consumption, and fatigue.

The presence of significant others minimizes anxiety and fear hence it can
lessen oxygen expenditure and fatigue.

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