NUR250 Bronchitis Assessment Report

NUR250 Assessment 1 S1 2020
Assessment One Template
Task 1
Bronchitis is a condition (Mejza et al., 2017) where there is an
occurrence of swelling of the bronchial tubes lining that brings oxygen into and
out of the lungs. Individuals with bronchitis often cough up thickened mucus that
can be discoloured. Bronchitis may be either recurrent, or acute. Acute bronchitis
sometimes emerges from a cough or other respiratory illness. A more severe
disease, persistent bronchitis, is a recurrent discomfort or swelling of the lining
of the bronchial passages, often triggered by smoke. Tobacco smoking (Miele et
al., 2016) is by far the most frequent source of the recurrent bronchitis. The
disease may also be related to air emissions and pollen or harmful gasses in the
atmosphere or office. The nursing assessments were performed to determine the
health of the individual after the initial transfer handover as per the case study.
The most important action on admission is an urgent, rapid examination of the
situation. The ABC approach is commonly used for initial trauma case diagnosis;
in fact, it lets doctors identify any possible life-threatening problems that are
important for the treatment of each victim. As a result, early diagnosis of some
life-threatening conditions requires successful interventions to mitigate or
prevent the risk of death or long-term injuries. Here in the given case study, Miss
Laura was admitted to the CDU medical ward with a diagnosis of developing
bronchitis. Checking into the medical records and history of the patient it can be
observed that even though she was an obese as well as had type II diabetes
along with hyperlipidaemia. Moreover, she had an active past history of asthma,
she still was regular smoker of 20 cigarettes each day. The pathophysiology of
the diagnosis states that the cells of the bronchial-lining tissue become disturbed
during an episode of acute bronchitis, and the mucous membrane is edematous,
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reducing bronchial mucociliary activity. Consequently, garbage clogs the air
pathways and raises discomfort. Copious mucus secretion occurs in reaction and
triggers the characteristic bronchitis cough. Breathing in irritant agents such as
smog, additives in household goods or cigarette smoke may even cause
bronchitis. Smoking is the underlying source of recurrent bronchitis (Kim et al.,
2015). Patients with recurrent bronchitis also experience another smoking-
related lung condition named emphysema, which triggers shortness of breath in
the air sacs within the lungs. Through frequent smoke, Miss Laura will possibly
have induced the bronchial lining’s mucus-producing coating to thicken,
restricting the airways to the point that breathing became more challenging. The
bronchial pathways are more susceptible to more contamination and tissue harm
transmitted through immobilization of the cilia that sweeps the air clean of
foreign irritants.
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Task 2
Nursing Care Plan: Miss Laura Purple, HRN: 123678
Nursing problem: Risk of infection
Related to: Pervasive congestion of airways with airways narrowing or blocking, decreased mucoid sputum development and
pronounced cyanosis. Inadequate primary protections, the mechanism of chronic disease such as diabetes involvement or
asthma may trigger the individual to acquire such a disorder.
Goal of care Nursing interventions Rationale Evaluation
The key aim of the
care plan is to
allow Laura
 For Gram’s staining, culture
and reaction, acquire
sputum specimen through
intense coughing or
suctioning. Observe the
 Identifies the trigger
organism and its
vulnerability to specific
antimicrobials.
 Prevents the transmission
 Odorous, purple, or greenish
secretions signify a
pulmonary infection.
 It was observed that with
active following of
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verbalize her
perception of
specific causative /
risk factors for
certain situation’s
potential growth.
Identifying
measures to
avoid / reduce the
risk of infection
and practicing
procedures and
enforcing
efencesng
adjustments to
encourage a
color, the structure, the
sputum scent.
 Illustrate and support the
patient, Ms Laura with tissue
disposal and sputum
removal. Requesting her for
a good handwashing and
wearing gloves while
treating paper, sputum
tubes, or disposal.
 Strongly suggest rinsing the
mouth with water and
coughing, not vomiting, or
using a spacer on the
mouthpiece with inhaled
corticosteroids and
of diseases transmitted
by fluids (Curran, 2017).
 Reduces the regional
immunosuppressive
impact of the medication
and the possibility of oral
candidiasis, and reduces
the propensity for
susceptibility to infectious
diseases such as upper
respiratory infection
(URI).
maintaining hygiene, the
infection gradually slowed
down.
 Improves patient resilience to
infection and promotes
recovery.
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