Nursing Care Plan and Intervention

Running Head: Nursing care and intervention 1
Nursing Care Plan and Intervention
Student Name
Institutional Affiliation

Mrs. Hale 2
Table of Contents
Introduction................................................................................................................................3
Analysis......................................................................................................................................3
Critical Analysis and Discussion...............................................................................................4
Psychosocial issues....................................................................................................................6
Conclusion..................................................................................................................................7
References..................................................................................................................................8

Mrs. Hale 3
Introduction
Mrs. Eleanor Hale was diagnosed with pneumonia and has been in the ward for two
days. Analyzing the facts surrounding pneumonia is necessary. Pneumonia is a condition that
leads the swelling of the alveoli; the infection can affect either one or the two lungs. The
alveoli become filled with fluid or pus thus instigating cough. Apprehensions, strain in
breathing, fever, and phlegm accompany the cough. The two groups at risk of getting
pneumonia are 2-year old children or younger and 65-year olds or older (Stewart,
Chipperfield, Perry & Hamm, 2016). The other risk factors are: being hospitalized and using
a ventilator to help you breathe, chronic illnesses such as asthma and heart diseases, smoking
(damages the immunity against bacteria), and weak immune system (due to organ transplant
or HIV/AIDS) (Wang, Li, Yang, Tang, Yuan, Deng & Sun, 2016). Bacteria, fungi or viruses
can cause pneumonia.
This research seeks to identify the risk factors surrounding Mrs. Hale’s condition, the
symptoms experienced, the causes and complications, and the possible treatment options.
Does Mrs. Hale have a history of a chronic illness, hospitalization or smoking? What caused
the shift in Mrs. Hale’s symptoms? These are the questions that this study seeks to answer.
Analysis
A low blood pressure, elevated pulse rate, and increased respiratory rate put pressure
on the heart. The average blood pressure of an adult should range between 120/80mmHg to
140/90mmHg (Boddy, Fulford & Kemp, 2018). The blood pressure of Mrs. Hale dropped
from 165/90mmHg (her normal BP) to 105/70mmHg. Her pulse rate increased significantly
from 74 beats per minute to 116 bpm. The patient’s respiratory rate rose considerably from
14 to 26 breaths per minute. The heart adjusts to the low blood pressure by beating faster to
keep up with the pressure. Chest discomfort, nausea, and shortness of breath are symptoms of
high heart rate (tachycardia). Low blood pressure and tachycardia can arise from medications
or a heart disease.
The patient became slightly diaphoretic, nauseous, experienced minor pressure
sensation in the chest, trivial shortness in breath, and felt a slight pain in bottom upper left
hand after administering medications to her. The common vaccine for pneumonia is