Possible Nursing Interventions for Various Health Issues

Surname 1
Name
Course
Professor
Date
Activity 2
Health Information Clinical Presentation Possible Nursing Intervention
Respiratory difficulties  Labored and fast breathing
 Rapid pulse rate
 Low blood pressure
 Muscle fatigue
 General body weakness
 Wheezing
 Maintain optimal position for
nursing to reduce work of
breathing
 Conduct complete respiratory
assessment to check for
changes or decompensation
 Provide supplemental oxygen
when necessary
 Check for conditions that can
increase the demand for
oxygen i.e. anemia and fever.
Wound Management  Presence of necrotic or
devitalized tissue
 Inflammation
 Monitor the temperature,
edema, moisture, color and
general appearance of skin
 Monitor any changes in
sensation or pain
 Pay close attention to skin
folds and other high-risk
areas
 Monitor the state of skin
around the wound
Pain  Verbal complaints of pain
by patient
 Guarding of painful part
 Expressive behavior
 Change in tone of the
muscle i.e. rigidity or
weakness
 Conduct pain relief measures
on the patient
 Eliminate additional stressors
 Ensure there is sufficient rest
periods to enhance sleep,
relaxation, and relief
 Use local anesthetic agents
when necessary
 Massage of area of hot and
cold compress
Hypertension  Headache and/or Blurred
vision
 Assess the patient’s headache
pain level and blurred vision

Surname 2
 Atypical chest symptoms
 Dizziness
 Epistaxis

every 4 hours until absent.
 Assess the characteristic of
the chest pain and
 Administer and titrate
vasodilator medications to
meet md parameters for blood
pressure.-
 Direct pressure to the front of
the nose and use of nasal
decongestants:
Oxymetazoline or
neosynephrine
Mouth care and skin
care
 Dry mouth
 Apthous ulceration

 Sprays containing water or
cool, pleasant drinks most
helpful and chewing gum
 Pilocarpine to stimulate
salivation
 simple dietary modification
during an episode of
ulceration
 Promote patient participation
in selecting the preferred
treatment option.
Bladder and bowel care  Bowel incontinence  Encourage and help the
patient develop a daily bowel
program
 Daily assessment of patients’
bowel movements and
frequencies
Reflection
Naturally, palliative care providers focus more on improving the lives of the patients and
give all their time and effort in ensuring this is possible. However, there are various challenges
and deleterious implications on the part of the caregiver. This is because devoting fully to caring
for others comes with work-related stressors. In order to uphold my emotional and social
wellbeing, there is a need to guard against the effects of occupational stressors such as
compassion fatigue and burnout.