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Ineffective breathing pattern is a state when there is inadequate ventilation in the results of the process of breathing or respiration. in...


Risk-prone health behavior is a state when a person cannot modify his/her behavior in a consistent manner with a change of his/her health. Below is a sample of nursing care plan for patients with risk-prone behavior.

"I still kept on smoking, even though I know I had my emphysema," as verbalized by the patient.

The patient have productive cough and he/she is positive to barrel chest. Rapid breathing and wheezing also manifested. Vital signs are taken and noted as follows: Body temperature is 36.8 degrees Celcius, blood pressure is 130/90 mmHg, respiratory rate of 25 cycles per minute, and pulse rate of 72 beats per minute. All of his/her vital signs are above normal except pulse rate which is on the other hand, below normal. That means he/she had an abnormal vital signs.

Risk-prone health behavior related to continuous smoking secondary to respiratory condition.

After 2 hours of nursing intervention, the patient will initiate lifestyle changes that will permit adaptations to current life situation.

Review previous life situations and role changes with the client to determine coping skills used it any. Explain the disease process, causative factors and prognosis to enhance understanding. Perform a physical and psychological assessment to determine the extent of the limitations of the current condition. Listen to the client's perception of inability and reluctant to adapt to situations that are currently occurring. Survey with the client past and present significant support systems such as family, church, groups, and organizations to identify helpful resources. Explore the expressions of emotions signifying impaired adjustment by client such as overwhelming anxiety, fear, anger, worry, passive and active denial. Note child's interaction with parent because development of coping behaviors is limited at this age, and primary caregivers provide support for the child and serve as role models. Determine whether child displays problems with school performance, withdraws from family or peers, or demonstrates aggressiveness behavior toward others or self.

Listen to client's perception of the factors leading to the present dilemma, noting onset, duration, presence or absence of physical complaints, and social withdrawal. Determine lack of inability to use available resources. Review available documentation and resources to determine actual life experiences such as medical records or consultant's notes. In situations of great stress, physical and emotional, the client may not accurately assess occurrences leading to the present situation.

Organize a team conference including client and ancillary services to focus on contributing factors effecting adjustment and plan for management of the situation. Acknowledge client's efforts to adjust because these can lessen feelings of blame or guilt and defensive response. Share information with adolescent's peers as indicated when illness affects body image. Peers are primary support for this age group. Provide an open environment encouraging communication so that expression of feelings concerning impaired function can be dealt with realistic and openly. Use therapeutic communication skills such as active listening, acknowledgement, silence and statements.

After 2 hours of nursing intervention, the patient initiated lifestyle changes that would permit adaptations to current life situation.

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