Summary Case Study Analysis
Treatment for bowel and nutritional problems
- Balanced nutrition diet with high calories and high proteins
- Pancreatic enzymes provides assistance for increased absorption of proteins and fats
- Use of vitamin supplements particularly vitamins A, D, E, and K.
Nursing Intervention
- Weekly monitoring of weight for the assessment of effectiveness of interventions related to nutrition.
- Monitoring of sputum production and respiratory status for the evaluation of the response to the measurement of respiratory care.
- Promoting the airway clearance, employing intermittent aerosol therapy at least 3 to 4 times a day in case of being symptomatic.
- Performance of chest physical therapy after employing aerosol therapy 3 to 4 times a day.
- Relax yourself to cough in an easy manner after postural drainage.
- Practicing breathing exercises through use of pursed lips for increasing the duration of exhalation.
- Provision of frequent mouth care for reducing the incidences of infection due to the presence of mucus.
- Encouraging diet composed of food items that are relatively high in proteins and calories and moderate to high in the amount of high due to incomplete absorption of food.
- Administration of fat-soluble vitamins as per prescription for counteracting malabsorption.
- A significant increase in the intake of salt during hot weather, excessive exercise, fever for the prevention of depleting sodium and cardiovascular compromise.
- Encouraging activity and regular exercise for fostering the sense of accomplishments and independence and improvement in the pulmonary functions.
- For the prevention of vomiting, allowing ample time for food due to irritability in case of unwell or coughing condition.
Reflection
Based on the analysis of the patient care plan, the management of cystic fibrosis with hemoptysis and dyspnea requires facilitation of appropriate application of the treatment plan for the improvement and extending the lives of patients suffering from cystic fibrosis. (Patrick A Flume 1, 2010)The worsening of the condition is likely to influence both the physical and psychosocial life of the patient. While providing treatment to the patients of cystic fibrosis, it is important to make sure the initial diagnosis of the medical condition and the impact of physical activity influencing the ventilation response. One of the important factor to consider the interaction between the patient and the nurse during the period of patient’s hospitalization. Furthermore, in order to provide the patient with good therapeutic approach, the nurse or the team providing care and treatment must be good at coaching to promote consistency in the airway clearance, education, and improving the quality of the patient’s and his or her family life.
Conclusion
- Cystic fibrosis is a genetic disorder and a long-term condition which is most commonly observed in Caucasian population.
- The advocacy of patient and family is one of the essential role of the registered nurse due to the satisfaction and well-being of the patient in nursing care and successful advocacy to be achieved.
- The physical impact of cystic fibrosis on the health and well-being of the patient mainly included an effect on the sweat glands, thick secretion in the sperm canal, sticky and thick mucus is blocking the pancreatic duct.
- The concept of acceptance and commitment reflects the ability of the patient of tolerating aversive emotions and thoughts.
- The levels of physical activity for moderate intensity exercise on the basis of higher levels of MET tending to be more appropriate in the hospital setting of the patient.
Encouraging diet composed of food items that are relatively high in proteins and calories and moderate to high in the amount of high due to incomplete absorption of food...................................
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