Nursing Care Plan for Pleural Effusion
The gravity of the pleural effusion is determined by the amount of fluid, the rate of formation fluids and pressure levels in the lungs. If large effusion, lung expansion will be disrupted and the patient will experience shortness of breath, chest pain, non- productive cough even lung collapse will occur and there will consequently respiratory failure.
The conditions mentioned above are not uncommon cause of death in patients with pleural effusion. Various nursing problems arising in actual and potential problems due to pleural effusion include Disturbed Sleep Pattern, Impaired Gas Exchange, Fear / Anxiety and others .
Nursing Diagnosis : Disturbed Sleep Pattern
Goal : There was no disruption of sleep patterns and rest requirements are met.
Outomes : The patient will :
- no shortness of breath,
- can sleep comfortably without experiencing interference,
- can easily fall asleep within 30-40 minutes and the patient rest or sleep within 3-8 hours per day.
Interventions and Rational :
1. Give the position as comfortable as possible for patients.
Rasonal : semi-Fowler's position or a pleasant position will facilitate the circulation of O2 and CO2.
2. Determine the motivation habits before bedtime in accordance with the habits of patients before treatment.
Rationale : Changing patterns of habitual bedtime will disrupt the sleep process.
3. Instruct the patient to relaxation exercises before bed.
Rationale : Relaxation can help overcome sleep disorders.
4. Observation cardinal symptoms and the patient's general condition.
Rationale : Observations cardinal symptoms in order to determine changes in the patient's condition.
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