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Nursing Assessment Care Plan for Pneumoconiosis

Nursing Care Plan for Pneumoconiosis


Assessment of Basic Data
1. Data that needs to be examined :
  • The identity of the client include (name, age, address, religion, and gender).
  • The main complaint or reason.
  • Family history.
  • The pattern of activity.
  • Coping mechanisms.
  • Knowledge.
2. Assess the factors that cause pneumoconiosis :
  • Trigger factors :
  • Allergens (pollen, dust, skin or fungi).
  • Emotional stress.
  • Excessive physical activity.
  • Air pollution.
  • Respiratory tract infections.
  • Failure of the recommended treatment program.
  • Supporting factors :
  • Smoking tobacco products as the main factor.
  • Live or work areas with heavy air pollution.
  • History of allergy in the family.

3. Physical examination by a focus on the respiratory system include :
  • Assess the frequency and rhythm of breathing.
  • Inspection of skin color and the color of the mucous membranes.
  • Auscultation of breath sounds.
  • Make sure when the patient using accessory muscles when breathing :
  • Shrugged during breathing.
  • Retraction of the abdominal muscles during breathing.
  • Nostril breathing.
  • Assess if symmetrical or asymmetrical chest expansion.
  • Assess if chest pain on breathing.
  • Assess cough (productive or nonproductive whether). When productive specify the color of sputum.
  • Determine if the patient has dyspnea or orthopnea.
  • Assess the level of consciousness.

Diagnostic Tests :
  • Arterial blood gases showed low PaO2 and PaCO2 high.
  • Chest X-ray showed an increase in lung capacity and backup volumes.
  • Positive sputum culture when there is an infection.
  • Essay immunoglobulin showed an increase in serum IgE.
  • Pulmonary function tests to determine the cause of dyspnea and determine whether the abnormal function of the lung (obstruction or restriction).
  • Hemoglobolin test.
  • ECG (P wave elevation in leads II, III, AVF and the vertical axis.
Assess the patient's perception of self
How to study the perception of pneumoconiosis :
  • Verbal descriptive of the disease pneumoconiosis.
  • The information necessary to be a portrait of the individual pneumoconiosis.
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