Nursing Care Plan for for Rhinitis
Rhinitis is an inflammation of the mucous membranes of the nose. (Dorland, 2002)
Acute rhinitis (coryza, commond cold) is an inflammation of the mucous membrane of the nose and sinuses accessories caused by a virus and bacteria. This disease may affect almost every person at a time and often occurs in the winter with the highest incidence in the early rainy season and spring.
Chronic rhinitis is a chronic inflammation of the mucous membranes caused by recurrent infections, due to allergies, or as vasomotor rhinitis.
1. Ineffective Airway Clearance related to obstruction / presence of thickened secretions.
Purpose: The airway effective after the secret was issued.
Expected outcomes:
- Clients no longer breathe through the mouth.
- Airway back to normal, especially the nose.
- Assess the existing accumulation of secretions.
- Observation of vital signs.
- Collaboration with the medical team.
- Knowing the severity and subsequent action.
- Knowing the development of the client prior to the operation.
- Work together to eliminate drugs consumed.
2. Disturbed Sleep Pattern related to blockage of the nose.
Purpose: clients can rest and sleep comfortably.
Expected outcomes:
- Clients sleep 6-8 hours a day.
Intervention
- Assess client's needs sleep.
- Create an atmosphere that is comfortable and quiet.
- Encourage clients to breathe through the mouth.
- Collaboration with the medical team of drug administration.
- Knowing the client problems in fulfilling the needs rest and sleep.
- So that clients can sleep.
- Respiratory no interference.
- Breathing can be effective.
3. Self-concept Disturbance related to rhinorrhea.
Interventions:
- Encourage clients to ask about the problem, treatment, development and health prognosis.
- Teach client about community resources available, if needed (eg mental health centers).
- Encourage clients to express feelings, especially how clients feel, to think, or perceive themselves.
- Provide interest and attention, giving the opportunity to correct misconceptions.
- A comprehensive approach can help meet the needs of the patient to maintain coping behavior.
- Can help increase the level of self-confidence, improve self-esteem, lower the mind constantly to changes and increase feelings toward self-control.
4. Anxiety related to lack of knowledge about the disease and medical action procedure.
Purpose: Anxiety is reduced / lost.
Expected outcomes:
- Clients will describe the level of anxiety and coping patterns.
- Clients know and understand about the disease and treatment.
- Assess client's level of anxiety.
- Give comfort and ketentaman on the client: Accompany clients, Show empathy (comes with touching clients).
- Give an explanation to the client about the illness slowly, calm and use a sentence that is clear, concise easy to understand.
- Get rid of excessive stimulation, for example:
- Place the client in a quieter room.
- Limit contact with others / other clients that are likely to experience anxiety.
- Observation of vital signs.
- If necessary, the collaboration with the medical team.
Rationale:
- Determine further action.
- Facilitate the acceptance of the client against the information provided.
- Improve client understanding about the disease and treatment for the disease so that the client is more cooperative.
- By eliminating the alarming stimulus, will promote calmness client.
- Knowing the early development of the client.
- Drugs can lower the level of client anxiety.