An 11 page research paper that offers a scenario of a patient with suffering from shortness of breath. A male patient on admission displayed shortness of breath and ankle swelling. The patient has a history of myocardial infarction, angina, hypertension, hypercholesterolemia, and peripheral vascular disease. His current diagnosis includes worsening CCF, pneumonia (severe), chronic renal failure and shortness of breath. The patient is mobile with assistance with 28 percent humidified oxygen. The following assessment looks specifically at the patient's difficulty in breathing and what this entails in nursing care. Bibliography lists 25 sources.
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Unformatted Sample Text from the Research Paper:
current diagnosis includes worsening CCF, pneumonia (severe), chronic renal failure and shortness of breath. The patient is mobile with assistance with 28 percent humidified oxygen. The following assessment looks specifically
at the patients difficulty in breathing and what this entails in nursing care. Dyspnea, i.e., shortness of breath, can trigger panic in a patient (Ayers, 2004). Therefore, when a
patient is experiencing dyspnea, the attending nurse needs to act quickly to help dispel the patients "uncomfortable awareness that hes working too hard to breathe" (Ayers, 2004, p. 36).
Theoretical framework chosen for this assessment The Roper-Logan-Tierney Model of Living provides a theoretical framework for nursing care that define twelve activities of living, which collectively provide the context
for modern nursing care (Saliba, 2006). These activities include: maintaining a safe environment, communicating, breathing, eating and drinking, eliminating, personal cleansing and dressing, controlling body temperature, mobilizing, working and
playing, expressing sexuality, sleeping and dying (Saliba, 2006). According to Roper, et al (1990) argue that these activities provide a usable, flexible framework for evaluating nursing care, as
these activities can be observed and described, and, in some cases, quantified and measured. The Roper-Logan-Tierney model comprehensively addresses all aspects of the patient and, therefore, may trigger new thoughts
on nursing care, particularly when considering the psychological factors of this model (Saliba, 2006). Breathing is one of the basic life activities, arguably, the most basic. When a patient
experiences dyspnea, he may thrash about and seem terrified or he may react by being restless, confused or combative (Ayers, 2004). By addressing this most basic need, a nurse follows
the Roper-Logan-Tierney model by attending to the patients most urgent need. Patient assessment Pneumonia is an infection of the lungs (Woods, 2002). A healthy human lung is sterile and