Pleural effusion is a clinical manifestation that can be found in approximately 50-60 % of patients with primary pleural malignancies. While 95 % of cases of mesothelioma ( pleural primary malignancies) can be accompanied by pleural effusion and approximately 50 % of breast cancer patients will eventually experience pleural effusion.
Incidence of pleural effusion is quite high especially in patients with malignancy if not administered properly it will reduce the quality of life of sufferers and increasingly burdensome condition of the patient. The lungs are part of the respiratory system is very important, in this organ disorders such as pleural effusion can cause respiratory problems and even can affect the cardiovascular system that can work ended in death.
Improving the condition of patients with pleural effusions requiring appropriate treatment by health workers, including nurses as providers of nursing care in hospitals. For that, the nurse needs to learn about the concept and management of pleural effusions and nursing care in patients with pleural effusion. So in this paper will discuss how the nursing care of patients with pleural effusion.
Nursing Diagnosis for Pleural Effusion : Fear / Anxiety related to the threat of death imaginable (inability to breathe).
Goal : Patient is able to understand and accept the situation so there is no anxiety.
Outcomes : The patient will :
Interventions and Rationale :
1. Provide a pleasant position for the patient. Usually with a semi -Fowler. Explain about the disease and diagnosis.
Rationale: The patient is able to receive and understand the circumstances that might be used in the treatment of co-operation.
2. Teach relaxation techniques.
Rationale : Reduce muscle tension and anxiety.
3. Help in finding the source of the existing coping.
Rationale : The use of existing sources of coping constructively very helpful in dealing with stress.
4. Maintain a trusting relationship between the nurse and the patient.
Rationale : The relationship of mutual trust helps the therapeutic process.
5. Assess the factors that cause anxiety.
Rationale : Appropriate action is required to deal with the problems facing clients and build trust in reducing anxiety.
6. Help the patient recognize and acknowledge a sense of anxiety.
Rational : Anxiety is an emotion that effect when they are well identified, disturbing feelings be known.
Incidence of pleural effusion is quite high especially in patients with malignancy if not administered properly it will reduce the quality of life of sufferers and increasingly burdensome condition of the patient. The lungs are part of the respiratory system is very important, in this organ disorders such as pleural effusion can cause respiratory problems and even can affect the cardiovascular system that can work ended in death.
Improving the condition of patients with pleural effusions requiring appropriate treatment by health workers, including nurses as providers of nursing care in hospitals. For that, the nurse needs to learn about the concept and management of pleural effusions and nursing care in patients with pleural effusion. So in this paper will discuss how the nursing care of patients with pleural effusion.
Nursing Diagnosis for Pleural Effusion : Fear / Anxiety related to the threat of death imaginable (inability to breathe).
Goal : Patient is able to understand and accept the situation so there is no anxiety.
Outcomes : The patient will :
- Being able to breathe normally , able to adapt to the situation.
- Non-verbal responses seem more relaxed and at ease, breath regularly with a frequency 16-24 times per minute, pulse 80-90 times per minute.
Interventions and Rationale :
1. Provide a pleasant position for the patient. Usually with a semi -Fowler. Explain about the disease and diagnosis.
Rationale: The patient is able to receive and understand the circumstances that might be used in the treatment of co-operation.
2. Teach relaxation techniques.
Rationale : Reduce muscle tension and anxiety.
3. Help in finding the source of the existing coping.
Rationale : The use of existing sources of coping constructively very helpful in dealing with stress.
4. Maintain a trusting relationship between the nurse and the patient.
Rationale : The relationship of mutual trust helps the therapeutic process.
5. Assess the factors that cause anxiety.
Rationale : Appropriate action is required to deal with the problems facing clients and build trust in reducing anxiety.
6. Help the patient recognize and acknowledge a sense of anxiety.
Rational : Anxiety is an emotion that effect when they are well identified, disturbing feelings be known.
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