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Assessment Nursing Diagnosis Planning Intervention and Core Competency Rationale Nursing Theory Vincentian Core Values Evaluation

1. The infant was experiencing ineffective breathing patterns related to preterm birth including cyanosis, respiratory rate of 58/min, and episodes of apnea. 2. Nursing interventions included assessing respiratory rate and pattern, providing respiratory assistance as needed with oxygen hood, positioning the infant on their side with a rolled

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Jay Villasoto
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1K views2 pages

Assessment Nursing Diagnosis Planning Intervention and Core Competency Rationale Nursing Theory Vincentian Core Values Evaluation

1. The infant was experiencing ineffective breathing patterns related to preterm birth including cyanosis, respiratory rate of 58/min, and episodes of apnea. 2. Nursing interventions included assessing respiratory rate and pattern, providing respiratory assistance as needed with oxygen hood, positioning the infant on their side with a rolled

Uploaded by

Jay Villasoto
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ASSESSMENT NURSING PLANNING INTERVENTION RATIONALE NURSING VINCENTIAN EVALUATION

DIAGNOSIS AND CORE THEORY CORE VALUES


COMPETENCY
Subjective: -------- After nursing Independent Margaret Jean Commitment to After nursing
Objective: Ineffective intervention: Watson’s Vincentian interventions, the
• Cyanotic breathing pattern 1. Assess RR and - Assessment Excellence goal is partially met,
• Preterm birth related to immature 1. The infant will pattern provides Philosophy and the infant
• With oxygen neurologic and experience an information Science of Caring Compassionate experienced an
hood delayed pulmonary effective breathing about Service effective breathing
• RR – 58/min development pattern manifested neonate’s “Her theory stresses pattern manifested
• Episodes of by ability to humanistic aspects Co- Responsibility by
Apnea (15- initiate and of nursing as they
20secs)  Infant’s RR sustain an intertwine with  Infants RR
• 02 Saturation is between effective scientific knowledge was between
90% 40 and 60 breathing and nursing 40 to 60
 Infant will pattern practice.”  Infant
experience experienced
no apnea . Carl Roger’s less episodes
2. Provide - Assistance of apnea
respiratory assistance helps the Theory of Self
as needed (oxygen newborn by Concept in Mental
hood) clearing the Health Nursing
airway and
promoting “It highlights the
oxygenation. need of nurses to be
aware of their own
self when working
with clients, a state
that can only be
3. Position infant on - Lying on the achieved if the
side with a rolled side position nurses themselves
blanket behind his facilitate have adequate
back breathing.. clinical supervision
and an environment
which is supportive
of such work.”

Virginia
Henderson’s

Basic Principles of
4. Provide tactile - Stimulation of Nursing Care
stimulation during the
periods of apnea sympathetic “According to her
nervous individuals have
system basic needs that are
increases component of
respiration health and require
assistance to
achieve health and
independence.”

“Henderson also
said the unique
function of the
nurse is to assist the
individual, sick or
well”

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