Nursing Assessment for Pneumonia

Nanda Nursing Diagnosis for Pneumonia




Pneumonia

Pneumonia

Pneumonia is an inflammation of the lung tissue affecting one or both sides of the chest that often occurs as a result of an infection. Infection can be caused by a lot of different micro-organisms – viruses (eg respiratory syncytial virus), bacteria, fungi (eg histoplasmosis) and parasites. In addition to infection, pneumonia can also be caused by corrosive chemicals breathed into the lungs or toxic smoke inhalation from a fire.

Signs of Pneumonia

  • Classic bacterial pneumonia starts suddenly with shivering fits, fever, pains in the chest and coughing.
  • The cough is dry at first, but in a day or two the person starts to cough up phlegm. The phlegm is usually yellow, bloodstained or rust-coloured.
  • Breathing is typically fast and shallow. The infected person may gasp for air and may even go bluish around the lips and nails due to the lack of air (cyanosis).
  • It hurts to breathe in deeply or cough. This may be a sign that the inflammation has spread to the membrane that covers the lungs (pleurisy).
  • Acute confusional state (more common in the elderly).
  • There may also be a serious outbreak of herpes (cold sores) around the mouth, which shows that your immune system is not now able to defend against the herpes virus.

Nursing Assessment for Pneumonia

1. Patient Bios: Name, age, gender, marital status, religion, tribe / nation, education, occupation, address and registration number.

2. Bios Responsible Person: Name, age, gender, marital status, religion, tribe / nation, education, occupation, income, address.

3. Patient Medical History:
Formerly Medical History
Health History Now
Family Health History

4. Everyday habits:
Eating and Drinking
Elimination: bladder and bowel
Personal Hygiene

5. Physical Examination / Head To Toe


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