Chapter 1, Problem 1.12.3C

Q: What would be the Subjective or Objective Data if the Nursing Diagnosis is Impaired Comfort related to episodic shortness of breath?   Scenario: Patient X, a 79-year-old male and retired construction worker from Cebu, was taken to the hospitalon September 3 due to a two-week progression of episodic shortness of breath. The patient was in good health until two weeks ago, when he discovered he was having trouble catching his breath while walking. He was used to walking 3 kilometers without stopping, but now he was out of breath after only 100 meters. The patient's symptoms were worsening, and he had been complaining of shortness of breath while lying down for the past three days. He had always slept with one pillow, but now he needed two. In addition, the patient reported an 8 to 10 pound weight gain in the previous 6 weeks. He had pitting edema from the feet to the knees on both sides. The patient was diagnosed with Class III Heart Failure by the doctor.  The patient had been…

Identify approaches for establishing presence with patients ?

Develop a nursing care plan for patients undergoing local anesthesia and/or moderate or conscious sedation.