Acute Pain related to Lung Cancer

Nursing Care Plan for Lung Cancer

Acute pain related to cancer cell invasion

Goal: after the nursing intervention, the expected decrease pain scale clients.

Expected outcomes:

• Reported pain gone / controlled.
• Looked relaxed and sleep / rest.
• Participate in activities desired / required.

Intervention and rational:

1). Ask the patient about pain. Determine the characteristics of pain. Create ranges intensity on a scale of 0-10.
Rational: Assist in the evaluation of the painful symptoms of cancer. The use of scale ranges help patients assess the level of pain and provide a tool for the evaluation of the effectiveness of analgesic, improving pain control.

2) Assess statement of verbal and non-verbal patient's pain.
Rationale: The discrepancy between verbal / non-verbal can provide clues degree of pain, the need / keefeketifan intervention.

3) Write down the possible causes of pain patofisologi and psychology.
Rational: posterolateral incision is uncomfortable for the patient from the anterolateral incision. Besides the fear, distress, anxiety and loss of appropriate diagnosis of cancer can interfere with the ability to cope.

4) Instruct to express feelings of pain.
Rational: Fear / problems can increase muscle tension and lower the threshold of pain perception.

5) Provide comfort measures. Encourage and teach the use of relaxation techniques.
Rationale: Increase relaxation and distraction.

Read More »

Impaired Gas Exchange related to Lung Cancer

Nursing Care Plan for Lung Cancer


Nursing Diagnosis : Impaired gas exchange related to hypoventilation

Goal: after nursing interventions, clients showed improvement in gas exchange.

Expected outcomes:

• Clients will show the results of blood gas analysis within the range of normal limits.
• The skin will be free of symptoms of respiratory distress.
• Clients will notice improvement in mental status.

Intervention and rasioanal:

1). Note the depth of breathing frequency, difficulty breathing. Observations use a respirator muscles, breath lips, skin changes / mucous membranes, such as pale, cyanosis.
Rational: Respiratory increased as a result of pain or as an initial compensation mechanism for damage lung tissue.

2). Lung auscultation.
Rational: consolidation and reduced air flow in the lungs indicates the area involved.

3). Investigate changes in mental status / level of consciousness.
Rational: can show increased hypoxia or complications such as mediastinal shift when accompanied by tachypnea, tachycardia, deviation of the trachea.

4). Maintain patency of the airway by positioning, exploitation, and use of a ventilator.
Rational: airway obstruction affecting ventilation and impairs gas exchange.

5). Change positions frequently, place the patient in a sitting position, or lying down.
Rational: maximize lung expansion and drainage secret.

6). Instruct / aids in deep breathing exercises.
Rational: increase the maximum ventilation and oxygenation and prevent atelectasis.

7). Assess client's response to the activity, the period of rest or restricted activity as tolerated.
Rationale: increased consumption of oxygen demand and stress lead to increased dyspnea and changes in vital signs.

8). Give supplemental oxygen with humidification as indicated.
Rational: maximizing the dosage of oxygen.

9). Monitor blood gas analysis, pulse oximetry. Record levels of Hb.
Rational: PO2 decrease, or increase in PCO2 may indicate the need for ventilatory support. Significant blood loss can lead to a decrease in oxygen-carrying capacity.

Read More »