Pleural effusion is excess fluid that accumulates in the pleural cavity, the fluid-filled space that surrounds the lungs. This excess can impair breathing by limiting the expansion of the lungs. Various kinds of pleural effusion, depending on the nature of the fluid and what caused its entry into the pleural space, are hydrothorax (serous fluid), hemothorax (blood), urinothorax (urine), chylothorax (chyle), or pyothorax (pus). Pneumothorax is the accumulation of air in the pleural space.
Five types of fluids can accumulate in the pleural space:
- Serous fluid (hydrothorax)
- Blood (hemothorax)
- Chyle (chylothorax)
- Pus (pyothorax or empyema)
- Urine (urinothorax)
Nursing Diagnosis for Pleural Effusion : Disturbed Sleep Pattern related to persistent cough and pleuritic pain.
Goal: There was no disruption of sleep patterns and needs are met rest-sleep.
Outcomes:
- Patients no shortness of breath,
- patients can sleep comfortably without experiencing interference,
- patients can sleep easily within 30-40 minutes and the patient rest or sleep within 3-8 hours per day.
Interventions:
1 Give the position as comfortable as possible for patients.
Rasonal: semi-Fowler's position or a pleasant position will facilitate the circulation of O2 and CO2.
2 Determine the motivation habits before bedtime in accordance with the habits of patients before treatment.
Rationale: Changing pattern that has become a habit before sleeping, will disrupt the sleep process.
3 Instruct the patient to relaxation exercises before bed.
Rationale: Relaxation can help overcome sleep disorders.
4 Observe the patient's general condition.
Rationale: Observations to determine changes in the patient's condition.
Source :
http://nandanursingdiagnoses.blogspot.com/2014/08/disturbed-sleep-pattern-ncp-for-pleural.html