vb

1. PROGNOSIS
31-10-16
Temperature : 97F
Pulse : 86/min
Respiration : 24/min
Blood pressure: 130/80mmhg
 Mrs. Jameela saifiwas suffering frominterstitial disease.
 She was administered oxygen therapy at a rate of 3litres.
 No signs of cyanosis seen in the patient.
 Analgesics were provided for chest pain.
 Kussmaulbreathing was seen and was asked to carry pursed lip breathing.
 Daily activities were scheduled which involved activity and rest periods.
 Self care deficit due to breathing difficulty and so was assisted and encouraged in activities of daily living.
 Supportivecare provided.
01-11-16
Temperature : 98.4F
Pulse : 84/min
Respiration : 20/min
Blood pressure : 120/70mmhg
 Jameela saifi followed pursed lip breathing.

2.  Continued chest exercises and use of incentive spirometry
 She was involved in activities of daily living .
 Oxygen levels were reduced to 2litres.
 Pain became bearable and doses reduced.
 She was more active.
 Involved morein self care, groomed well.
 Understood the need for care, maintaining health and cleanliness.
 Followed diet regimen and medications as asked to.
02-11-16
Temperature : 97F
Pulse : 84/min
Respiration : 20/min
Blood pressure: 110/80 mmhg
 Mrs. Jameela saifi carried her daily activities well
 Analgesics were stopped.
 Antibiotics and bronchodilators continued .
 Carried all self care activities well
 Maintained grooming and cleanliness.
 Oxygen administration was stopped.
 Chest exercises and use of incentive spirometry was continued.
 Followed diet regimen and medications were taken timely.

3.  Tissueperfusion was maintained.
 Effective Breathing pattern maintained.
 Dischargewerebeing planned
DISCHARGE PLANNING
Mrs.jameela saifi is a patient suffering from interstitial lung disease. Discharge was not decided yet
planning made. Patient was on antibiotics, bronchodilators and supportive care was provided.
Mrs. Jameela was adviced to carry out antibiotics, bronchodilators, chest exercises taught, use of incentive
spirometry explained and returned demonstrations taken. Instructed to strictly stay away from air
pollutans. Pursed lip breathing was adviced.
SUMMARY
As part of ANP posting, my subject for case study was Mrs. Jameela saifi who was suffering from interstitial
lung disease. He was suffering frm breathing difficulty for the past 10years.she was assigned to me from 31st
of october to 2nd of November, 2016. He prognosed well after treatment.
CONCLUSION
Thus, Mrs. Jameela saifi a case of interstitial lung disease was taken well care of with the help of health
professionals, reacted well to surgery and medications and was discharged on 11th November, 2016.

4. BIBLIOGRAPHY
SUZANNEC SMELTZER, BRENDA G BARE, BRUNNER AND SUDDHARTH’S TEXTBOOKOF MEDICAL SURGICAL
NURSING, VOLUME2, 12TH
EDITION, PP: 1067-1110.
LIPPINCOTTWILLIAMS AND WIKINS, NURSING 2011 DRUG HANDBOOK, 31ST
EDITION, PP:1300-1302, 1010-1015
 1340-1367,330-332.
RISK FOR impairedventilationperfusion,
ELSEVIER,www1.us.elsevierhealth.com/SIMON/Ulrich/Constructor/diagnoses.cfm.https://www.nursingtimes.net
/nursing-patients...interstitial lung diseas /850840.article.
Michael Buckmire, MD, FACS, FASCRS, ASCRS, Americansociety of respiratory disorders.
Gerald j. tortora, bryan h. derrickson, principles of anatomy and physiology, volume 2, 12th edition,
PP: 676-700.