Nursing Diagnosis and Nursing Interventions

Nursing Diagnosis and Nursing Intervention for Sinusitis

Sinusitis is a common condition in which the lining of the sinuses becomes inflamed. Common signs and symptoms include thick nasal mucous, a plugged nose, and pain in the face. Other signs and symptoms may include fever, headaches, poor sense of smell, sore throat, and cough.

Sinusitis is usually the result of a cold or flu virus spreading to the sinuses from the upper airways. Only a few cases are caused by bacteria infecting the sinuses.

It's not clear exactly what causes sinusitis to become chronic (long-lasting), but it has been associated with:
  • allergies and related conditions, including allergic rhinitis, asthma and hay fever
  • nasal polyps (growths inside the nose)
  • smoking
  • a weakened immune system

Nursing Diagnosis and Nursing Intervention for Sinusitis
  1. Ineffective airway clearance related to obstruction (the accumulation of nasal secretions) secondary to inflammation of the sinuses

    Goal :
    Effective airway after secret (purulent) issued

    Criteria for outcome :
    • The client no longer breathe through the mouth
    • Airway returned to normal, especially the nose

    Plan of action :
    • Review the existing buildup of secretions
      R /: Determine the level of severity and subsequent action
    • Observation of vital signs
      R /: Knowing the client's progress prior to surgery
    • Collaboration with the medical team for cleaning discharge
      R /: Co-operation to eliminate the buildup of secretions.
  2. Impaired sense of comfort: pain related to inflammation of the nose

    Goal :
    Pain is reduced or lost

    Criteria for outcome :
    • Clients express pain decreases or disappears
    • Clients do not grimace in pain.

    Plan of action :
    • Assess client's level of pain
      R /: Determine the level of pain in determining the next action
    • Explain the causes and consequences of pain to the clients and their families
      R /: By knowing the causes and consequences of pain, clients are expected to participate in treatment to reduce pain
    • Teach relaxation and distraction techniques
      R /: Clients find distraction and relaxation techniques, so as to practice it when experiencing pain
    • Observation of vital signs and client complaints
      R /: Knowing the general condition and progress of the condition of the client.

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Nursing Diagnosis - Nursing Interventions


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