Anxiety related to Pleural Effusion

Pleural effusion is an abnormal amount of fluid around the lung. Pleural effusion is excess fluid that accumulates between the two pleural layers, the fluid-filled space that surrounds the lungs.

Some of the more common causes are:
  • Congestive heart failure
  • Pneumonia
  • Liver disease (cirrhosis)
  • End-stage renal disease
  • Nephrotic syndrome
  • Cancer
  • Pulmonary embolism
  • Lupus and other autoimmune conditions
Symptoms of pleural effusions
  • Shortness of breath
  • Chest pain, especially on breathing in deeply (pleurisy, or pleuritic pain)
  • Fever
  • Cough

Nursing Diagnosis for Pleural Effusion : Anxiety or fear in relation to the threat of death imaginable (inability to breathe).

Goal : Patient is able to understand and accept the situation so there is no anxiety .

  • Able to breathe normally, able to adapt to the situation.
  • Client's non-verbal response seemed more relaxed and at ease , the breath regularly with a frequency of 16-24 times per minute , pulse 80-90 times per minute.

Interventions :

1. Provide a pleasant position for the patient . Usually with a semi -Fowler.

2. Explain about the disease and diagnosis.
Rationale: The patient is able to receive and understand the circumstances that might be used in the treatment of co-operation.

3. Teach relaxation techniques.
Rationale : Reduce muscle tension and anxiety.

4. Aids in finding the source of the existing coping.
Rational Utilization of existing resources constructively coping very useful in overcoming stress.

5. Maintain a trusting relationship between nurse and patient.
Rationale : The relationship of mutual trust help the therapeutic process.

6. Assess the factors that cause anxiety.
Rationale : Appropriate action is necessary to address the problems faced by clients and build trust in reducing anxiety.

7. Aids patients recognize and acknowledge a sense of anxiety.
Rationale : Anxiety is an emotion that effect when they are well identified, disturbing feelings be known.

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