P.I. is a 41-year-old Asian male. He

P.I. is a 41-year-old Asian male. He was in a car accident that required prolonged ventilator dependence. The healthcare provider has recommended to the family that P.I. have a tracheostomy placed since his oxygenation needs are going to be long term and the ET tube should not be in place any longer. Because the family is concerned with the long-term repercussions of a tracheostomy, what should you explain to P.I.’s family? What should the family anticipate regarding the nursing care related to P.I.? What are the possible nursing diagnoses for a client with a tracheostomy? Which of these diagnoses would be the priority at this point in his care? After reviewing the possible nursing diagnoses and choosing one diagnosis to consider, what are the nursing interventions related to that diagnosis? What education will the client and/or family need in preparing to care for the client? Are there any safety considerations that need to be addressed in caring for a tracheostomy client in the home? Discuss the different indications that a client may be experiencing respiratory problems, including laboratory values, physical assessment, lung sounds, and health history. SCIENCE HEALTH SCIENCE NURSING NURSING 114

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