NURSING CARE PLAN

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION

Independent:
Subjective: • Hyperthermia • Typhoid fever is • After 7 days • Monitor patient • Fever pattern • After 7 days
related to a bacterial of nursing temperature may aids in of nursing
“Mainit ang increased disease, caused interventions degree and diagnosing intervention
pakiramdam ko” metabolic by Salmonella , the patient patterns. underlying s, the
as verbalized by rate, illness. typhi. It is will disease. patient was
patient. transmitted demonstrate • Observe for • Chills often able to
through the temperature shaking chills and precede during demonstrate
Objective: ingestion of food within normal profuse high temperature
or drink range and diaphoresis. temperature within
• Flushed skin, contaminated by free from and in presence normal
warmed to the feces or chills. of generalized range and
touch. urine of infected infection. free from
people. • Wash hands with • Reduces cross chills.
• Restlessness. Symptoms anti-bacterial contamination
usually develop soap before and and prevents
• V/S taken as 1–3 weeks after after each care of the spread of
follows: exposure, and activity and infection.
may be mild or encourage proper
T: 38.9 severe. They hygiene.
P: 80 include high • Provide tepid • May help
R: 21 fever, malaise, sponge baths and reduce fever.
Bp: 100/80 headache, avoid the use of Use of ice
constipation or ice water and water and
diarrhea, rose- alcohol. alcohol may
colored spots on cause chills and
the chest, and can elevate
enlarged spleen temperature.
and liver. • Monitor for signs • May reflect
Healthy carrier of deterioration of inappropriate
state may follow condition or antibiotic
acute illness. failure to improve therapy.
Typhoid fever with therapy.
can be treated
with antibiotics.
However,
resistance to
common
antimicrobials is
widespread. Collaborative:
Healthy carriers • Administer anti- • Used to reduce
should be pyretics as fever by its
excluded from prescribed. central action
handling food. on the
hypothalamus.
• Administer anti- • To control the
biotics as spread of
prescribed. infection.