NURSING CARE PLAN ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION Chickenpox, also INDEPENDENT: SUBJECTIVE: Hyperthermia known as After 8 hours of • Provide isolation • Body substance After 8 hours of related to viral varicella, is a nursing or monitor isolation should nursing “Nilalagnat ako infection. highly contagious interventions, the visitors as be used for all interventions, the at may mga and self-limited patient will indicated. infectious patient was able to butlig ako sa infection that most demonstrate patients and demonstrate buong commonly affects temperature patients with temperature within katawan” (I have children between within normal diseases normal range and a fever and rashes 5-10 years of age. range and will transmitted experienced no all over my body) The disease has experience no through air may associated as verbalized a worldwide associated also need complications. by the patient. distribution and is complications. airborne and reported droplet OBJECTIVE: throughout the precautions. year in regions of • Warm to temperate • Wash hands with • Reduces the risk touch climate. The peak antibacterial of spreading the • Irritability incident is soap before or infection. • Petechiae generally during after care of the • V/S taken the months of patient. as follows: March through May. Lifelong • Encourage • Prevents the T: 37.9 immunity for patient to cover spread of P: 93 chickenpox mouth and nose infection via R: 21 generally follows during coughs or airborne droplet. BP: 120/80 the disease. If the sneezes. patient's immune system does not • Monitor patient • Fever patter totally clear the temperature, aids in the body of the virus, degree and disease process it may retreat to pattern. and diagnosis. skin sensory nerve cell bodies where it is • Observe for • Chills often Nursingcrib.com – Student Nurses’ Community protected from chills and precede the patient's profuse temperature immune system. diaphoresis. spikes in The disease presence of shingles (also generalized known as infection. "zoster") represents • Monitor • Room release of these environmental temperature viruses down the temperature. should be length of the skin altered to nerve fiber and maintain near- produces a normal body characteristic temperature. painful rash. Shingles is most • Provide tepid commonly a sponge baths, • May help reduce disease of adults avoiding the use the fever. of alcohol.
• Encourage to use calamine • To help reduce lotion. the itchiness.
COLLABORATIVE:
• Administer • Used to reduce
antipyretics as the fever by its indicated. central action on the hypothalamus.