I.

INTRODUCTION The Department of Health said that 62,503 cases of the mosquito-borne illness have

been reported in the Philippines from January 1 to August 21, up nearly 90 percent from the same period last year. The death toll was also up from 350 in the same period last year. The department said the number of dengue cases in the country started to rise in May and peaked last month at the onset of the rainy season. Disease experts are now closely monitoring several barangays across the country for cases of dengue outbreak. In line with this, the group decided to conduct a class regarding measles to raise the awareness of the residents of Barangay Sapa Libutad, Angeles City. II. CONTENT

What is dengue? Dengue fever is a disease caused by a family of viruses that are transmitted by mosquitoes. strikes people with low levels of immunity. Because it is caused by one of four serotypes of virus, it is possible to get dengue fever multiple times. However, an attack of dengue produces immunity for a lifetime to that particular serotype to which the patient was exposed. Dengue goes by other names, including "breakbone" or "dandy fever." Victims of dengue often have contortions due to the intense joint and muscle pain, hence the name breakbone fever. Slaves in the West Indies who contracted dengue were said to have dandy fever because of their postures and gait. Dengue hemorrhagic fever is a more severe form of the viral illness. Manifestations include headache, fever, rash, and evidence of hemorrhage in the body. Petechiae (small red or purple blisters under the skin), bleeding in the nose or gums, black stools, or easy bruising are all possible signs of hemorrhage. This form of dengue fever can be life-threatening and can progress to the most severe form of the illness, dengue shock syndrome. Agent and Vector Dengue viruses (DEN) types 1, 2, 3, 4, which are classified as flaviviridae, are principally transmitted from human to human through the bites of the Aedes aegypti mosquitoes. The femle mosquito bites the infected human during the day and can transmit the virus to another host immediately or after 8 to 10 days of incubation within the salivary gland of the mosquito. The mosquito host remains infected for life.

Dengue hemorrhagic fever ² a more severe form of the disease than initial dengue fever ² can cause signs and symptoms of dengue fever plus: y y y y y Significant damage to your blood and lymph vessels A decrease in the number of blood cells that help your blood clot (platelets) Bleeding from the nose and mouth Bleeding under the skin. up to 105 F (40. Dengue fever With the mild form of the disease. you may experience some or all of these signs and symptoms: y y High fever.6 C) A rash over most of your body. Mild dengue fever rarely causes death. which may subside after a couple of days and then reappear Severe headache. - Dengue hemorrhagic fever More-severe forms of the disease usually begin the same way as the mild form (dengue fever) then become worse after several days. the virus undergoes an incubation period of 3 to 14 days. which gives the appearance of bruising Death Dengue shock syndrome ² Dengue shock syndrome ² the most severe form of the disease ² may cause signs and symptoms of mild dengue fever plus: y y Severe abdominal pain Frequent vomiting .Incubation Period After an individual is bitten by an infective mosquito. depending on the form and severity of the disease. Symptoms Signs and symptoms of dengue fever vary. backache or both Pain behind your eyes Severe joint and muscle pain Nausea and vomiting y y y y Sign and symptoms usually begin about four to seven days after being bitten by a mosquito carrying a dengue virus. and your symptoms will usually subside within a week after starting.

5 cm square or 1 inch square are observed. others) and naproxen sodium (Aleve.Clean all water containers once a week. .5 cm. such as ibuprofen (Advil. How is it treated? For a mild form of the disease: y y Drinking plenty of fluids to avoid dehydration from vomiting and high fever. Count the number of petechiae inside the box. people with a severe form of the disease die of it. at the antecubital fossa. Taking acetaminophen (Tylenol. square or 1 inch square just below the cuff.y y y y y Disorientation Fluid (plasma) leakage from blood vessels Heavy bleeding A sudden drop in blood pressure (shock) Death Severe signs and symptoms may appear after your fever has improved. others).Torniquet Test (Rumpel Leads Test) Inflate the blood pressure cuff on the upper arm to a point midway between the systolic and diastolic pressure for 5 minutes. These can increase the risk of bleeding complications. others) to alleviate pain and reduce fever.Cover water drums and water pails at all times to prevent mosquitoes from breeding. Motrin. . Release cuff and make an imaginary 2. Don't take aspirin or other nonsteroidal anti-inflammatory drugs. treatment consists of: y y y y Supportive care in a hospital Intravenous (IV) fluid and electrolyte replacement Blood pressure monitoring Transfusion to replace blood loss Methods of Prevention and Control The prevention of dengue is directed at community and personal mosquito control in endemic areas. Modern supportive hospital care decreases this risk. In a small number of cases. Scrub the sides well to remove eggs of mosquitoes sticking to the sides. A test is (+) when 20 or more petechiae per 2. . . For a more severe form of the disease.Replace water in flower vases once a week. Diagnostic Test .

For melena.For personal protection. For those with no signs of hemorrhage. nursing efforts should be directed toward the immediate control of its cause by knowing the nature of the disease and its causation. If transfusion is given. prostration. . . the nurse may perform the tourniquet test. Immediate control of hemorrhage and close observation of the patient for vital signs leading to shock are the nurse¶s primary concern. 2. support patient during therapy. .Clean gutters of leaves and debris so that rain water will not collect as breeding places of mosquitoes. . Dorsal recumbent position facilitates circulation. 1. Avoid unnecessary movement. Nursing measures are directed towards the symptoms as they occur but immediate medical attention must be sought. Nursing Care Any disease or condition associated with hemorrhage is enough to cause alarm. bottles and other items that can collect and hold water.Old tires used as roof support should be punctured or cut to avoid accumulation of water. . if there are cases that exhibit symptoms of hemorrhage from any part of the body  Conduct a strong health education program directed towards environmental sanitation particularly destruction of all known breeding places of mosquitoes  Assist in the diagnosis based on the signs and symptoms. case finding and as well as community health education. For hemorrhage ± keep the patient ate rest during bleeding episodes. cold clammy perspiration..  Conduct epidemiologic investigations as means of contacting families. For nose bleeding. For shock ± Prevention is the best treatment. jars. maintain an elevated position of trunk and promote vasoconstriction in nasal mucosal membrane through an ice bag over the forehead.Limiting exposure to mosquitoes by avoiding standing water and staying indoors two hours after sunrise and before sunset will help. The following are important:  Report immediately to the Municipal Health Office if there is any known case outbreak  Refer immediately to the nearest hospital.Collect and dispose all unusable tin cans. wear long pants and long sleeves. Observe signs of deterioration (shock) such as low pulse.To prevent mosquito bites. . use mosquito repellant sprays that contain DEET when visiting places where dengue is endemic. Public Health Nursing Responsibilities Since there is no known immunization agent against Dengue. place ice bag over the abdomen.

low fiber. E. III. the student nurses will be able to: y y y y y Establish rapport to the participants of Chat Session Teach learners about measles Provide basic knowledge on how dengue is prevented and its signs & symptoms Increase the learners¶ awareness on how measles is transmitted Realize the importance of giving health teachings especially in the community  Client. Learners Our expected learners are the selected residents of Barangay Sapa Libutad. and physically prevents occurrence of shock. Materials y y Manila paper Markers . non-carbonated. (Refer to the appendices for the list of learners) B. Diet ± low fat. non-irritating. 3. Topic The topic to be discussed is about dengue. Adequate preparation of the patient. C. Angeles CIty. which is a disease caused by a family of viruses that are transmitted by mosquitoes. LESSON PLAN A. Objectives  Student-centered After 40 minutes of discussion. Noodle soup may be given. Method of Teaching The method of teaching would be in a form of classroom type discussion wherein the group will act as instructors and the learners as the students. the participants will be able to: y y y Acknowledge the purpose of the class Participate well in the said session Understand the given health teachings by the student nurses as shown by the participants ability to answer questions given by student nurses at the end of the class D.centered After 40 minutes of discussion. There will be use of visual aids like Manila paper to guide the learners. mentally..  Provision of warmth ± through lightweight covers (overheating causes vasodilation which aggravates bleeding).

In line with this. which are classified as are transmitted flaviviridae. INTRODUCTION The Department of  Presentation visual aids  Discussion Health said that 62. 2. 3. 4.503 cases of the mosquito-borne illness have been reported in the Philippines from January 1 to August 21. II. The death toll was also up from 350 in the same period last year. the group decided to conduct a class regarding measles to raise the awareness of the residents of Barangay Sapa Libutad. CONCEPT Dengue viruses (DEN) types 1. The department said the number of dengue cases in the country started to rise in May and peaked last month at the onset of the rainy season.CONTENT TO BE TAUGHT TEACHER-LEARNER ACTIVITIES EVALUATION OF PERFORMANCE of  Question and Answer I. up nearly 90 percent from the same period last year. principally  Presentation visual aids  Discussion of  Question and Answer Agent and Vector - . Disease experts are now closely monitoring several barangays across the country for cases of dengue outbreak.

wear long pants and long virus undergoes an incubation period of 3 to 14 . Methods of Prevention and Control . jars.Old tires used as roof support should be punctured or cut to avoid accumulation of water.Replace water in flower vases once a week. . aegypti Incubation Period After an individual is bitten by an infective mosquito.Collect and dispose all unusable tin cans. . Scrub the sides well to remove eggs of mosquitoes sticking to the sides.from human to human through the bites of the Aedes mosquitoes.Cover water drums and water pails at all times to prevent mosquitoes from breeding.To prevent mosquito bites.Clean all water containers once a week.Clean gutters of leaves and debris so that rain water will not collect as breeding places of mosquitoes. . the days. bottles and other items that can collect and hold water. . . .

swollen (the glands (lymphadenopathy). and headache (and other pains) is particularly characteristic of dengue fever. and presence "dengue triad") of fever. the treatment is purely concerned with relief of the symptoms (symptomatic). SUMMARY  Discussion  Question and Answer Dengue fever is a disease caused by a family of viruses that are transmitted by mosquitoes. Diagnostic Test . rash. there is no specific medicine or antibiotic to treat it. exhaustion. Symptoms such as headache. Dengue hemorrhagic fever (DHF) is a specific syndrome . use mosquito repellant sprays that contain DEET when visiting places where dengue is endemic. Because dengue fever is caused by a virus. fever. The acute phase of the illness with fever and myalgias lasts about one to two weeks. severe joint and rash.For personal protection. For typical dengue fever. .Torniquet Test (Rumpel Leads Test) III. muscle The pain.sleeves.

the student nurses were able to: y y y y y Establish rapport to the participants of Chat Session Teach learners about measles Provide basic knowledge on how dengue is prevented and its signs & symptoms Increase the learners¶ awareness on how measles is transmitted Realize the importance of giving health teachings especially in the community  Client. sunny day as the group headed their way to Barangay Sapa Libutad Function Hall. BIBLIOGRAPHY . The group was hoping for the Chat Session to go smoothly as planned. The prevention of dengue fever requires control or eradication of the mosquitoes carrying the virus that causes dengue. pain. EVALUATION  Student-centered After 40 minutes of discussion. V. IV. the participants were able to: y y y Acknowledge the purpose of the class Participate well in the said session Understand the given health teachings by the student nurses as shown by the participants ability to answer questions given by student nurses at the end of the class VI.that tends to affect children under 10 years of age. It causes abdominal (bleeding). to conduct their Chat Session. and hemorrhage circulatory collapse (shock). and with God¶s grace the class went on well. SUMMARY It was a bright. The group was able to achieve their objectives at the end of the class.centered After 40 minutes of discussion.

gov.National League of Philippine Government Nurses.com/health/denguefever/D/DSECTION=symptoms DOH (2006). Dengue Fever.doh. 2010. Dengue.ph/healthadvisories/dengue/ . 2009). from http://www.Public Health Nursing in the Philippines. Philippines Mayo Clinic (September 30.mayoclinic. from http://www. Retrieved September 13.NLPGNI (2007).2010. Retrieved September 13.

APPENDICES .VII.

RN Submitted by: Edmarr Bautista Alpha Patricia Cabacungan Karla Camille De Leon Kathleen Dungca Geneva Lumabi Liezel Magsombol Mervin Mandani Jan Yor Marmeto Kim Romero Bianca Margarita Tizon BSNiii-2/ Group 5 .Angeles University Foundation Angeles City COLLEGE OF NURSING LESSON PLAN: Dengue Fever ¶ Submitted to: Pamela Rose Sotto.

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