PHARYNGITIS/LARYNGITIS

ASSESSMENT NURSING SCIENTIFIC PLANNIN NURSING RATIONALE EVALUATION

DIAGNOSIS EXPLANATION G INTERVENTION
SUBJECTIVE Acute pain E SHORT INDEPENDENT: INDEPENDENT: GOAL MET.
CUES: Damage the cell TERM 1. Assess vital signs 1. To obtain SHORT TERM
related to membrane of the 2. Assess for signs and baseline data.
“masakit daw yung OUTCOME: OUTCOME:
lalamunan niya at
upper airway pharynx symptoms of 2. Early signs of
After 4 hours of After 4 hours of
hirap din siyang irritation inadequate hypoxia include
nursing nursing intervention,
kumain” as Pathogen filtered in oxygenation. irritability,
secondary to the pharynx
intervention, the
DEPENDENT: headaches,
the patient reported
verbalized by the patient will decrease of pain as
mother of the child
inflammation 1. Administer tachycardia, and
report decrease evidenced by
as evidenced Start of inflammation of pain. antibiotics as tachypnea.
absence facial mask
process ordered by the
OBJECTIVE by enlarged, LONG TERM of pain.
doctor. DEPENDENT:
CUES: erythematous Inflammation of OUTCOME: 2. Administer pain 1. To kill the LONG TERM
- erythematous pharynx After 3 days of medications as infection OUTCOME:
- Difficulty of
tonsils and
nursing prescribed causing After 3 days of
swallowing foods facial mask affect the tonsils interventions, inflammation. nursing
- Petechiae present of pain. the patient will 2. To decrease the interventions, the
in palate enlarged and improve pain patient show
- Experience erythematous tonsils condition by improved condition
stomachache absence of as evidenced by
Pain experiencing by inflammation absence of
the patient and free of pain. inflammation and
ntry of pathogen verbalized no pain at
all.

Reference:
Maternal and Child 8th
edition volume 2 page
1108 by PIlliterri