Varicella

GROUP 3

Case: VARICELLA

An 8-year-old child has come to the hospital for a rash for 4 days. “Makati po ang mga pantal ko kaya
hindi po ako makatulog”, the patient states. Upon inspection of the skin the nurse notes small itchy
blisters across the child’s chest, arms, abdomen, and back, some of which have crusts on them and some
that are wet and oozing. The child is itching the rash and looks uncomfortable. The child has a
temperature of 38.7°C, all other vital signs are within normal limits. The nurse asks the mother, “ Is the
child up-to-date on all vaccines? Have they received their second dose of MMR?”, the mother states, “
We are very far from the health center so my child has never received vaccines”

1. NURSING CARE PLAN

Assessme Nursing Planning Implementation Rationale Expected

nt Diagnosis Outcome
Subjective: Hyperther After 8 -Provide isolation - Body substance After 8 hours of
“Makati po mia hours of or monitor isolation should be nursing
ang mga related to nursing visitors as used for all infectious intervention the
pantal ko Viral interventi indicate patients and patients patient was able
kaya hindi infection on, the with diseases to demonstrate
po ako patient transmitted through temperature
makatulog” will air may also need within normal
, demonstr airborne and droplet range and
ate precautions experienced no
temperat -Wash hands wit associated
Objective: ure within h -Reduce the risk of complications
- blisters normal antibacterial soa spreading the
- rashes range and p before or after infection
will care of the
V/S: experienc patient
Tempt: e no - Fever patter aids in
38.7°C associated - Monitor patient the disease process
the rest complicati temperature, and diagnosis
vital signs on degree and
are nor pattern.
mal

- Chill often precede

temperature spikes in
-Observe for
presence of
chills and
generalized infection
profuse
diaphoresis
- Room temperature
should be altered to
- Monitor
environment maintain near-normal
temperature body temperature

-Provide tepid -To reduce the fever

sponge baths,
avoiding the use
of alcohol

-To reduce itchiness

-Encourage to
use calamine
lotion After
8
hours
of
nursin
g
interve
ntions,
the
patient
will
demon
strate
temper
ature
within
normal
range
and
will
experi
ence
no
associ
ated
compli
cation
After
8
hours
of
nursin
g
interve
ntions,
the
patient
will
demon
strate
temper
ature
within
normal
range
and
will
experi
ence
no
associ
ated
compli
cation
5. PROVIDE DRUG STUDY(S) FOR YOUR DESIGNATED MEDICATIONS USING THE
FORMAT PROVIDED

TARLAC STATE UNIVERSITY

COLLEGE OF SCIENCE

DEPARTMENT OF NURSING

CLINICAL CASE ANALYSIS

Name of Patient Clint Laurence S. Inocentes Age:8 years old Gender:M

Address Camella Homes ,Maliwalo Tarlac City Date Admitted 07/09/2021
Diagnosis Hyperthermia related to Viral infection

NURSING HISTORY:
Name: Clint Laurence S. Inocentes
Sex: M
Age: 8 years old
Birthdate: July 23,2013

PATHOPHYSIOLOGY
 Primaryinfection
with varicella
zoster virus

Varicella
(Chickenpox)

Latency

Reactivation

Zoster (Shingles)

Postherpetic
Vasculopathy Myelopathy Retinal necrosis Cerebellitis
neuralgia

DIAGNOSTIC PROCEDURES
 Test of antibody production type
 Culture the sample of the specimen
 Varicella Zoster Virus DNA testing
 Direst Fluorescent Antibody

MEDICAL MANAGEMENT

 Paracetamol
 Antiviral medication prescription
 Cream for Anti-itchiness/ Elica

Name of Student
Date Submitted C.I.’s Signature
Form No.: TSU-COS-SF-04 Revision No.: 00 Effectivity Date: June 22, 2016 Page 1 of 1

Form No.: TSU-COS-SF-08 Revision No.: 00 Effectivity Date: June 22, 2016 Page 1 of 1

TARLAC STATE UNIVERSITY

COLLEGE OF SCIENCE

DEPARTMENT OF NURSING

PATIENT EDUCATION FORM

Name Maxene Dhale P. Pabalan Area

G3 Inclusive
Year Level 2-1 RLE Group dates of
Rotation
Name of M
Clint Laurence S. Inocentes Age 8 Gender
Patient
Date
Admitted
05/09/2021 Diagnosis Hyperthermia related to Viral infection

MAIN CONCEPT / TOPIC: Prevent the Varicella

Details of Patient Education Content:

Give the Client a further knowledge about the Varicella, To make that happened I will give the
client a informative description that the client will easily understand and not using a medical
term. Chickenpox is a very contagious disease caused by the varicella-zoster virus and spreads
easily from people mainly by touching or breathing in the virus particles that come from
chickenpox blisters, and possibly through tiny droplets from infected people that get into the air
after they breathe or talk. The symptom of Varicella is a rash that turns into itchy, fluid-filled
blisters that eventually turn into scabs. The rash may first show up on the chest, back, and face,
and then spread over the entire body, including inside the mouth, eyelids, or genital area. It
usually takes about one week for all of the blisters to become scabs. Other typical
symptoms that may begin to appear one to two days before rash include fever, tiredness, loss of
appetite, headache. Some people who have been vaccinated against chickenpox can still get the
disease. However, they usually have milder symptoms with fewer or no blisters (or just red
spots), a mild or no fever, and are sick for a shorter period of time than people who are not
vaccinated. But some vaccinated people who get chickenpox may have disease similar to
unvaccinated people. The best way to prevent chickenpox is to get the chickenpox vaccine.
Everyone including children, adolescents, and adults should get two doses of chickenpox
vaccine if they have never had chickenpox or were never vaccinated. Chickenpox vaccine is very
safe and effective at preventing the disease. Most people who get the vaccine will not get
chickenpox. If a vaccinated person does get chickenpox, the symptoms are usually milder with
fewer or no blisters and mild or no fever There are several things that you can do at home to
help relieve chickenpox symptoms and prevent skin infections. Calamine lotion and a cool bath
with added baking soda, uncooked oatmeal, or colloidal oatmeal may help relieve some of the
itching. Try to keep fingernails trimmed short and minimize scratching to prevent the virus from
spreading to others and to help prevent skin infections. If you do scratch a blister by
accident, wash your hands with soap and water for at least 20 seconds. Isolate yourself to
prevent the spead of the virus.

Patient’s Signature / Significant Other’s Signature

Date Signed
Date Submitted

Form No.: TSU-COS-SF-09 Revision No.: 00 Effectivity Date: June 22, 2016 Page 1 of 1
COLLEGE COPY

TARLAC STATE UNIVERSITY

COLLEGE OF SCIENCE

DEPARTMENT OF NURSING

RELATED LEARNING EXPERIENCE (RLE) NOTICE

_______________
Date
Sir / Madam:

This is to inform you that Miss / Mr. __________________________________ of

BSN Level _____ Section _____ committed the following RLE policy violation :
_______________________________________________________________________
_______________________________________________________________________

Based on the existing RLE Policy and Guidelines, he / she is hereby given a disciplinary action of:
_______________________________________________________________

Filed by: ___________________________

Clinical Instructor
(SIGNATURE OVER PRINTED NAME)

Shown and Served to Me:__________________________________

(STUDENT’S SIGNATURE OVER PRINTED NAME)

Noted and Acknowledged: ___________________________________________

(PARENT’S / GUARDIAN’S SIGNATURE OVER PRINTED NAME)

NOTED: ______________________
Chairperson
=================================================

PARENT’S / GUARDIAN’S and STUDENT’S COPY

TARLAC STATE UNIVERSITY

COLLEGE OF SCIENCE

DEPARTMENT OF NURSING

RELATED LEARNING EXPERIENCE (RLE) NOTICE

 _______________

Date
Sir / Madam:

This is to inform you that Miss / Mr. __________________________________ of

BSN Level _____ Section _____ committed the following RLE policy violation :
_______________________________________________________________________
_______________________________________________________________________

Based on the existing RLE Policy and Guidelines, he / she is hereby given a disciplinary action of:
_______________________________________________________________

Filed by: ___________________________

Clinical Instructor
(SIGNATURE OVER PRINTED NAME)

Shown and Served to Me:__________________________________

(STUDENT’S SIGNATURE OVER PRINTED NAME)

Noted and Acknowledged: ___________________________________________

(PARENT’S / GUARDIAN’S SIGNATURE OVER PRINTED NAME)

NOTED: ______________________
Chairperson

Form No.: TSU-COS-SF-10 Revision No.: 00 Effectivity Date: June 22, 2016 Page 1 of 1

RLE SKILLS LABORATORY REVALIDA GRADE SHEET

SKILL/S: ______________________________________ DATE PERFORMED: _______________

CLINICAL INSTRUCTOR: __________________________________________________________

YEAR LEVEL________________

Name of Students Total Points Transmuted

Earned Grade