SAINT LOUIS UNIVERSITY

COLLEGE OF NURSING

TEACHING PLAN
Berad, Brandon L. BSN 3 ± H June 26, 2010 Mr. Marvin Pulao

A. Description of the Learned  The patient, Felicidad Ramirez, 65 y/o Female, came into the ER with chief complaints of fever, and cough. she would like to know more about interventions that could be done to lessen the severity of her disease and more importantly be able to teach her family these to further prevent the disease from happening or getting worse. B. Learning Need  Fever, its definition, causes and management to lessen the severity of it. C. Learning Diagnosis: Readiness for Enhanced Learning: Fever as manifested by client¶s claim to know more about fever. D. Goal  The client will know how to prevent such disease and when the disease happens she would know what to do.

the client would able to: 1.  Interventions and some medications  One to One discussion with pamphlet  5 mins discussion. Be able to know what interventions to be done incase a fever has taken place. Be able to explain what fever is. Handout: Interventions and medications  The client would be able to state what to do and what medications to intake in cases of fever  The client would be able to enumerate the at least 4 factors affecting body temperature 4.Be able to enumerate some causes of fever  Some diseases that cause fever  One to One discussion with pamphlet  3 mins. discussion. discussion. Be able to know the factors which may affect the body temperature  Factors affecting body temo  One to One discussion with pamphlet  3 mins.LEARNING OBJECTIVE Upon completion of the topic on interventions of fever. LEARNING NEED METHODS RESOURCES EVALUATION  Importance of knowing fever  One to One discussion with pamphlet  2 mins. Handout: What is fever  Instant oral feedback: The client will be able to define fever in her own words  Instant oral feedback: The client would be able to enumerate atleast 4 causes of fever 2. Handout: Cases wherein fever is present 3. discussion. Handout: Types of fever and its factors .

When TSB or bathing a patient. It is not a disease.The room should be comfortable.  Medications . It is usually just referred to as hyperthermia. teething. blood clots and certain cancers are other possible causes. a fan may help. But do not drink too much water for it may cause hyponatremia (deficient sodium in the body). Immunizations. flu and chickenpox. and being in a hot environment for too long. that why we have to keep the patient in a normal body temperature to promote comfort and rest. autoimmune disorders. pneumonia. If the room is hot or stuffy. because the water spread through the skin would lower the temperature of the body. Fever is a symptom of a disease or infection. Fever helps the body fight infections by making the body's defense systems work more efficiently. Bacteria and viruses cannot live at higher temperatures and are killed by fever.  Tepid sponge baths ± Tepid sponge bathes are done by merely taking a wet sponge or cloth and wiping it on the patient. Some conditions that cause them are: infections such as strep throat. do not use alcohol as water or do not mix alcohol with the water because the patient may inhale the alcohol fumes causing more problems.  Remove excess clothing and/or blankets . Try one layer of lightweight clothing. medications. tumors or cancer diseases that cause inflammation. Because it is difficult to measure fluid loss.The following medications may be used at home to treat a fever: . inflammatory disorders. rheumatoid arthritis.6 degrees Fahrenheit (F) or 37 degrees Celsius (C). in that hyperthermia is an increase in body temperature over the body's thermoregulatory set-point. covering up the patient too much would increase the body s temperature which may cause other problems and irritability.It is important to drink fluids when you have a fever. due to excessive heat production and/or insufficient thermoregulation 2) Causes: Fever can be caused by many conditions. not too hot or cool. be sure that the environment would not be too cold for it would make the patient¶s temperature drop and make it too low. Fever is commonly caused by infection. It is important because fever causes considerable fluid loss through the skin and perspiration.Learning Content: 1) Fever (also known as pyrexia or controlled hyperthermia) is a common medical sign characterized by an elevation of temperature 1° or more above the normal 98. it is good to drink 1 to 2 quarts of extra fluid each day that you have a fever. tissue injuries. that is why fever mainly can be a sign of an underlying disease 3) INTERVENTIONS AND MANAGEMENT  Drink plenty of water . silicosis. and one lightweight blanket for sleep.

This increases metabolism which increases heat production. Adults without liver disease or other health problems can take 1000 mg (two "extra strength" tablets) every four to six hours or as directed by your physician. For adults.y y y Acetaminophen (Tylenol and others) can be used to lower a fever. because of the menstrual cycle. Clothing must be adequate and exposure to temperature extremes must be avoided. Aspirin SHOULD NOT BE USED FOR FEVER IN CHILDREN OR ADOLESCENTS.  Hormone level ± Women experience more heat fluctuations than men. References: Fundamentals of Nursing by Potter and Perry http://www. Ibuprofen (Motrin/Advil) can also be used for fever in patients over 6 months of age. The recommended pediatric dose can be suggested by the child's health-care provider.com .  Exercise ± Muscle activity requires increased blood supply and an increase CO2 and fat breakdown. women who are also stopped menstruating experience periods of intense body heat and sweating from 30 seconds to 5 minutes.  Stress ± Physical and emotional stress increases the body¶s temperature through hormonal and nueral stimulation. In Older adults. this is why we have to cover up the babe. This is due to the instability of the vasomotor control for vasodilatation and vasoconstriction. and even coma and liver failure.mamashealth.com http://en.  Environment ± The body¶s response would depend on the environment.medicinenet. reduced amount of subcutaneous tissue. 400-600 mg (two to three 200 mg tablets) can be used every six hours.com http://www. Aspirin use in children and adolescents during a viral illness (especially chickenpox and influenza) has been associated with Reye syndrome. 4) Factors affecting body temperature  Age ± Infants at birth leave a warm. particularly poor vasomotor. relatively constant environment and enters a new one in which temperature fluctuates widely. reduced sweat gland activity and decreased metabolism.wikipedia. confusion. Reye syndrome is a dangerous illness which causes prolonged vomiting. they too are sensitive of temperature because of deterioration in control mechanisms. Discuss the best dose with your doctor. Progesterone¶s rise and fall affects the body temperature of women.org http://hubpages.

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