ncp typhoid.docx

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    Medical Diagnosis: Typhoid Fever

    Age: 19 Sex: Female

    Cues Nursing

    Diagnosis

    Scientific

    Explanation

    Objectives Nursing

    Interventions

    Rationale Evaluation

    Subjective:

    Konti langang kinakaiinko mula pa

    noong na-admitako kase

    walang akonggana dahil

    nanghihina akoat parang

    sinusuka kolang ang

    kinakain ko.

    c nausea anorexia c

    Objective: pale and dry

    lips

    Risk forimbalanced

    Nutrition lessthan body

    requirementrelated to no

    appetite andnausea

    Due nausea andbody weakness,

    there is decreasedstamina to food

    intake. There willbe decreased

    intake of foodthat is

    insufficient tomeet metabolic

    needs.

    After 4 hoursof nursing

    intervention,the patient

    appetite willincreased,

    indicating anormal

    laboratoryvalues,

    conjunctivaand mucous

    membranespale lips.

    Monitor theamount of nutrients

    and calories.

    Monitor theenvironment duringthe meal.

    Monitor nauseaand vomiting.

    Knowing the causeof the less intake so

    as to determineappropriate and

    effectiveintervention

    A comfortableenvironment canreduce stress and

    more conducive toeating.

    Nausea andvomiting affectnutrition.

    What are thetotal

    amounts ofnutrients

    and caloriesdid patient

    take?

    What are theenvironment

    factor ofpatient that

    decreasesher

    conducive toeating?

    Is therepresence ofnausea and

    vomiting?

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    weak Instruct the patientto enhance the

    protein and vitaminC.

    Provide foodselected

    Encourage to buythe prescribe

    medicine given bythe physician

    Protein and vitaminC to meet

    nutritional needs.

    To assist infulfilling the

    nutritional needs

    To providenutritional support.

    What are thefood taken

    by thepatient that

    rich inprotein and

    Vit. C?

    What did thepatient ate?

    What is theclient

    responseupon the

    medicinegiven?

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    Cues Nursing

    Diagnosis

    Scientific

    Explanation

    Objectives Nursing

    Interventions

    Rationale Evaluation

    Subjective:

    Di ko poalam kungsaan konakuha ang

    sakit ko?basta nalang

    sumasakitang tyan ko

    at parangnahihilo at

    nasusukaako.

    Objective: Patient

    frequently

    ask questionregarding

    treatment,medication

    and cause ofthe disease.

    Knowledgedeficit

    related tolack ofinformation

    Absence ordeficiency of

    cognitiveinformation relatedto specific topic

    (lack of specificinformation

    necessary forclients/SO(s) to

    make informedchoices regarding

    condition/treatment/lifestyle changes

    After 4 hours ofnursing intervention

    patient will beable to knowthe disease

    process of hercondition and

    verbalizeunderstanding

    of hercondition.

    Assess the extentof knowledge of

    the patient abouther illness.

    Give healtheducation about

    the disease andtreatment of

    clients.

    Give the patientan opportunity toask if there is not

    yet understood.

    To know thepatients

    knowledge aboutthe disease typhoidfever.

    In order for thepatient found out

    about thedisease typhoid

    fever, causes, signsand symptoms, as

    well as the care and

    treatment oftyphoid fever.

    In order tounderstand moreabout the disease.

    What is theknowledge of

    patient in typhoidfever?

    Did the patientverbalize

    understandingfrom the health

    teachings given toher?

    Did all the patientquestionsanswered?

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