Saturday, May 23, 2015

Nursing Diagnoses of Yellow Fever

5 Key Nursing Diagnoses:
Deficient fluid volume related to inadequate fluid intake and vomiting
Impaired skin integrity related to hyperbilirubinemia from jaundice
Imbalanced nutrition; less than body requirements related to loss of appetite and vomiting
Activity intolerance related to muscle and joint aches, headache, and fever
Risk of delirium and altered mental status related to organ ischemia

Problem
Related To
Plan
Outcome
Nursing Intervention
Activity intolerance
Fever

Headache

Nausea and vomiting

Muscle and joint aches
Assess nutritional status

Monitor patient’s sleep pattern and amount of sleep achieved over past few days

Assess potential for physical injury with activity

Assess emotional response to change in physical status
Patient maintains activity level within capabilities, as evidenced by normal heart rate and blood pressure during activity, as well as absence of shortness of breath, weakness, and fatigue

Patient verbalizes and uses energy-conservation techniques
Encourage adequate rest periods

Refrain from performing nonessential procedures to promote rest

Progress activity gradually

Encourage verbalization of feelings regarding limitations

Provide emotional support



References:
Gulanick, M. (2012). Activity intolerance – Weakness; deconditioned; sedentary. Elsevier. Retrieved from http://www1.us.elsevierhealth.com/MERLIN/Gulanick/archive/Constructor/gulanick01.html


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