Escolar Documentos
Profissional Documentos
Cultura Documentos
NANDA Nursing
Minggu, 20 Februari 2011
Nursing Care Plan for Malaria
NCP for Malaria
Malaria
The symptoms characteristic of malaria include flulike illness with fever, chills,
muscle aches, and headache. Some patients develop nausea, vomiting, cough, and
diarrhea. Cycles of chills, fever, and sweating that repeat every one, two, or three
days are typical. There can sometimes be vomiting, diarrhea, coughing, and yellowing
(jaundice) of the skin and whites of the eyes due to destruction of red blood cells and
liver cells.
People with severe P. falciparum malaria can develop bleeding problems, shock, liver
or kidney failure, central nervous system problems, coma, and can die from the
infection or its complications. Cerebral malaria (coma, or altered mental status or
seizures) can occur with severe P. falciparum infection. It is lethal if not treated
quickly; even with treatment, about 15%-20% die.
medicinenet.com
Nursing Care Plan for Malaria
Nursing diagnosis in patients with malaria on the basis of signs and symptoms that
arise can be described as below (Doengoes, Moorhouse and Geissler, 1999) :
1. Changes in nutrition less than body requirements related to inadequate
food intake, anorexia, nausea / vomiting
2. High risk of infection related to decreased immune system; invasive
procedure
3. Hyperthermia related to increased metabolism, dehydration, direct
effects on the hypothalamic circulation of germs.
4. Changes in tissue perfusion related to decreased cellular components in
the need for delivery of oxygen and nutrients in the body.
5. Lack of knowledge, about illness, prognosis and treatment needs related
to lack of exposure, the interpretation of information ,cognitive limitations.
Nursing Diagnosis and Nursing Interventions for Malaria
Nursing Intervention :
o Assess history of nutrition, including foods that are preferred. Observation and
record the client's food input.
Rational: watching caloric intake or lack of quality of food consumption.
o Give extra food to eat little and small.
Rational: gastric dilatation may occur when feeding too fast after a period of anorexia.
o Maintain a schedule of regular body weight.
Rational: Monitors the effectiveness of weight loss or nutrition intervention.
o Discuss the preferred client and input in a pure diet.
Rational: It can increase input, increase the sense of participation / control.
o Observation and record the events of nausea / vomiting, and other related
symptoms.
Rational: to show the effect of GI symptoms of anemia (hypoxia) on organ.
o Collaboration with a dietitian.
Rational: Need help in planning a diet that meets nutritional needs.
2. High risk of infection related to a decrease in body systems (main defense is
inadequate), invasive procedures.
Nursing Intervention:
o Monitor body temperature increases.
Rational: Fever caused by the effects of endotoxin on the hypothalamus and
hypothermia are important signs that reflect the development status of shock /
decrease in tissue perfusion.
o Observe the chills and diaforosis.
Rational: Shivering often precedes the height of the temperature on a common
infection.
o Monitor the sign deviation condition / failure to improve during therapy.
Rational: It can show Inaccurate antibiotic therapy or growth of organisms.
o Provide anti-infective medication as directed.
Rational: It can kill / give temporary immunity to common infections.
o Get spisemen blood.
Rational: The identification of the causes of malaria infections.
Nursing Intervention:
o Monitor patient's temperature (degree and pattern), note the chills.
Rational: Hipertermi showed an acute infectious disease process. The pattern of fever
indicates a diagnosis.
o Monitor the temperature of the environment.
Rational: The temperature of the room / the number of sheets should be changed to
maintain the temperature close to normal.
o Give a warm compress bath, avoid using alcohol.
Rational: It can help reduce a fever, use of ice / alcohol may cause cold. In addition,
alcohol can dry the skin.
o Give antipyretics.
Rational: Used to reduce fever with its central action on the hypothalamus.
o Give a cooling blanket.
Rational: Used to reduce fever with hyperthermia.