Nursing Care Plan: Child with A Communicable Disease

Child with A Communicable Disease
Nursing diagnosis
High risk for spread of infection related to susceptible host, infectious agents and secretion of microorganisms from the infected individual.Patient goals :
1) Client will not spread the disease.
2) Others will not become infected.

Interventions
- Institute appropriate infection control practices. (Isolation of client, disinfection of articles used by the client, disinfection and proper disposal of bodily secretions, food and water hygiene, control of animal vectors)
– Teach appropriate disinfection and sterilization techniques for home.
– Provide prophylactic treatment for contacts at risk. (Give specific immunoglobulin or antibiotic)
– Organize public education programs in cases of epidemics.
– Give vaccination to all high risk categories.
Nursing diagnosis
High risk for complications related to low immunity and immobility.

Patient goal:
Client will not exhibit evidence of complications.

Interventions
- Ensure compliance with the therapeutic regimen (bed rest, antiviral
therapy, antibiotics, adequate hydration)
– Do not give aspirin to children in order to prevent Reye syndrome.
– Monitor temperature and prevent febrile seizures.
– Maintain good body hygiene.
– Offer small frequent sips of fluids.
Nursing diagnosis
Alteration in comfort, pain related to skin lesions or myalgia.

Patient goal :
Client will exhibit minimal evidence of discomfort.

Interventions
- Use cool mist vaporizer, gargles and lozenges.
– Apply petroleum gel to chapped lips and nares.
– Cleanse eyes with normal saline to remove secretions and crust.
– Keep skin clean.
– Enhance oral hygiene.
– Keep the child in a cool room.
– Give cool baths and apply calamine lotion to skin.
– Give analgesics, antipyretics and antipruritics pm.
Nursing diagnosis
Impaired social interaction related to isolation from peers.

Patient goal:
Client will demonstrate understanding of restrictions.

Interventions
– Explain the reason for confinement and any specific precautions to be taken.
– Allow the child to play with gloves, mask and gown.
– Provide diversional activities and play within permissible limits .

ALTERATION IN PROTECTION (ECZEMA)

 

1. Seborrhea:
Functional disease of the sebaceous glands, marked by increase in the amount and often quantity of their secretions, resulting in excessive oiliness of the skin.
2. Dermatitis:
Inflammation of the skin evidence by itching, redness and various stages of skin lesions.
3. Erythema:
Redness of the skin as a result of dilatation and congestion of the superficial capillaries.
4. Papules:
Small solid raised skin lesion, less than 1 cm in diameter e.g. non-pustular acne.
5. Lesions:
A circumscribed area of pathologically altered tissue. OR Any visible abnormality of the skin
6. Cutaneous:
Pertaining to the skin
7. Crust:
A solidified, hard outer layer formed by drying of bodily exudates.
8. Atopic:
Hereditary tendency to develop immediate allergic reaction such as a topic dermatitis, because of the presence of an antibody in the skin or blood stream.
9. Eczema:
Allergic reaction of infants to specific allergens whether ingested, inhaled or in contact with the skin.

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