related to: inadequate intake and output
Goal: nutritional needs are met
Expected outcomes:
- Increased appetite.
- Increased or normal weight according to age.
Nursing Interventions for Dysentery:
1. Discuss and explain about the diet restrictions of patients (high fiber foods, fatty and water is too hot or cold)
R / high fiber, fat, water is too hot / cold can stimulate irritate the stomach and intestinal tract.
2. Create a clean environment, away from the smell of the odor or litter, serve food in a warm state.
R / situation comfortable, relaxed to stimulate appetite.
3. Provide hours of rest (sleep) and reduce excessive activity.
R / Reducing energy consumption is excessive
4. Monitor intake and output within 24 hours.
R / Knowing the amount of output can merencenakan amount of food.
5. Collaboration with other health care team:
a. Nutritional therapy: A diet high in calories and high in protein, low in fiber, milk.
b. medications or vitamins (A)
R / Containing substances necessary for the growth process.
2. Nursing Diagnosis for Dysentery: Imbalanced Body Temperature
related to: the impact of infection secondary to diarrhea.
Goal: no increase in body temperature
Expected outcomes:
- Body temperature within normal limits (36-37,5 C)
- There are no signs of infection (rubur, dolor, calor, tumor, fungtio leasa)
Nursing Interventions for Dysentery:
1. Monitor body temperature every 2 hours.
R / Early detection of abnormal changes in body function (an infection)
2. Give warm compresses.
R / stimulate heat regulating center to reduce the production of body heat
3. Collaboration of antipyretic
R / Stimulate the heat regulating center in the brain.
3. Nursing Diagnosis for Dysentery: Risk for Impaired Skin Integrity: perianal
related to: increased frequency of bowel movements (diarrhea)
Goal: skin integrity is not compromised
Expected outcomes :
- No irritation: redness, blisters, hygiene maintained.
- Families are able to demonstrate perianal care properly.
Nursing Interventions for Dysentery:
1. Discuss and explain the importance of keeping the beds.
R / Hygiene prevent the proliferation of germs.
2. Demontrasikan and involve families in the treatment of perianal (if wet clothing and replace the bottom as well as the base).
R / Preventing skin iritassi unexpected because kelebaban and stool acidity.
3. Adjust the position of sleep or sit with an interval of 2-3 hours.
R / Smooth vascularization, reducing the emphasis that long so did not happen ischemia and irritation.
4. Nursing Diagnosis for Dysentery: Anxiety: children
related to: invasive measures
Goal: the client is able to adapt
Expected outcomes:
- Want to receive care measures, the client seems quiet and no fuss
Nursing Interventions for Dysentery:
1. Involve the family in performing maintenance actions.
R / initial approach to the child through the mother or family.
2. Avoid the wrong perception on nurses and hospitals.
R / reduce the fear of the child to the nurse and the hospital environment.
3. Give kudos if the client would be given care and treatment measures.
R / increase the child's confidence will courage and ability.
4. Make contact as often as possible and do communication both verbal and non-verbal (touching, fondling, etc.).
R / Love and the introduction of self saying nurses would menunbuhkan sense of security on the client.
5. Give children toys as sensory stimuli.
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