Typhoid Fever Para Present
-
Upload
gino-al-ballano-borinaga -
Category
Documents
-
view
230 -
download
0
Transcript of Typhoid Fever Para Present
-
8/9/2019 Typhoid Fever Para Present
1/23
Typhoid Fever
-
8/9/2019 Typhoid Fever Para Present
2/23
Introduction
Typhoid fever, also known as “Tipos” (inlaymen’s term), is one of the most commonworldwide illness most specically in thirdworld country such as ours, this is a question
of sanitation since this disease is transmittedthrough ingestion of food or water which isimproperly prepared and contaminated withthe feces of an infected person, that contains
the acterium !almonella enterica, serovar Typhi" The said acteria perforates throughthe intestinal wall and grows est at #$ %&'
%F human ody temperature"
-
8/9/2019 Typhoid Fever Para Present
3/23
Typhoid fever is characteri*ed y+
• a slowly progressive fever as high as- %& (.- %F)
• profuse sweating, gastroenteritis
• nonloody diarrhea"
• less commonly, a rash of /at, rose0colored spots may appear"
-
8/9/2019 Typhoid Fever Para Present
4/23
• &ommon causes of transmission are /yinginsects most specically /ies feeding on feces
that may occasionally transfer the acteriathrough poor hygiene haits and pulicsanitation conditions" 1 person may ecomean asymptomatic carrier of typhoid fever,
su2ering no symptoms, ut capale ofinfecting others" 3iagnosis is made y anylood, one marrow or stool cultures and the
4idal test" !anitation and hygiene are the
critical measures that can e taken toprevent typhoid" Typhoid does not a2ectanimals and therefore transmission is onlyfrom human to human"
-
8/9/2019 Typhoid Fever Para Present
5/23
• The rediscovery of oral rehydrationtherapy in the .5-s provided asimple way to prevent many of thedeaths of diarrheal diseases ingeneral" 4here resistance is
uncommon, the treatment of choiceis a /uoroquinolone such ascipro/o6acin otherwise7 a third0
generation cephalosporin such asceftria6one or cefota6ime is the rstchoice"
-
8/9/2019 Typhoid Fever Para Present
6/23
8atient9s 8role
:ame+ 8";"
1ge+ 55 years old
&ivil !tatus + widowed
, >-.?
communicale ward
&omplaints + Fever, cough
Ampression'3iagnosis + Typhoid fever
8hysician + 3r" :eda Batic
-
8/9/2019 Typhoid Fever Para Present
7/23
Health History
• Crs" 8";" is a Filipina, !he lives at !itio sausan san remegiotogether with his son and daughter, who looks after her" !hesometimes forgets to wash her hands prior to eating"
• $ days prior to admission, Crs" 8";" had an intermittent fever(#D0#%&), with adominal pain and nausea and vomiting,condition was tolerated" The ne6t day, patient still has feveraccompanied y productive cough, yellow phlegm, diEcult toe6pectorate and with adominal pain" 8atient was thenrought y her !"" to a private medical doctor and wasprescried y some medications" Fever was then decreased
ut still with persistent cough" 8atient was told to come ackafter ? days" 1fter ? days, patient still has fever and theprivate doctor requested a !almonella test, after the testwent positive,
-
8/9/2019 Typhoid Fever Para Present
8/23
Functional HealthPatterns
-
8/9/2019 Typhoid Fever Para Present
9/23
Health Perception/ Health Management Pattern
Before admission, Mrs. P.E. isa healthy grandmother, She isnot conscious about healthpractices such as ashinghands before eating. Her
Siblings !erbali"es that she ishealthy that is ithout anyma#or illnesses.
$pon P.E. admission, She alsobecomes !ery sensiti!ebecause of his presentcondition. She is afraid thatthe health personnel might
in#ect and hurt her. Mrs.P.E.has fe!er and his bodytemperature ranges from %&'%()*. +o manage suchcondition, his aunt performstepid sponge bath and he has
an antipyretic P- fortemperature greater than%&)*.
-
8/9/2019 Typhoid Fever Para Present
10/23
-utritional'Metabolic Pattern
Mrs. P.E. has a big appetitebefore admission, he usuallyate !egetables and duringmealtime he eats !egetablesand rice and sometimes dried
sh.
uring his admission here in0SMM* Mrs. P.E. is on diet astolerated. Her S.1. gi!es herrice, sh, !egetables andsome fruits. But, only eats a
little because she hasdecreased in appetite due toher condition. He only eats ama2imum of 3 tablespoonsper meal. Hoe!er, he drin4sa lot of ater. He e2periences
abdominal pain
-
8/9/2019 Typhoid Fever Para Present
11/23
Elimination Pattern
Mrs. P.E. defecates once a dayand ha!e not encounteredproblems in urinaryelimination prior toadmission.
She cannot really control herelimination pattern ell thatis hy he is still earingdiapers and he urinates moreoften. He can consume 3'5
diapers in one shift.Sometimes, he is constipatedbecause he cannot defecateithin 6 days.
-
8/9/2019 Typhoid Fever Para Present
12/23
7cti!ity/ E2ercise Pattern
Before admission, Mrs.P.E. is a !ery acti!e hospends most of her timecleaning the house.
-o the patient8s mo!ementsseemed ea4. She 4eeps onlying don. Sometimes, shesits up on his bed or as4s hisaunty to cuddle him. He
mo!es sloly e!ery time heeats or does something. Sheis assisted by her S.1. e!erytime he attempts to sit up.Her past time inside his roomis #ust atching other
patients since there is notele!ision.
-
8/9/2019 Typhoid Fever Para Present
13/23
*ogniti!e / Perceptual Pattern
Prior to admission, She lo!eto read nespapers.
during hospitali"ation shealays on bed lying
-
8/9/2019 Typhoid Fever Para Present
14/23
est / Sleep Pattern
Prior to admission, she ne!erhad problems ith sleepbecause she sleep early atnight.
uring admission, sometimesthe patient8s sleep isdisturbed due to abdominalpain and feeling of coldhene!er she ould ha!e
fe!er again. She also a4esup e!ery time a healthpersonnel comes the room.
-
8/9/2019 Typhoid Fever Para Present
15/23
Self perception pattern
Before admission the patientthin4s she is lo!ed and caredby her S.1. and feels secure.
uring admission the patientthin4s that she really needsmore attention from her S.1.because he is not feeling !eryell. She 4nos that she has
an illness and thus he mustnot be left by her S1 thin4ingthat he ould be orse if sheis left by the S.1.
-
8/9/2019 Typhoid Fever Para Present
16/23
*oping 9 Stress +olerance Pattern
Before and during admission, his coping mechanism is tosleep e!ery time she doesn8t feel ell. 7nd hen there arethings done to her that she doesn8t li4e, she read nespaperas a ay of coping.
-
8/9/2019 Typhoid Fever Para Present
17/23
0alue 9 Belief Pattern
+he Patient8s !alues and beliefs is basically the same beforeand during admission. She does pay much attention onpraying, She can recite the Prayer before meals and Prayerbefore sleep. Patient goes to mass e!ery Sundays, but thereare times that they can8t attend mass due to some
uncontrolled circumstances. She doesn8t blame :od ith hishospitali"ation.
-
8/9/2019 Typhoid Fever Para Present
18/23
-
8/9/2019 Typhoid Fever Para Present
19/23
3rug !tudy
-
8/9/2019 Typhoid Fever Para Present
20/23
-ame of rug,*lassication,oute,Fre;uency andosage
rug Indication rug 7ction -ursingesponsibility
-
8/9/2019 Typhoid Fever Para Present
21/23
-ame of rug,*lassication, oute,Fre;uency andosage
rug Indication rug 7ction
-ame of rug+&ipro/o6a6inBrand -ame+&iprota
*lassication+
1ntiiotics:roup+Fluoraquinolone
Anfections caused y!" typhi*ontraindications+Jypersensitivity,renal disease, severehepatic disorder
+ Kinds to ?-sriosomal suunitwhich interfers withorinhiits proteinsynthesis"
-
8/9/2019 Typhoid Fever Para Present
22/23
IS*H7:E P>7- 1F *7E
?ey 7rea Plan of *are
." :utrition &ontinue advice of soft diet asprescried y the physician,encourage patient to eatnutritious food, and avoid street
foods to avoid possile of havingtyphoid fever"
>" 1ctivity ;ncourage patient or instructmother of daily e6ercise, avoidsleeping late hours, preventsactivity that causes trauma or
inLury
-
8/9/2019 Typhoid Fever Para Present
23/23
IS*H7:E P>7- 1F *7E
?ey 7rea Plan of *are
#" !elf &are ' knowledge ontreatments
Anstructed hygienic measures(e"g" proper hand washing, eforeand after eating and urinate anddefecate, as well as proper
grooming)" Cedication 1dvise to continue medication as
prescried y the doctor"
?" Follow up check ups To come ack as prescried y
the doctor"