Medical Diagnosis: Typhoid Fever Age: 19 Sex: Female

Cues

Nursing Diagnosis Risk for imbalanced Nutrition less than body requirement related to no appetite and nausea

Scientific Explanation

Objectives

Nursing Interventions

Rationale

Evaluation

Subjective: Konti lang ang kinakaiin ko mula pa noong na-admit ako kase walang akong gana dahil nanghihina ako at parang sinusuka ko lang ang kinakain ko. c nausea anorexia c Objective: pale and dry lips

Due nausea and After 4 hours Monitor the Knowing the cause body weakness, of nursing amount of nutrients of the less intake so there is decreased intervention, and calories. as to determine stamina to food the patient appropriate and intake. There will appetite will effective be decreased increased, intervention intake of food indicating a that is normal Monitor the A comfortable insufficient to laboratory environment during environment can meet metabolic values, the meal. reduce stress and needs. conjunctiva more conducive to and mucous eating. membranes pale lips.

What are the total amounts of nutrients and calories did patient take? What are the environment factor of patient that decreases her conducive to eating? Is there presence of nausea and vomiting?

Monitor nausea and vomiting.

Nausea and vomiting affect nutrition.

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Instruct the patient Protein and vitamin to enhance the C to meet protein and vitamin nutritional needs. C.

What are the food taken by the patient that rich in protein and Vit. C? What did the patient ate? What is the client response upon the medicine given?

Provide food selected Encourage to buy the prescribe medicine given by the physician

To assist in fulfilling the nutritional needs To provide nutritional support.

Cues

Nursing Diagnosis Knowledge deficit related to lack of information

Scientific Explanation Absence or deficiency of cognitive information related to specific topic (lack of specific information necessary for clients/SO(s) to make informed choices regarding condition/treatmen t/lifestyle changes

Objectives

Nursing Interventions Assess the extent of knowledge of the patient about her illness.

Rationale

Evaluation

Subjective: Di ko po alam kung saan ko nakuha ang sakit ko? basta nalang sumasakit ang tyan ko at parang nahihilo at nasusuka ako. Objective: Patient frequently ask question regarding treatment, medication and cause of the disease.

After 4 hours of nursing intervention patient will be able to know the disease process of her condition and verbalize understanding of her condition.

To know the patients knowledge about the disease typhoid fever. In order for the patient found out about the disease typhoid fever, causes, signs and symptoms, as well as the care and treatment of typhoid fever. In order to understand more about the disease.

What is the knowledge of patient in typhoid fever?

Give health education about the disease and treatment of clients.

Did the patient verbalize understanding from the health teachings given to her?

Give the patient an opportunity to ask if there is not yet understood.

Did all the patient questions answered?