Nursing Diagnosis and Nursing Intervention

Showing posts with label Tonsillitis. Show all posts
Showing posts with label Tonsillitis. Show all posts

Nursing Interventions for Acute Tonsillitis

Acute tonsillitis is an inflammation of the tonsils is still mild. Inflammation of the tonsils in children is almost always involve the surrounding organs so that the infection of the pharynx is usually also the tonsils, so called as tonsillopharyngitis.

Signs and symptoms of Acute Tonsillitis are:
  • Sore throat
  • Pain swallow
  • Difficulty in swallowing
  • Fever
  • Nausea
  • Anorexia
  • Swollen neck lymph nodes
  • Pharyngeal hyperemia
  • Pharyngeal edema
  • Enlarged tonsils
  • Tonsil hyperemia
  • Halitosis
  • Otalgia (ear pain)
  • Malaise

Nursing Interventions for Acute Tonsillitis

1. Hyperthermia related to inflammatory processes in the tonsils

Intervention:
  • Monitor your child's temperature (degrees and patterns), note the presence of shivering.
  • Monitor the temperature of the environment.
  • Limit the use of linen, clothing worn clients.
  • Give warm compresses.
  • Give plenty of fluids (1500 - 2000 cc / day).
  • Collaboration of antipyretics.

2. Acute pain related to swelling of the tonsils

Intervention:
  • Monitor the client's pain (scale, intensity, depth, frequency).
  • Assess vital signs.
  • Provide a comfortable position.
  • Give relaxation techniques with a long deep breath through your nose and release it slowly through your mouth.
  • Give a distraction technique to distract the child.
  • Collaboration of analgesics.

3. Imbalanced Nutrition: less than body requirements related to related to the existence of anorexia

Intervention:
  • Assess conjungtiva, sclera, skin turgor.
  • Weigh weight each day.
  • Provide food in a warm state.
  • Provide food in small portions but often serve food in the form of interest.
  • Increase comfort when eating environment.
  • Collaboration of appetite enhancer vitamins.

4. Activity intolerance related to weakness

Intervention:
  • Assess the client's ability to perform activities.
  • Observation of fatigue in the activity.
  • Monitor vital signs before, during and after the activity.
  • Provide a quiet environment.
  • Increase activity as tolerated clients.

5. Disturbed Sensory Perception: hearing related to obstruction

Intervention:
  • Review the client's hearing loss.
  • Do ear irrigation.
  • Speak clearly and slowly.
  • Use the white board / paper to communicate if there is difficulty in communicating.
  • Collaboration audiometric examination.
  • Collaboration of ear drops.

5 Nursing Diagnosis for Tonsillitis

5 Nursing Diagnosis for Tonsillitis
Nursing Diagnosis for Tonsillitis

Nursing Care Plan for Tonsillitis - Nursing Diagnosis for Tonsillitis

Tonsillitis refers to inflammation of the pharyngeal tonsils.The inflammation may involve other areas of the back of the throat including the adenoids and the lingual tonsils.The tonsils are lymph nodes, or oval-shaped masses of lymph gland tissue, located on both sides of the throat. An infection of the tonsils is called tonsillitis.

There are several variations of tonsillitis: acute, recurrent, and chronic tonsillitis and peritonsillar abscess. This swelling is usually caused by either a viral or bacterial infection. Tonsillitis is the name given to swollen, red, and tender tonsils.

Tonsillitis is usually a self-limiting condition, ie it gets better without treatment, and generally there are no complications.Tonsillitis is extremely common in children and young people but it can occur at any age. The characteristics of the disease are pain in the throat and trouble swallowing.

Tonsillitis usually begins with sudden sore throat and painful swallowing.

5 Nursing Diagnosis for Tonsillitis

1. Acute pain related to the presence of inflammation in tosil.

2 · Imbalanced Nutrition Less Than Body Requirements related to inadequate intake.

3 · Hyperthermia related to acute infection by microorganisms.

4 · Disturbed Sleep Pattern related to the pain in the tonsil area.

5. Anxiety related to a lack of knowledge or information about the illness suffered by the client.
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