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 Nurse Komar Dysentery Nursing Care Plan Pediatric Nursing

Nursing Care Plan for Dysentery

    September 05, 2013     

Dysentery is a inflammatory disorder of the intestine,

especially the colon, which results in severe diarrhea
containing mucus and / or blood in the stool. If left
untreated, dysentery can be fatal.

Cause of Dysentery

Dysentery is usually caused by a bacterial or

protozoan infection or infestation of parasitic worms,
but can also be caused by chemical irritants or viral
infection. The two most common causes are
infection with a bacillus of the Shigella group, and
infestation by an amoeba, Entamoeba histolytica.
When it is caused by a bacillus called bacillary dysentery, and when it is caused by an amoeba called
amoebic dysentery.

Symptoms of Dysentery

Dysentery symptoms can last for five days or even more. For some cases, the symptoms may be
mild, while others suffer from severe diarrhea and vomiting or potentially cause dehydration. The
following symptoms when exposed to dysentery:

Flatulence
Pain in the abdomen
Bloody diarrhea
Nausea, with or without vomiting
However, if the infection is severe, people may experience other symptoms caused by dehydration:

Decreased urine production

Dry skin and mucous membranes
Excessive thirst
Fever and chills
Muscle spasms
Limp
Weight loss
Yellowish white mucus

In cases of chronic dysentery, no effects after an acute attack. In severe cases, the body temperature
will rise to 40 degrees Celsius to 40.6 degrees Celsius.

Prevention of Dysentery

Dysentery is spread as a result of poor hygiene. To minimize the risk of these conditions, then it
should be done on the prevention of dysentery:

Avoid swallowing water in swimming pools or recreational water sources

Make sure you drink water that has been purified or boiled water
Drink bottled water when traveling
Wash your hands with anti-bacterial soap after using the bathroom, changing diapers, before
preparing and eating food.
Avoid sharing towels with others
Wash clothing or eating utensils of an infected person.

Nursing Care Plan for Dysentery

Assessment

1. Identity

Noteworthy is the age. Episodes of diarrhea occurred in the first 2 years of life. Highest incidence is
the age group 6-11 months. Most bacteria stimulate gut immunity against infection, it helps explain
the decline insidence disease in older children. At the age of 2 years or more of active immunity
begins to form. Most cases are due to an intestinal infection and asymptomatic enteric bacteria
spread mainly clients are not aware of the infection. Economic status also influential, especially from
the diet and treatment.

2. Main complaint
Defecation is more than 3 x

3. History of present illness

Defecation greenish yellow color, mixed with mucus and blood or mucus alone. Watery consistency,
frequency is more than 3 times, spending time : 3-5 days (acute diarrhea), more than 7 days
(prolonged diarrhea), more than 14 days (chronic diarrhea).

4. Past medical history

Never had diarrhea before, to those on long-term antibiotics or corticosteroids (candida albicans
changes from saprophyte to parasite), food allergies, respiratory infections, UTI, OMA measles .

5. History of Nutrition
At toddler age children are given food as in adults, the portion given 3 times per day with additional
fruit and milk. Malnutrition in toddler age children are particularly vulnerable. Way better food
management, food hygiene and sanitation, hand-washing habits.

6. Family health history

There is one family that has diarrhea.

7. Environmental Health History

Food storage at room temperature, lacking hygiene, neighborhood .

8. Growth and development history

a. growth

Weight gain since age 1 -3 years ranged between 1.5-2.5 kg (average of 2 kg), a body length of 6-
10 cm (mean 8 cm) per year.
The increase in head circumference: 12cm 2 cm in the first year and second year and so on.
Teething 8 pieces: additional milk teeth; first molars and canines, totaling 14-16 pieces
Eruption of teeth: molars perama menusul canines.

b. development

Psychosexual stages of development according to Sigmund Freud.

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