The nursing documentation summarizes the care provided to a client presenting with fever likely due to dehydration, and a child experiencing anxiety due to physical abuse. For the client with fever, interventions included monitoring temperature, pulse, and respiratory rate every 30 minutes, providing cooling measures and fluids, and administering paracetamol. After 4 hours the client's temperature stabilized within the normal range. For the anxious child, interventions involved assessing anxiety level, treating injuries, demonstrating affection, providing play activities and rewards, and allowing expression of concerns. After 8 hours the child exhibited less anxiety and better interaction.
The nursing documentation summarizes the care provided to a client presenting with fever likely due to dehydration, and a child experiencing anxiety due to physical abuse. For the client with fever, interventions included monitoring temperature, pulse, and respiratory rate every 30 minutes, providing cooling measures and fluids, and administering paracetamol. After 4 hours the client's temperature stabilized within the normal range. For the anxious child, interventions involved assessing anxiety level, treating injuries, demonstrating affection, providing play activities and rewards, and allowing expression of concerns. After 8 hours the child exhibited less anxiety and better interaction.
The nursing documentation summarizes the care provided to a client presenting with fever likely due to dehydration, and a child experiencing anxiety due to physical abuse. For the client with fever, interventions included monitoring temperature, pulse, and respiratory rate every 30 minutes, providing cooling measures and fluids, and administering paracetamol. After 4 hours the client's temperature stabilized within the normal range. For the anxious child, interventions involved assessing anxiety level, treating injuries, demonstrating affection, providing play activities and rewards, and allowing expression of concerns. After 8 hours the child exhibited less anxiety and better interaction.
The nursing documentation summarizes the care provided to a client presenting with fever likely due to dehydration, and a child experiencing anxiety due to physical abuse. For the client with fever, interventions included monitoring temperature, pulse, and respiratory rate every 30 minutes, providing cooling measures and fluids, and administering paracetamol. After 4 hours the client's temperature stabilized within the normal range. For the anxious child, interventions involved assessing anxiety level, treating injuries, demonstrating affection, providing play activities and rewards, and allowing expression of concerns. After 8 hours the child exhibited less anxiety and better interaction.
Subjective: Hyperthermia related After 4 hours of Identify underlying To obtain factors of After 4 hours of pa balik balike po ang to dehydration as nursing intervention factors that may cause increase body effective nursing lagnat po ang anak ko evidence by clients the client will alterations of body temperature. interventions the as verbalized by dry oral mucosa maintain core temperature. clients was able to mother temperature within maintain normal core Objective: normal range of 36.8 Monitored Patient To obtain get an temperature of 37.5 Temperature: 38.3 C to 37.8 temperature every 30 accurate body Goal met RR:20 minutes. temperature and Latest Temp 37.3 Pulse:83 detect fever Lips dry and tounge development. white. Monitored Patient To evaluate Client appears under pulse rate and effectiveness of nourished. respiratory rate. independent nursing regimen. Provided surface To promote core cooling with tepid coding by helping sponge bath and reduce body removing extra temperature. clothing. Promoted rest and To detect further comfort providing existing discomforts bed rest. and level. Dependent intervention: Administer Paracetamol acts as Paracetamol as antipyretic and ordered by MD analgesic which helps acts with the hypothalamus to regulate body temperature. ERIC V. EVANGELISTA
Subjective: Anxiety related to After 8 hours of Assess level of Provides information After 8 hours of hindi po nagsasalita situational crisis as nursing intervention anxiety and fear in about the source and nursing intervention masyado ang aking evidence of physical the client will child and how it is level of anxiety and the client is able anak at hindi abuse. experience less manifested. what might relieve it experience less masyadong naglalaro anxiety by exhibiting and basis to judge anxiety by exhibiting as verbalized by normal interaction improvement. normal interaction mother. with caregiver and Provide treatment of Prevents increased with caregiver with Objective: more eye contact. injuries; avoid anxiety, and stress in eye contact and is Child appears treating the child as a child by discussion able to verbalize withdrawn, and poor victim, asking too for abuse. feelings and eye contact, and many questions emotions. quivers when speaking. Demonstrate affection Promotes trust of staff Bruises and burn and acceptance of the and positive behavior marks on extremities. child even if not of the child. returned or ignored.
Provide a play Modifies negative
program with other behavior by children, praise childpromoting interaction or reward with specialwith others and treat when rewarding desired appropriate. behavior: promotes self-esteem. Allow expression of Provides opportunity concerns and fears of to vent feelings, child about which reduces treatments, anxiety. environment, allow question and provide honest explanation at child's age level. ERIC V. EVANGELISTA
Refer for counseling Reduces anxiety and
service for the child supports child in as indicated. dealing with abuse and negative behavior.