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Nursing Care Plan for Tonsillitis Management

The nursing care plan addresses a patient experiencing pain related to throat inflammation from tonsillitis. Nursing diagnoses include altered comfort from pain and need for rest and sleep. Nursing interventions focus on nonpharmacological pain management through comfort measures, encouragement of relaxation skills and socialization. Analgesics are to be administered as needed within safe dosage limits to control pain. The objective is for the patient to experience lessened pain discomfort through relaxation within 5 hours. Progress and any changes in symptoms will be monitored and reported to the physician.

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60 views1 page

Nursing Care Plan for Tonsillitis Management

The nursing care plan addresses a patient experiencing pain related to throat inflammation from tonsillitis. Nursing diagnoses include altered comfort from pain and need for rest and sleep. Nursing interventions focus on nonpharmacological pain management through comfort measures, encouragement of relaxation skills and socialization. Analgesics are to be administered as needed within safe dosage limits to control pain. The objective is for the patient to experience lessened pain discomfort through relaxation within 5 hours. Progress and any changes in symptoms will be monitored and reported to the physician.

Uploaded by

unkown user
Copyright
© © All Rights Reserved
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NURSING CARE PLAN

Date/Shift Assessment Need Nursing Diagnosis Objective of Nursing Intervention


Care

10-02-20 Subjective cues: P Altered comfort: pain After 5 hours of Independent:


7/3 “ga sakit akong S related to throat nursing  Provide Comfort meaures (eg. Touch, repositioning, use of
8am tutunlan dong Y inflammation. interventions, heat/cold packs, nurses presence, quiet environment, and
maglisud kog C the patient will calm activities).
tun” as H R. Tonsillitis is an be able to: R. To promote nonpharmacological pain management.
verbalized by O infection at the  Encourage verbalization of feeling about pain.
patient. L tonsils. Streptococcus  Lessen pain R. Relieve feeling of discomfort.
O is the most common discomfort  Encourage adequate rest periods.
Objective cues: G infecting organism by relaxation R. To prevent fatigue.
 Increased I although tonsillitis skills and  Work with patient to prevent pain, therapeutic interventions,
tension C can be caused by divertional response, and length of tie before pain recurs.
NEED hemophilus influenza activities. R. To maintain acceptance level of pain notify physician if regimen
 Restlessness and other organism is inadaquete to meet pain control goal.
Rest and sleep the client with  Accept patients description of pain acknowledge the pain
 Enlarge and tonsillitis. Report experience and convey acceptance of clients response to pain.
inflammed Maslow’s throat pain difficulty R. Pain is a subject experience it cannot be felt by others.
tonsil both hierarchy in swallowing oflagin  Encourage divertion activities (Socialization with others).
with (referred pain to the R. To distract attention and reduce tension.
exudates ear) and generalized  Admister analgesics as indicated, to maximum dosage, as
 Pain scale of malaise-examination needed.
6/10 discloses an acutely
R. To maintain accptance level of pain.
 Difficulty on inflammed mucous
swallowing  Identify specific signs/symptons and changes in pain
membrane around the
 Fever tonsillar area with or characteristics requiring medical follow-up.
 Vomiting without the presence R. To determine patients conditions
 Odynophagi of purulent exudate.
a REF: NANDA
SOURCE:
 V/S taken as Medical Surgical
follows: Nursing 6th edition
T- 37.2 by Joyce M. Black
P- 92 page 1678.
R- 22
Bp- 110/90

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