Sunday, May 31, 2015

Malaria Nursing Diagnosis

I am glad for the journey we have had together as we studied about malaria for the last three months. It has been an enlightening moment for me and i believe it was the same for you the reader. Today's blog will be the last one in which i plan to discuss more about the nursing diagnosis that are most prioritized when attending to a sick patient with malaria.
To start off the main focus for our patient like we stated when i wrote about the symptoms is that they lack appetite and may end up becoming anorexic. This mainly is due to nausea and vomiting which is evident because they often throw up. This led me to prioritize my first nursing diagnosis as follows:

  1. Imbalanced Nutrition Less Than Body Requirements related to inadequate food intake; anorexia; nausea / vomiting. 
  2. Risk for infection related to decreased immune system; invasive procedure.
  3. Hyperthermia related to increased metabolism, dehydration, a direct effect on the hypothalamic circulation of germs.
  4. Impaired tissue perfusion related to a decrease in the cellular components needed for the delivery of oxygen and nutrients in the body.
  5. Knowledge deficient: the disease, prognosis and treatment needs related to lack of exposure / recall error interpretation of information, cognitive limitations.
Imbalanced Nutrition Less Than Body Requirements related to inadequate food intake; anorexia; nausea / vomiting
Related to
Plan and outcome
Nursing intervention
  • Inability to ingest foods
  • Inability to digest foods
  • Inability to absorb or metabolize foods
  • Inability to procure adequate amounts of food
  • Knowledge deficit
  • Unwillingness to eat
  • Increased metabolic needs caused by disease process or therapy
  • Patient or caregiver verbalizes and demonstrates selection of foods or meals that will achieve a cessation of weight loss.
  • Patient weighs within 10% of ideal body weight.

  • Consult dietitian for further assessment and recommendations regarding food preferences and nutritional support.
  • Suggest ways to assist patient with meals as needed: ensure a pleasant environment, facilitate proper position, and provide good oral hygiene and dentition.
  • Provide companionship during mealtime.
  • For patients with changes in sense of taste, encourage use of seasoning.
  • For hospitalized patients, encourage family to bring food from home as appropriate.
  • Suggest liquid drinks for supplemental nutrition.
  • Encourage exercise.
References

EHS: Nursing Diagnosis Care Plans, 4/e - Nutrition, Altered: Less than Body Requirements - Starvation; Weight Loss; Anorexia. (n.d.). Retrieved May 31, 2015, from http://www1.us.elsevierhealth.com/MERLIN/Gulanick/archive/Constructor/gulanick36.html



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