Typhoid disease

typhoid

1. TYPHOID nursing client with ENDOCRINE and GENITOURINARY disorder and COMMUNICABLE DISEASE

2. Typhoid fever is a systemic infection caused by Salmonella enterica serotype Typhi ( S. typhi ). The disease remains an important public health problem in developing countries. About 16 million cases of typhoid fever and 600,000 deaths occur yearly worldwide and that more than 90% of this morbidity and mortality occurred in Asia INTRODUCTION

3. TYPHOID FEVER DEFINITION

4. ETIOLOGY

5. RISK FACTOR

6. CLINICAL MANIFESTATION 1 st WEEK

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8. CLINICAL MANIFESTATION con’t … 3 rd WEEK

9. PATHOPHYSIOLOGy

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11. DIAGNOSTIC TEST

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13. TREATMENT

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15. COMPLICATION OF TYPHOID Gastrointestinal Perforation Myocarditis Gastrointestinal Bleeding

16. GASTROINTESTINAL BLEEDING

17. COMPLICATION OF TYPHOID Gastrointestinal Bleeding Myocarditis Gastrointestinal Perforation

18. GASTROINTESTINAL PERFORATION

19. COMPLICATION OF TYPHOID Gastrointestinal Bleeding Gastrointestinal Perforation Myocarditis

20. MYOCARDITIS

21. Nursing Diagnosis : Hyperthermia related to increased metabolic rate, illness. Goal : Client can maintain the normal body temperature without complication NURSING CARE PLAN 1 Nursing Intervention Rationale Monitor patient temperature degree and patterns Fever pattern may aids in diagnosing underlying disease. Observe for shaking chills and profuse diaphoresis Chills often precede during high temperature and in presence of generalized infection. Wash hands with anti-bacterial soap before and after each care of activity and encourage proper hygiene. Reduces cross contamination and prevents the spread of infection. Provide tepid sponge baths and avoid the use of ice water and alcohol. May help reduce fever .Use of ice water and alcohol may cause chills and can elevate temperature. Monitor for signs of deterioration of condition or failure to improve with therapy. May reflect inappropriate antibiotic therapy.

22. NURSING CARE PLAN 2 Nursing Diagnosis : Risk for imbalance nutrition related to disease process. Goal : Patient will be maintain the nutrition balance and body weight status Nursing Intervention Rationale Monitor the Input & Ouput Chart To maintain nutrient status of patient Assess client’s nutritional patterns Offer client their favorite food to ensure patient taken the diet Recommend bed rest / activity restrictions during the acute phase, balanced body weight each day To minimize the pain and to maintain patient weight Record or report such things as nausea, vomiting, stomach pain and distension. To do further management to reduce the symptom Collaboration with a nutritionist for dietary administration To maintain patient taken diet well

23. NURSING CARE PLAN 3 Nursing Diagnosis : Increase frequency of bowel movement related to disease process. Goal : Client will maintain the hydration of body from over diarrhea Nursing Intervention Rationale Monitor the vital sign such as pulse and respiration To monitor patient from over dehydration Monitor the Input & Output chart. To maintain the fluid balance in patient body Encourage the patient to eat more nutritious food such as fruit & vegetable. To prevent patient from get constipation Encourage pt to drink plenty of water at least 2.5 liters / 24 hours. To maintain hydration status of patient Observe the drip infusion & administer the medication as ordered by doctor. To prevent infection and maintain fluid balance

24. HEALTH EDUCATION

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26. SUMMARY

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28. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002308/ http://en.wikipedia.org/wiki/Typhoid_fever http://www.nhsdirect.wales.nhs.uk/encyclopaedia/t/article/typhoidfever/ http://www.nhs.uk/Conditions/Typhoid-fever/Pages/Introduction.aspx http://www.answers.com/topic/typhoid-fever#Signs_and_symptoms http://en.wikipedia.org/wiki/File:Typhoid_inoculation2.jpg http://www.nlm.nih.gov/medlineplus/ency/article/001332.htm http://www.livestrong.com/article/133749-an-introduction-typhoid-fever/ http://en.wikipedia.org/wiki/File:ForskeligeVeje_ad_hvilkenBroen_kan_inficeres_medTyfusbaciller.png REFERENCES