This article is a detailed nursing care plan for malaria, in which we will be covering assessment, forming prioritised nursing diagnoses, coming up with goals, interventions and the rationale for the implementations, and evaluation, to support nursing students and healthcare professionals in delivering safe and evidence-based care
Table of Contents
signs and symptoms
- headache
- fever
- joint pain
- severe palar
- general body weakness
- nausea and vomiting
- enlarge spleen
- enlarge liver
- dark or bloody urine
- difficulty in breathing
- altered consciousness
- convalsion
- jaundice
We will use the signs and symptoms of malaria to form the nursing diagnosis and its care plan.We are going to follow all the steps for the nursing care plan from assessment to evaluation
assessment for malaria patient
subjective data
Subjective data is the information we get from the attendance or the patient these are the information.
- the name, place, age, etc
- feeling of headch
- feeling of fever
- having join pain
- refuse to eat(lack of appetite)
- has been vomiting
- feeling general body weakness
- had a convulsion
- sleeping most of the time
- Sometimes feel very hot and then sweat
Objective data
This is the information you find as a nurse by using the machine and your five senses on a general examination
- temperature (thermometer reading of 40°C) according to your findings
- heart rate of 140b/m
- respiratory distress
- sever pallor
- splenomegaly(enlarged spleen)
- hepatomegaly(enlarge liver)
- bloody urine
- low rabs(glucometer reading of below normal
- yellow eye
- convalsion
- positive malarial test
Nursing Diagnosis For Malaria
- hyperthermia related to systemic infection by Plasmodium, as evidenced by thermometer reading of 40°C
- Ineffective tissue perfusion-related decrease in oxygen supply to vital organs, as evidenced by reduced urine output, severe pallor, rapid heart rate, delayed capillary refill, lethargy
- impaired gasious exchange related to destruction of red blood cells by Plasmodium, as evidenced by difficulty in breathing, rapid breathing.
- Acute confusion related to invasion of the brain by malaria parasites, as evidenced by patient is disoriented, Glasgow Coma Scale
- risk for injury related to convalsions
- Unstable glucose level related to inability to eat and increased metabolic rate as evidenced by random blood sugar of 1.6mm/dl
- acute pain related to body inflammation response to Plasmodium as evidenced by patient’s complaint of headache, joint pain
- fatigue related to decreased oxygen supply to the tissue, increased metabolic rate, reduced glucose level as evidenced by the patient complaining of general body weakness, reduced activity level
- Risk for fluid volume deficiency related to vomiting
- Risk for electrolyte imbalance-related vomiting
- risk for cerebral damage related to convulsion
nursing implementations
hyperthermia related to systemic infection by Plasmodium, as evidenced by thermometer reading of 40°C
Implimentations
- Do tepid sponging using lukewarm water
- expose the patient by removing all the extra clothes
- administer a prescribed antipyretic (paracetamol)
- Open the adjustment window
- Give cold drinks
- Monitor the temperature every 2hours
- administer antimalarial medication as prescribe(artesunate,quinne etc)
Rationel
- promote heat loss by evaporation and conduction, reducing the body temperature gradually without causing any problem.
- prevent trapping of the heat and allowing heat lost through convection and radiation.
- acts on the hypothalamus to reduce body temperature.
- promote heat lost by air circulation, reducing the environmental temperature.
- Replace fluid and reduce temperature internally.
- help detect reduction and rise in temperature early and evaluate the interventions.
- treat the underlying cause of the fever and eliminate the Plasmodium.