Question

Kodjo, 15 years old boy, is admitted to the medical ward with burns on the trunk and arms by Dr. Edinam Insoko. Kodjo came with the history of wound on the trunk, dizziness, painful arms and trunk, fever (38˚C) and insomnia. His folder number is 102/06-2020. Kodjo is a Catholic with allergy of ripped plantain. Kodjo was at home for social distance as a student of the L/A Basic School at Fiayase. Kodjo was nurse in bed M7. The physician ordered the following; diagnostic investigation; Blood for full blood count, fasting blood sugar, liver function test. Urine for urinalysis, BUE, ESR, medications prescribed included Tab Amoxiclav 312.5mg daily x 7, Suppository Paracetamol 1g PRN x 72 hours, Iv Normal Saline 500mls start, Ringer Lactate 500mls start. Dr Edinam Insoko scheduled her for nutritionist specialist review on Mondays and Wednesdays for a month then physiotherapy Tuesdays and Thursdays for three (3) months as well as the plastic surgeon every Friday for three (3) weeks. You are the student nurse in the male ward working for 24 hour period work scheduled due to the COVID-19. Demonstrate your care within the 24 hour care of Kodjo on the ward using the nursing process as a guide and follow all the MOH/GHS/WHO protocol for COVID-19 complete the Nursing Care Plan for Kodjo. As student nurse in the male ward working for 24 hour period due to the COVID-19. Demonstrate your care within the 24 hours of Kodjo on the ward using the nursing process as a guide complete your Nursing care plan for Kodjo. Also follow all the MOH/GHS/WHO protocol for COVID-19 in your care.write a full nursing care plan for Kodjo using the standard nursing care plan format

Answer 1

Ans :-

Nursing Assessment :

Assessment of a patient suspected of COVID-19 should include:

• Travel history. Health care providers should obtain a detailed travel history for patients being evaluated with fever and acute respiratory illness.
• Physical examination. Patients who have fever, cough, and shortness of breath and who has traveled to Wuhan, China recently must be placed under isolation immediately.

Nursing Diagnosis :

Based on the assessment data, the major nursing diagnosis for a patient with COVID-19 are:

• Infection related to failure to avoid pathogen secondary to exposure to COVID-19.
• Deficient knowledge related to unfamiliarity with disease transmission information.
• Hyperthermia related to increase in metabolic rate.
• Impaired breathing pattern related to shortness of breath.
• Anxiety related to unknown etiology of the disease.

Nursing Care Planning and Goals :

The following are the major nursing care planning goals for COVID-19:

• Prevent the spread of infection.
• Learn more about the disease and its management.
• Improve body temperature levels.
• Restore breathing pattern back to normal.
• Reduce anxiety.

Nursing Interventions :

Listed below are the nursing interventions for a patient diagnosed with COVID-19:

• Monitor vital signs. Monitor the patient’s temperature; the infection usually begins with a high temperature; monitor the respiratory rate of the patient as shortness of breath is another common symptom.
• Monitor O2 saturation. Monitor the patient’s O2 saturation because respiratory compromise results in hypoxia.
• Maintain respiratory isolation. Keep tissues at the patient’s bedside; dispose secretions properly; intsruct the patient to cover mouth when coughing or sneezing; use masks, and advise those entering the room to wear masks as well; place respiratory stickers on chart, linens, and so on.
• Enforce strict hand hygiene. Teach the patient and folks to wash hands after coughing to reduce or prevent the transmission of the virus.
• Manage hyperthermia. Use appropriate therapy for elevated temperature to maintain normothermia and reduce metabolic needs.
• Educate the patient and folks. Provide information on disease transmission, diagnostic testing, disease process, complications, and protection from the virus.

Evaluation :

• Patient was able to prevent the spread of infection.
• Patient was able to learn more about the disease and its management.
• Patient was able to improve body temperature levels.
• Patient was able to restore breathing pattern back to normal.
• Patient was able to reduce anxiety.

Covid-19 guidelines :-

• Individual findings, including factors affecting, interactions, nature of social exchanges, specifics of individual behavior.
• Cultural and religious beliefs, and expectations.
• Plan of care.
• Teaching plan.
• Responses to interventions, teaching, and actions performed.
• Attainment or progress toward the desired outcome.
• Social distancing
• Carefully maintenance the personal hygiene.
• Hand wash regularly other wise sanitized it .
• Fresh food should be taken.
• Avoid fast foods .
• Avoid to touch often mouth, eyes or nose.
• If any type of inflammation and irritation observe immediately check the physician . Don't use medicine without doctor concern.