Nursing Care Plan

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Risk for Impaired Skin Integrity - NCP for Dysentery

Nursing Care Plan for Dysentery

Dysentery is derived from the Greek, ie dys (= disorder) and enteron (= intestine). so dysentery
is a gastrointestinal disease in the form of intestinal infection or inflammation of the intestines caused by bacteria, which causes severe diarrhea. Each individual course of the disease is more varied, with some people suffering from dysentery have mild symptoms, while others may experience severe diarrhea with or without vomiting which can pose a risk of dehydration. Fortunately dysentery can be easily treated with antibiotics and antiparasitic drugs. Dysentery if untreated can lead to severe dehydration.

The most common cause of dysentery and is often found in people are not washing hands after using public restrooms or not washing hands before eating. Indeed simple enough to cause dysentery as a classic case, but that the reality is often the case. Broadly speaking, the cause of dysentery is closely related to the cleanliness of our surroundings and clean living habits.

Symptoms that arise in dysentery, among others:
  • Time dysentery symptoms can last between 5-7 days or even longer.
  • Patients experiencing abdominal cramps (colic).
  • Patients experiencing pain during bowel movements (tenesmus).
  • Defecation accompanied by mucus.
  • Defecation with bloody stools.
  • High fever (39.5 to 40 degrees Celsius).
  • Vomiting.
  • Anorexia.
  • Sometimes accompanied by symptoms like encephalitis and sepsis
  • (seizures, headache, lethargy, stiff neck, hallucinations).

Risk for Impaired Skin Integrity : perianal related to an increase in the frequency of bowel movements (diarrhea).

Goal: skin integrity is not compromised.

Expected outcomes:
  • No irritation: redness, blisters, hygiene maintained.
  • Families are able to demonstrate perianal care of properly.
Intervention:
1) Discuss and explain the importance of keeping the bed.
R / Hygiene prevent the proliferation of germs.

2) Demonstrate and involve families in caring for perianal (when wet clothing and replace the bottom as well as the base).
R /: Preventing skin iritassi unexpected because humidify and stool acidity.

3) Position the bed or sitting at intervals of 2-3 hours
R /: Smooth vascularity, reducing the pressure for a long time, so there is no ischemia, and irritation.