Nursing Diagnosis for Encephalitis : Acute Pain related to irritation of the brain lining.
Goal :
Patients seen decreases pain / pain control.
Outcomes :
- Patients can sleep.
- Saying decrease pain.
Interventions :
1. Try to create a safe and quiet environment.
Rationale : Lowering the reaction to external stimuli or sensitivity to light and encourage patients to rest.
2. Cold compress to the head and a cool cloth on the eye.
Rationale : Can cause vasoconstriction of blood vessels of the brain.
3. Perform active or passive motion exercise in accordance with the conditions of tender and careful.
Rationale : Can help to relax tense muscles and may decrease pain / disconfort.
collaboration :
4. Give analgesics.
Rationale : It may be necessary to decrease pain.
Nursing Diagnosis for Encephalitis : Risk for Injury related to the presence of seizures, altered mental status and decreased level of consciousness.
Goal :
Patients free from injury caused by seizures and loss of consciousness.
1. Monitor spasms in hands, feet, mouth and other facial muscles.
Rationale : Require evaluation in accordance with the appropriate interventions to prevent complications.
2. Prepare a safe environment such as bed boundaries, safety boards, and suction devices have always been close to the patient.
Rationale : Protecting patients when seizures occur.
3. Maintain total bedrest during the acute phase.
Rationale : Reduce the risk of falls / injured if vertigo, sincope, and ataxia occurred.
4. Give appropriate therapy doctors advice.
Rationale : To prevent or reduce seizures.
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