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Nursing Care Plan for Tonsillitis

Tonsillitis Nursing Care Plan



Tonsillitis

Tonsillitis is an inflammation of the glands of the throat, which results in a sore throat.Tonsillitis can be caused by either viruses or bacteria. Most cases of tonsillitis go away without antibiotic medication.

Symptoms
  • Sore throat
  • Difficulty feeding (in babies)
  • Pain with swallowing
  • Fever
  • Headache
  • Abdominal pain
  • Nausea and vomiting
  • Cough
  • Hoarseness
  • Runny nose
  • Redness of the tonsils and throat
  • Tenderness in the glands of the neck (swollen lymph glands)
  • White patches on the tonsils
  • Redness of the eyes
  • Rash
  • Ear pain (nerves that go to the back of the throat also go to the ear)
Source : emedicinehealth.com


Nursing Care Plan for Tonsillitis

Nursing Assessment
  1. Interview

    • Review a history of previous illness (tonsillitis)?
    • Is adequate treatment?
    • When do symptoms appear?
    • What is in the habit of smoking?
    • What about diet?
    • Is Routine / diligent in cleaning the mouth?
  2. Physical examination

    Baseline data assessment by Doengoes, (1999), namely :
    • Ego integrity
      • Symptoms:
        Feelings of fear
        Worry if the surgery affects family relationships, work ability, and financial.
      • Signs: anxiety, depression, refused.
    • Food / Fluids
      • Symptoms: Difficulty swallowing
      • Signs: Difficulty swallowing, easily driven, inflammation, poor dental hygiene.
    • Hygiene
      • Signs: Difficulty swallowing
    • Painful
      • Signs: Nervousness, cautious behavior
      • Symptoms: Sore throat is a chronic, spreading pain to the ear
    • Respiratory
      • Symptoms: History of smoking / chewing tobacco, working with wood powder
  3. Results of physical examination in general :
    • Enlarged tonsils
    • Lethargy
    • Difficulty swallowing
    • Fever
    • Sore throat
    • Poor oral hygiene
  4. Diagnostic tests
    Examination of throat swabs
    This examination should be performed before providing treatment, especially when circumstances permit. By doing this examination we can find germs that cause and drugs that are still sensitive.

    Diagnosis based on symptoms and physical examination.

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