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  • NCP Hepatitis – Nursing Diagnosis : Activity Intolerance


    Hepatitis A  is an acute infectious disease of the liver caused by the hepatitis A virus (HAV), an RNA virus, usually spread by the fecal-oral route; transmitted person-to-person by ingestion of contaminated food or water or through direct contact with an infectious person. Tens of millions of individuals worldwide are estimated to become infected with HAV each year. The time between infection and the appearance of the symptoms (the incubation period) is between two and six weeks and the average incubation period is 28 days.
    Hepatitis B is an infectious inflammatory illness of the liver caused by the hepatitis B virus (HBV) that affects hominoidea, including humans. Originally known as “serum hepatitis”, the disease has caused epidemics in parts of Asia and Africa, and it is endemic in China. About a third of the world population has been infected at one point in their lives, including 350 million who are chronic carriers.
    Hepatitis C is an infectious disease affecting primarily the liver, caused by the hepatitis C virus (HCV). The infection is often asymptomatic, but chronic infection can lead to scarring of the liver and ultimately to cirrhosis, which is generally apparent after many years. In some cases, those with cirrhosis will go on to develop liver failure, liver cancer or life-threatening esophageal and gastric varices.
    Activity Intolerance Definition : Insufficient physiological or psychological energy to endure or complete required or desired daily activities.
    Most activity intolerance is related to generalized weakness and debilitation secondary to acute or chronic illness and disease. This is especially apparent in elderly patients with a history of orthopedic, cardiopulmonary, diabetic, or pulmonary- related problems. The aging process itself causes reduction in muscle strength and function, which can impair the ability to maintain activity. Activity intolerance may also be related to factors such as obesity, malnourishment, side effects of medications (e.g., -blockers), or emotional states such as depression or lack of confidence to exert one’s self. Nursing goals are to reduce the effects of inactivity, promote optimal physical activity, and assist the patient to maintain a satisfactory lifestyle.
    Nursing Care Plan for Hepatitis
    Nursing Diagnosis : Activity Intolerance related to decreased energy
    characterized by:
    Subjective data:
    • client complained of weakness, can not do the activity of as normal.
    Objective data:
    • client looks limp.
    • client looks assisted families in their daily activities.
    Goal:
    • Activities are met.
    Expected outcomes:
    • client can perform the activity even though no oversight from family and caregivers.
    Nursing Interventions:
    • Assess client activity.
    • Assist client activity.
    • Increase bed rest / seat.
    • Reposition the client every 2 hours once.
    • Provide training on passive motion.
    Rational:
    • Knowing the needs of client activity.
    • For the fulfillment of client activity.
    • Increase rest and tranquility to provide energy and blood circulation.
    • Avoiding the risk of tissue damage
    • Prolonged bed rest will reduce the ability.

    4 komentar:

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