i didn't see your post until just now. i guess your patient has already been discharged and gone home.
what i can tell you about is how a care plan is written. there is information on the student nursing forums on how to determine nursing diagnoses for patients when writing care plans.
a nursing diagnosis is always based upon the abnormal things you find out about a patient during your assessment (data collection). this data collection is an ongoing activity that you perform as a nurse. when a patient is being discharged you are going to assess things like the environment that patient is going to be going home to, will they have any help with any care they need, do they still have any symptoms of the dengue that are being treated, do they understand the ongoing treatment, do they know the side effects to watch for with the medication they are taking, did they have a rash or joint pain and has that resolved or do they still have these problems and need help with them, do they know what to look for if they are reinfected with dengue, do they know when to follow up with their physician. much of this can be included under a nursing diagnosis of knowledge deficit
. however, if the patient had other symptoms that still need monitoring, an appropriate nursing diagnosis for them can also be used. if they still have a rash that is being treated a nursing diagnosis of impaired comfort, impaired skin integrity or risk for infection
(this would be due to broken skin from scratching) would be appropriate. if the patient still has, or is taking medication for, the headache or joint pain caused by the dengue then nursing diagnoses of acute pain, activity intolerance, impaired physical mobility, or
one of the self-care deficits
would be appropriate to use.
when a patient is being discharged you can always assess the patient's ability to perform their activities of daily living at home (adl assessment is a primary nursing function) as well as their ability to continue following the medical plan of care. any problems you foresee can be turned into nursing diagnoses and nursing interventions applied.
nursing diagnoses are based upon the symptoms and needs the patient has, not upon their medical diagnosis
, although the medical diagnosis does affect the medical treatment plan which in turn affects some of the nursing care.