the nursing diagnosis you use is always
based upon the actual symptoms that your patient has. what did the child's labwork look like. any elevated white cell count? why was the child admitted (i'm assuming the child was an inpatient)? when assessing you look not only at physical data, but what is in the medical record as well. with five week olds you also have to look at their behavior: irritability, not eating well, etc.
- changes in a newborn that indicate illness
- normal newborn assessment
- normal newborn behaviors/activities
- there is a link there to the normal activities of a 2-month old child
nanda does have a nursing diagnosis for hyperthermia
. here is the information i have on that diagnosis (page 108, nanda-i nursing diagnoses: definitions & classification 2007-2008
published by nanda international)
definition: body temperature elevated above normal range
defining characteristics (symptoms): convulsions, flushed skin, increase in body temperature above normal range, seizures, tachycardia, tachypnea, warm to touch
related factors (etiologies): anesthesia, decreased perspiration, dehydration, exposure to hot environment, inappropriate clothing, increased metabolic rate, illness, medications, trauma, vigorous activity [note that infection is not listed!]
to give you some contrast, here is the information on the nursing diagnosis of hypothermia
(page 109) as an alternative for you to consider since your patient's symptom is a low grade fever:
definition: body temperature below normal range.
defining characteristics (symptoms): body temperature below normal range, cool skin, cyanotic nail beds, hypertension, pallor, piloerection, shivering, slow capillary refill, tachycardia
related factors (etiologies): aging, consumption of alcohol, damage to hypothalamus, decreased ability to shiver, decreased metabolic rate, evaporation from skin in cool environment, exposure to cool environment, illness, inactivity, inadequate clothing, malnutrition, medications, trauma
based on what you have posted, a nursing diagnostic statement of hypothermia r/t undiagnosed illness aeb fevers of xxx
[i would specifically list the temperature readings] seems appropriate here. your nursing interventions would be to treat the low grade temp.
when using any nursing diagnosis you should always check a good nanda reference to see that your symptoms match/closely match the defining characteristics that nanda has listed under that diagnosis to confirm you've matched it correctly.
hope that has helped you.