nursing care plan for a patient with virus vs bacterial meningitis

[afi06]

I am trying to come up with a good nursing care plan for my patient who presents with fever and altered mental statusa and is been treated with ATB and antiinfective meds,vitals are ok,so what do you think would be a priority care plan for this patient,I managed to come up with 2 diagnosis:1)acute pain r/t meningeal irritation, 2) risk for infection transmission r/t contagiuos nature of organism.Please help!!!!

[Daytonite, BSN, RN]

so i also have a c-section pt. and am having trouble with my goals and interventions. my diagnosis is acute pain. all i can think of for the goal is pain level decreases to 4 by the end of the shift. does anyone else have any ideas? oh also what would be considered objective data for this? seeing that the pt. is in pain? thanks

objective data is what you observed yourself. the nanda taxonomy has a pretty nice list of some of the things you can observe in a patient. you can see that list on this web page (see the defining characteristics): acute pain.

nursing interventions are based upon the signs and symptoms that your patient has. goals, the, are what you predict are going to happen when your interventions are performed. if the patient expressed their pain on a 0-10 scale and intervention was to give pain medication, then the goal would be to see pain expressed as relieved according to a lower number on scale of 0-10. if facial grimacing is the symptom you observed, then a goal might be seeing the patient with a relaxed facial expression.

pain is assessed by observing the patient's behavioral and physiological responses which can be sympathetic or parasympathetic.

from

nurse's 5-minute clinical consult: procedures

from lippincott williams & wilkins, page 370

"behavioral responses

behavioral

responses include altered body position, moaning, sighing, grimacing, withdrawal, crying, restlessness, muscle twitching, irritability, and immobility.

sympathetic responses

sympathetic

responses are commonly associated with mild to moderate pain and include pallor, elevated blood pressure, dilated pupils, skeletal muscle tension, dyspnea, tachycardia, and diaphoresis.

parasympathetic responses

parasympathetic

responses are commonly associated with severe, deep pain and include pallor, decreased blood pressure, bradycardia, nausea and vomiting, weakness, dizziness, and loss of consciousness.

"