Student Nurses Community

ASSESSMENT

SUBJECTIVE:
Nakagat ako
ng aso habang
pauwi ako (I
got bitten by a
dog on my way
home) as
verbalized by
the patient.
OBJECTIVE:
Facial grimace
Irritability
V/S taken as
follows:
T: 37.2 C
P: 81
R: 21
BP: 120/70

DIAGNOSIS

Impaired skin
integrity
related to
disruption of
skin surface
with
destruction of
skin layers.

INFERENCE

Rabies is a
zoonotic viral
disease which
infects
domestic and
wild animals. It
is transmitted
to other
animals and
humans
through close
contact with
saliva from
infected
animals (i.e.
bites,
scratches, licks
on skin, and
mucous
membranes).
Once
symptoms of
the disease
develop, rabies
is fatal to both
animals and
humans. The

NURSING CARE PLAN Rabies

PLANNING

INTERVENTIO
N

After 8 hours of INDEPENDENT:

nursing
Assess or
interventions,
document
the patient will
size, color,
achieve timely
depth of
wound healing.
wound, and
condition of
surrounding
skin.
Thoroughly
wash the
wound as
soon as
possible with
soap and
water for
approximatel
y 5 minutes.
After washing,
an antiseptic
solution
should be
applied in the
wound such
as providoneiodine and
alcohol

RATIONALE

Provide
baseline
information
about the
wound and
possible clues
about the
blood
circulation in
the affected
area.
Washing the
affected area
is very
effective at
reducing the
number of
viral particles.
To hasten the
spread of the
viral disease
in the
surrounding
area.
To promote
circulation
To reduce the

EVALUATION

After 8 hours of
nursing
interventions,
the patient was
able to achieve
timely wound
healing.

Student Nurses Community

first symptoms
of rabies are
usually nonspecific and
suggest
involvement of
the respiratory,
gastrointestinal
and/or central
nervous
systems.
During the
acute stage of
the disease two
different forms
may occur.
Furious rabies
is characterized
by hydrophobia
or aerophobia,
hyperactivity
and fluctuating
consciousness.
Paralytic rabies
runs a less
dramatic
course, but the
final outcome is
the same.
Rabies is
inevitably fatal

(ethanol).
Keep skin free
from pressure
Implement
contact
isolation for
respiratory
secretions,
especially
saliva in the
duration of
the illness.

ris of crosscontaminatio
n

Student Nurses Community

and death
occurs during
the first seven
days of illness
without
intensive care
due to
respiratory
failure.