I.

INTRODUCTION

Background Study

We, the group A2, have chosen to present a case of Intestinal Parasitism because we
want to broaden our knowledge in this kind of disease and on how to prevent this in our own
special way.

Significance of the study

 As a student nurse
This study will enable the students to understand better about Intestinal
Parasitism and will explain the different risk factors for developing the disease, including
consumption of improperly prepared foods or contaminated water and travel or
residence in areas of poor sanitation Since we are client-centered, we really should
consider our patient’s comfort and this study will give the students sufficient knowledge
that will help them to plan and implement nursing care plans that will satisfy patient’s
needs.

 To the patient
This study will enable the patient to recognize factors affecting her health status and be
able to inform everything that will be helpful in the prevention of the disease.

Scope and Limitations

This study includes the collection of information specifically to the patient’s health
condition. The study also includes the assessment of the physiological and psychological status,
adequacy of support systems and care given by the family as well as the other health care
provider.

Goal and Objectives

Goal:

This study aims to convey familiarity and to provide an effective nursing care to a
patient diagnosed with Intestinal Parasitism through understanding the patient history, disease
process and management.

Objectives:

1. To discuss the anatomy and physiology, pathophysiology of the patient’s condition, usual
clinical manifestations and possible complications of this condition.

2. To have knowledge to the client medication and be familiar to that medication.

3. To formulate a workable nursing care plan on the subjective and objective cues
gathered through nurse-patient interaction to be able to help the patient recover.

Overview of Disease

Intestinal Parasitism- Infestation of the intestinal lumen and wall by nematodes, cestodes and
immature trematodes.

Signs and Symptoms

Gastrointestinal complaints such as pain, diarrhea, nausea, and perianal itching are common in
many intestinal parasitic infestations. Parasites cause morbidity in humans in different ways, by:
· affecting nutritional equilibrium
· inducing intestinal bleeding
· inducing malabsorption of nutrients
· competing for absorption of micronutrients
· reducing growth
· reducing food intake
· causing surgical complications such as obstruction, rectal prolapse and abscess
· affecting cognitive development.

The GI tract may be inhabited by many species of parasites. Their cycles may be direct,
in which eggs and larvae are passed in the feces and stadial development occurs to the infective
stage, which is then ingested by the final host. Alternatively, the immature stages may be
ingested by an intermediate host (usually an invertebrate) in which further development occurs,
and infection is acquired when the intermediate host or free-living stage shed by that host is
ingested by the final host. Sometimes, there is no development in the intermediate host, in
which case it is known as a transport or paratenic host, depending on whether the larvae are
encapsulated or in the tissues. Clinical parasitism depends on the number and pathogenicity of
the parasites, which depend on the biotic potential of the parasites or, when appropriate, their
intermediate host and the climate and management practices. In the host, resistance, age,
nutrition, and concomitant disease also influence the course of parasitic infection.

Anatomy and Physiology of Affected Organ System

DIGESTIVE SYSTEM

The human digestive system is a complex series of organs and glands that
processes food. In order to use the food we eat, our body has to break the food down into
smaller molecules that it can process; it also has to excrete waste.

Most of the digestive organs (like the stomach and intestines) are tube-like and
contain the food as it makes its way through the body. The digestive system is essentially a
long, twisting tube that runs from the mouth to the anus, plus a few other organs (like the liver
and pancreas) that produce or store digestive chemicals.
 The Digestive Process:

The start of the process - the mouth:

The digestive process begins in the mouth. Food is partly broken down by the
process of chewing and by the chemical action of salivary enzymes (these enzymes are produced
by the salivary glands and break down starches into smaller molecules).

On the way to the stomach: the esophagus –

After being chewed and swallowed, the food enters the esophagus. The
esophagus is a long tube that runs from the mouth to the stomach. It uses rhythmic, wave-
like muscle movements (called peristalsis) to force food from the throat into the stomach. This
muscle movement gives us the ability to eat or drink even when we're upside-down.

In the stomach –

The stomach is a large, sack-like organ that churns the food and bathes it in a
very strong acid (gastric acid). Food in the stomach that is partly digested and mixed with
stomach acids is called chyme.

In the small intestine –

After being in the stomach, food enters the duodenum, the first part of the
small intestine. It then enters the jejunum and then the ileum (the final part of the small
intestine). In the small intestine, bile (produced in the liver and stored in the gall bladder),
pancreatic enzymes, and other digestive enzymes produced by the inner wall of the small
intestine help in the breakdown of food.

In the large intestine –

After passing through the small intestine, food passes into the large intestine. In
the large intestine, some of the water and electrolytes (chemicals like sodium) are removed
from the food. Many microbes (bacteria like Bacteroides, Lactobacillus acidophilus, Escherichia
coli, and Klebsiella) in the large intestine help in the digestion process. The first part of the large
intestine is called the cecum (the appendix is connected to the cecum). Food then travels
upward in the ascending colon. The food travels across the abdomen in the transverse
colon, goes back down the other side of the body in the descending colon, and then through the
sigmoid colon.

The end of the process –

Solid waste is then stored in the rectum until it is excreted via the anus.

II. BIOGRAPHIC DATA

NAME: Child X

AGE: 4 yrs. old

BIRTHDAY: June 25, 2005

GENDER: female

CIVIL STATUS: child

 ADDRESS: Tala, Caloocan City

EDUCATIONAL LEVEL: Pre-school

RELIGION: Catholic

o CHIEF COMPLAINT: Vomiting

o MEDICAL DIAGNOSIS: Intestinal Parasitism Dehydration secondary to Vomiting

and Malnutrition

III. NURSING HISTORY

A. Past Health History

In past health history of the patient she completed all vaccines including 1 dose of BCG,
3 doses of OPV, DPT and Hep B and a dose of measles. And are all given at Rural Health
Unit in their Barangay. Child X doesn’t have any record of accidents, surgeries, and
allergies, but she was hospitalized last year with the same diagnosis. The patients
haven’t taken any medication and herbal medicine.

B. History of Present Illness

The patient brought by her mother in Dr. Jose Rodriguez Memorial Hospital (Tala,
Caloocan City) last August 27, 2009 with a chief complaint of watery stool accompanied
by vomiting and headache. Two days prior to admission the mother of the patient
noticed that her daughter Child X was not feeling well as evidenced by sudden loss of
energy, paleness and dryness of skin. The mother observed also that there is a change in
Child X bowel habit and form of bowel. The symptoms revealed and got worse that’s
why the mother decided to brought Child X in the hospital to seek consultation.

The diagnosis was Intestinal Parasitism Dehydration secondary to Vomiting and

Malnutrition as supported by laboratory findings and diagnostic procedure done.

C. Family History

According to the mother of Child X, they have no history of any disease like TB, heart
disease, Syphilis, Diabetes, etc.

They are six in the family including her husband which is a construction worker, her four
children (15, 14, 4, and 1 yr. of age) and her. The mother stated also that since her
husband has no stable job, their meals daily was not stable also, there are times that
they eat 2 times a day or it also happened that they eat only once a day.

D. Pediatric Health History

The mother of the patient verbalized that she delivered all their children in their house
by a ‘Hilot’. And she breastfeed all her children though Child X started solid foods like
lugaw when she was six mo. old.

IV. ACTIVITIES OF DAILY LIVING

Before Actual Interpretation and

ADL
hospitalization hospitalization analysis
Nutrition eat her meal 3x a Only eat 2x a day -Before
 day hospitalization, the
client takes her
meal 3x a day while
during
hospitalization she
only eats 2x a day.

-The client
experiencing loss
of appetite that’s
why she only takes
twice a day for her
meal.
Reference:
Fundamentals of
Nursing by Kozier,
Chapter 47 pg.
1238
Elimination Urinate 15x a day Urinate 18x a day -The client urinate
regularly and and defecate 4x a 4x a day regularly
defecate once a day, she also and defecate once
day regularly. experiencing a day daily while
vomiting during
hospitalization the
client urinate 3x a
day and defecate
4x a day, she also
experiencing
vomiting.

-The client always

demands for water
because she was
experiencing
severe thirst that’s
why she urinates
frequently. And
regarding her fecal
elimination, the
client is
experiencing loose
watery stool.
Reference:
Fundamentals of
Nursing by Kozier,
Chapter 48
Activity Always playing Always lying on bed. -Before
outside hospitalization the
barefooted. client was always
playing outside
while during
hospitalization she
was always lying on
 bed.

- Prior to admission
the client always
play barefooted
that’s why she
adopt
microorganism that
cause parasitism.
Reference: NANDA
Hygiene She was not taking She doesn’t take -Before
a bath regularly; bath regularly. hospitalization the
she only took 4 client was not
times a week. She taking a bath
also frequently regularly; she only
eats with her bare took 4 times a
hands and week. She also
sometimes forgot frequently eats
to wash hands with her bare
before and after hands and
meals. sometimes forgot
to wash hands
before and after
meals while during
hospitalization the
number of days
taking a bath was
lessen.

-Prior to admission
the client has poor
hygiene that’s why
she adopt
microorganism that
cause parasitism.
Reference: NANDA
Substance use No medication She was currently -Before
taken taking hospitalization the
Diphenhydramine, client did not take
Pyrantel Pamoate, any medication
Ampicillin, while during
Gentamicin drugs. hospitalization she
was taking the
drugs prescribed
by doctor.

Sleep and rest She was able to She was -Before

consume normal 8- experiencing hospitalization she
hour sleeping time. difficulty of sleeping. sleeps normally
while during
hospitalization she
was experiencing
difficulty of
 sleeping.

-The client
experienced
difficulty of
sleeping because of
gastric irritability
due to her
diagnosis.
Reference:
Fundamentals of
Nursing by Kozier,
Chapter 45

V. PHYSICAL ASSESSMENT

Normal Actual findings Interpretation and

analysis

1. General
Appearance
 Mood and affect -Normally calm -Irritable, signs of -The patient feels
fatigue, uncomfortable,
restlessness undesirable
actions.

 Posture -Relaxed and -Highly active -The patient has a

coordinated movement (sign of good posture.
movement angered action)

 Hygiene and -Well cleaned, -She has -The patient lacks

grooming presentable unpleasant odor proper hygiene.
and has no
underwear, uncut
nails, and
uncombed hair.

 Types of clothing -Accurate to the -She wears loose - not presentable

environment shirts without
pants.

 Quantity and -Having a good -she was -She possesses

quality of speech quality of speech screaming out signs of irritability.
loud.

 Relevance and -Well good, having -She was not -She was anxious.
organization of good decisions participating and
thought. slightly
disoriented.
2. Vital signs

Body temp 36.5˚C-37.5˚C 36.5˚C Within normal

range of body
temp.

Pulse rate 80-160bpm 70bpm low pulse rate

Respiratory rate 30-60cpm 24cpm low respiratory

rate

Height
Weight Before: 13kgs. -Active weight loss
Current: 9kgs. that leads to
malnutrition

Body Parts Normal Findings Actual Findings Interpretation and Analysis

Skin -The skin is normally -She has rough, and - Not normal, accdg. To Kozier
uniform, whitish pink dry skin, has lesions in it is signs of dehydration bec.
or brown in color her left leg. Of active loss of body fluids.
depending on the
race of the patient.

Head -The head should be -Normal

normocephalic and
symmetrical, normal
skull is smooth, non
tender and w/o
masses and
depressions.

Eyes -The eyes are - Sunken eyeball -Not normal accdg. To Kozier,
normally aligned; It is sign of dehydration,
there should not be restlessness
excessive discharge
from the lacrimal
duct.

Ears -The ear color should -No discharges noted -Normal

match the color of the
rest of the body.
Should be positioned
centrally in
proportion to the
head.

Nose -It is located -No discharges noted - Normal

symmetrically in the
middle of the face
and must not have
presence of lesions
and masses.

Mouth -The lips and - Dry mucous - Not normal, accdg. To Kozier
membranes should be membrane it is a sign of dehydration
 pink and moist and to
show no evidence of
lesions or
inflammation

Chest -Antero-posterior - Chest is symmetrical -Normal

diameter is equal to
transverse diameter
shape is

Abdomen -Abdominal contour is -Bloated -Not normal, accdg. To Kozier,

flat and no abdominal this sign is caused by
pain decrease absorption of food
bec. The GI tract are
dysfunctional.

VI. Laboratory and diagnostic Examination result

Procedure Normal Range Result Interpretation

and analysis
RBC 3:50 : 5:50 4.13 Within normal
range

HCT 38.0 : 48.0 L37.3 Below normal

range, it may
indicate anemia

PLT 150 : 450 255 Within normal

range

WBC 5.0 : 10.0 #17.2DE Above normal

range, it may
indicate a
particular
disorder

HGB 12.0 : 14.0 12.8 Within normal

range

LYM % 25.0 : 40.0 L24.3 Within normal

range

GRA % 45.0 : 6.0 68.4 Above normal

range, it may
indicate
MID % 2.0 : 15.0 7.3
Within normal
range

VII. DRUG STUDY

Generic / Trade Dosage / Classification Indication Contraindication Side effects Nursing
name Frequency Responsibilities
Ampicillin TIVP 320 mg. Antibiotic Treatment of Hypersensitivity -CNS: lethargy, -Check IV site
(AMPICIN) Q8 Penicillin infection caused to penicillins hallucinations, carefully for
by Gr (+) and Gr (- seizures. signs of
) bacteria -GI: glossitis, thrombosis or
stomatitis, gastritis, drug reaction
sore mouth, furry
tongue, black -Do not give
“hairy” tongue, IM injections
nausea, vomiting, in the same
diarrhea, abdominal site.
pain, bloody
diarrhea, - administer
enterocolitis, oral drug on
pseudomembranous an empty
colitis, non-specific stomach, 1
hepatitis. hr. before or
2 hr. after
-GU: nephritis meals with a
full glass of
-Hematologic: water; do not
Anemia, give with fruit
thrombocytopenia, juce or
leucopenia, softdrinks.
neutropenia,
prolonged bleeding
time.

-Hypersensitivity:
Rash, fever,
wheezing,
anaphylaxis.

-Local: Pain,
Serious infections phlebitis,
when causative thrombosis at
organisms are not injection site
known (often (parenteral)
conjunction with a
penicillin or -Other:
cephalosporin) Superinfections, oral
and rectal
moniliasis, vaginitis.

Gentamicin TIVP 25mg Aminoglycoside contraindicated -CNS: tinnitus, -avoid long-

(PEDIATRIC q12 with allergy to dizzinesss, vertigo, term
GENTAMICIN any deafness, vestibular therapies
SULFLATE) aminoglycoiside paralysis, confusion, because of
disorientation, increased risk
depression, of toxicities
lethargy,
nystagmus, visual -ensure
disturbances, adequate
headache, hydration of
numbness, tingling, patient
tremor, before and
paresthesies, during
muscle twitching, theraphy
 seizures, muscular
weakness

-CV: palpitations,
hypotension,
hypertension

-GI: hepatic toxicity,

nausea, vomiting,
anorexia, weigth
loss, stomatitis,
increased salivation

-GU: nephrotoxicity

-HEMATOLOGIC:
leukemoid reaction,
agranulocytosis,
granulocytosis,
leucopenia,
leukocytosis,
thrombocytopenia,
eosinophelia,
pancytopenia,
anemia, hemolytic
anemia, electrolyte
disturbances

-HYPERSENSITIVITY:
purpura, rash,
urticaria, exfoliative
dermatitis, itching

-LOCAL: pain,
Allergic irritation,
conjunctivitis due aruchnoiditis at IM
to inhalant injection sites
allergens and
foods; mild -OTHER: fever,
uncomplicated apnea,
allergic skin splenomegaly, joint
manifestations of pain,
urticaria and superinfections
angioedema;
Diphenhydramine Oral: 1tsp TID Antihistamine amelioration of Lower -CNS: Drowsiness, -Administer
(BENADRYL) Anti-motion- allergic reactions respiratory tract sedation, dizziness, with food if
sickness drug of blood; symptoms disturbed upset occurs.
Sedative- dermatographism; including coordination, -Monitor
hypnotic anaphylactic asthma. fatigue, confusion, patient
Antiparkinsonian reactions Hypersensitivity. restlessness, response and
Cough adjunctive to Lactation. excitation, arrange for
suppressant epinephrine, Newborn or nervousness, adjustment of
motion sickness, premature tremor, headache, dosage to
parkinson and in infants. blurred vision, lowest
combination with diplopia. possible
centrally acting effective
anit-cholinergic -CV: Hypotension, dose.
agents. palpitations,
 bradycardia,
tachycardia,
extrasystoles.

-GI: Epigastric
distress, anorexia,
increased apetite
and weight gain,
nausea, vomiting,
diarrhea or
constipation.

-GU: Urinary
frequency, dysuria,
urinary retention,
early menses,
decreased libido,
impotence.

-HEMATOLOGIC:
Hemolytic anemia,
hypoplastic anemia,
thrombocytopenia,
leucopenia,
agranulocytosis,
pancytopenia.

Treatment of -RESPIRATORY:
enterobiasis and Thickening of the
ascariasis bronchial
secretions, chest
tightness, wheezing,
nasal stuffiness, dry
mouth, dry nose,
dry throat, sore
throat.

Pyrantel Panloate Oral: 1 tsp Anthelmintic Contraindicated -CNS: Headache, -Administer

(COMBANTRIN) Single dose at with allergy to dizziness, drug with
bedtime pyrantel drowsiness, fruit juice or
morning/night pamoate. insomnia. milk; ensure
that entire
-DERMATOLOGIC: dose is taken
Rash at once.

-GI: Anorexia,
nausea, vomiting,
abdominal cramps,
diarrhea, gastralgia,
tenesmus.
 IVF CLASSIFICATION BOTTLE# FLOW RATE DRUG NSG RESPONSIBILITY
INCORPORATED
PLR Isotonic 1L 30gtts/min None  Check IV order
 Explain/Teach pt.

D5 0.3 Nacl Hypotonic 1L 21gtts/min None  Keep record of

amt. Infused
 Record: Type,
D5 IMB Hypertonic 500cc 30gtts/min Amoxicillin Amount, Rate,
Gentamicin Site

 Calculate drop
rate and check
frequently

IX. PRIORITIZATION
NSG Problem Cues Justification
1. Deficient Fluid Volume “Nanghihina siya” As verbalized 1. According to Maslow’s
by the mother. Hierarchy of needs, fluids are the
2nd important on physiological
needs.
2. Diarrhea “Nagtatae siya” As verbalized by 2. According to Maslow’s
the mother. Hierarchy of needs, fluids are the
2nd important on physiological
needs.
3. According to Maslow’s
3. Malnutrition “Wala siyang ganang kumain” As Hierarchy of needs, fluids are the
verbalized by the mother. 3rd most important need.
4. According to Henderson 14
fundamental needs, Hygiene is
8th most important needs.
4. Hygiene “Hindi madalas napapaliguan” as
verbalized by the mother.

X. NURSING CARE PLAN

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUTION

S: STG:
“Nanghihina Deficient Active fluid After 8hrs of After 8hrs of
siya” as fluid volume volume loss nsg nsg
verbalized by r/t to Active ↓ intervention intervention
the mother. fluid volume Vomiting the patient the goal was
loss as ↓ will be able to: met as
O: manifested Abdominal evidence by:
-dry skin by diarrhea Irritability
-restlessness and ↓ 1.Assess 1.1Determine 1.1Children 1. Assessed
-sunken vomiting. Intake of Precipitating effects of age have a precipitating
eyeballs contaminat factors relatively factors.
ed of food high
V/S: and water percentage
T: 36.4˚C ↓ of total
PR: 70bpm Diarrhea body
RR: 24cpm ↓ water, are
 Deficient sensitive to
fluid volume loss, and
are less
able to
control
their fluid
intake

2.Evaluate 2.1Assess vital 2.1To 2.Evaluated

degree of fluid signs: note obtain degree of
deficit strength of baseline fluid deficit.
peripheral data and to
pulses have a
compariso
n

2.2Determine 2.2To
customary and assess the
current weight degree of
dehydratio
n

3.Correct/ 3.1Establish 3.1To 3.Corrected/

replace 24hr of fluid prevent replaced
lossess to replacement peaks in lossess to
reverse needs and fluid level reversed
pathophysiolo routes to be pathophysiol
gical used ogical
mechanism mechanicm.

3.2Maintain 3.2To
accurate I/O determine
and weight the exact
daily. Monitor route that
urine specific cause
gravity dehydratio
n

4.Promote 4.1Change 4.1To 4.Promoted

comfort and position prevent comfort and
safety frequently skin safety.
breakdown

4.2Provide 4.2To
frequently oral prevent
care as well as injury from
 eye care dryness

LTG:
After 72hrs of
nursing
intervention
the patient
will be able to:

1.Demonstrat 1.1Stress need 1.1To

e behaviors or for mobility or prevent
lifestyle frequent stasis and
changes to position reduced
prevent changes risk of
development tissue
of fluid injury
deficient

S: STG:
“Nagtatae” Diarrhea r/t Infectious After 8hrs of After 8hrs of
as verbalized infectious processes nsg nsg
by the processes as ↓ intervention intervention
mother. manifested Presence of the patient the goal was
by dry skin parasite will be able to: met as
O: and lips. ↓ evidence by:
-dry skin and Poor
lips hygiene 1. Assess 1.1 Auscultate 1.1 For 1. Assessed
-body ↓ causative the presence, causative
malaise Intake of factors or abdomen location factors or
contaminat etiology. and etiology.
ed food or characteris
water tics of
V/S: ↓ bowel
T: 36.4˚C Diarrhea sounds.
PR: 70bpm
RR:24cpm

1.2 Determine 1.2 It may

recent help
exposure to identify
different/ causative
foreign environme
environmen ntal
t, change in factors.
drinking
water/ food
intake,
similar
illness of
others.

1.3 Assess for 1.3 Where

fecal impaction
impaction. maybe
accompani
 ed
diarrhea.

2. Eliminate 2.1 Restrict 2.1 To 2. Eliminated

causative solid food allow for causation
factors. intake as bowel rest/ factors.
indicated. reduce
intestinal
workload.

2.2 Provide 2.2 To

for changes avoid
in dietary foods/
intake. substances
that
precipitate
diarrhea.

2.3 Promote 2.3 To

use of decrease
relaxation stress/
techniques anxiety.
(progressive
relaxation
exercise)

3. Maintain 3.1Administ 3.1 To 3.Maintained

hydration or er ant decrease hydration or
electrolyte diarrheal gastrointes electrolyte
balance. medications tinal balanced.
as indicated. motility
 and
minimized
fluid losses.

4. Maintain 4.1 Provide 4.1Because 4.Maintained

skin integrity. prompt skin skin integrity.
diaper breakdown
change and can occur
gentle quickly
cleansing. when
diarrhea
occurs.

4.2 Apply 4.2To

lotion/oint prevent
ment skin dryness of
barrier as the skin.
needed.

5. Promote 5.1 5.1To 5. Promoted

return to Recommen restore returned to
normal bowel d products normal normal
functioning. such as bowel bowel
natural flora. function.
fiber, plain
natural
yogurt.

5.2 Give 5.2To treat

medication infectious
as ordered. process,
decrease
motility,
and or
absorb
water.

LTG: LTG:
After 72hrs of After 72hrs
nsg of nsg
intervention intervention
the patient the patient
will be able to was
normalize her normalized
fecal her fecal
elimination elimination.
 by:

1.Demonstrat 1.1 Review 1.1 To

e the causativ prevent
appropriate e recurrence.
behavior to factors
assist with and
resolution of appropr
causative iate
factors. interven
tion.

1.2Review food 1.2 T o

preparation prevent
emphasizing bacterial
adequate growth or
cooking time. contaminat
ion.
S: STG:
“Nagsusuka Nutrition Abdominal After 8hrs of After 8hrs of
siya” as imbalanced discomfort nsg nsg
verbalized by less than ↓ intervention intervention
the mother. body Hyperactive the patient the patient
requirement Bowel will be able to: was able to:
O: r/t sounds
-hyperactive abdominal ↓
bowel sounds discomfort Intestinal 1.Evaluate 1.1Auscultate 1.1Inflamm 1. Evaluated
-Weight loss as irritability degree of bowel sounds, ation or degree of
-pale manifested ↓ deficit. noting absence irritation of deficit.
conjunctiva by Intake of or hyperactive the
and mucus hyperactive contaminat sounds. intestine
membrane bowel ed food and maybe
sounds. water accompani
V/S: ↓ ed by
T: 36.4˚C Diarrhea intestinal
PR: 70bpm ↓ hyperactivi
RR: 24cpm Nutrition ty,
imbalanced diminished
less than water
body absorption
requirement and
diarrhea.

1.2Eliminate 1.2Reduces
smells from the gastric
environment. stimulation
and
vomiting
response.

2. Establish a 2.1Avoid foods 2.1 Might 2.Established

nutritional that might increase a nutritional
plan that cause or abdominal plan that
meets exacerbate cramping. meets
individual abdominal individual
needs. cramping like needs.
 caffeinated
beverages,
chocolate,
orange juice.

LTG:
After 72hrs of After 72hrs
nsg of nsg
intervention intervention
the patient the patient
will be able to: was able to:

1.Demonstrat 1.1Encourage 1.1Stimulat 1. Acheived

e behaviors, the client to e appetite. optimum
lifestyle choose food weight.
changes to and have family
regain or member bring
maintain foods that seem
appropriate appealing,
weight.
1.2Promote 1.2To
adequate or reduce
timely fluid possibility
intake, limit of early
fluids 1hr prior satiety.
to meal.

S: Self-Care Weakness STG: After 8 hrs.

“Hindi siya Deficit r/t ↓ of nsg.
madalas weakness as Impaired After 8 hrs. of Intervention,
napapaliguan evidenced Mobility nsg. the pt. was
.” As by untidy ↓ Intervention, able to:
verbalized by body. Poor the pt. will be
the mother. Hygiene able to
↓ demonstrate
O: Self-Care changes to
-dry skin Deficit meet self-care
-dirty nails needs:
-barefooted
-untidy body 1. Note 1.1 Note the 1.1 To 1. Causative
-improper causative age of the pt. assess factors noted
clothing factors ability of and studied
pt. to meet
V/S: own needs
T: 36.4˚C
PR: 70bpm 1.2 Assess 1.2 To gain
RR: 24cpm barriers to and
2. Assist in participation in enhance 2.Patient
dealing the regimen cooperatio assisted on
deficit n dealing the
deficit
2.1 Provide for 2.1
communication Enhances
among those coordinatio
who are n and
involved in continuity
caring of care
 for/assisting the
client

2.2 Encourage 2.2 To

food and fluid meet
choices nutritional
reflecting needs
individuals likes

3. Promote 3.1 Review 3.1 To 3. Wellness

wellness on safety concern reduce risk promoted
pt. of injury

3.2 Give family 3.2 Allow

information them to
about care. realize the
situation of
the pt. and
make
lifestyle
change as
appropriat
LTG: e

1. Assist in 1.1 Provide 1. Assisted

change in proper health changes on
lifestyle teaching/hygien lifestyle.
e teaching in
the pt.

XI. DISCHARGE PLAN

Patients with Intestinal Parasitism, watchers are instructed to take the following plan for
discharge:

E- Exercise should be promoted in a way by stretching hand and feet every morning and
exercise burping every after meal.
T- Treatment after discharge is expected for patients and watcher with Intestinal Parasitism
to fully participate in continuous treatment.
- Usually supportive, treatment consists of nutritional support and increase fluid
intake.
H- Health teaching for clients with Intestinal parasitism includes: promotion of
personal hygiene should be encouraged such as, daily bathing and always wash hands
w/ warm water and soap handling foods, esp. after using the bathroom.
O- OPD such as regular follow-up check-ups should be greatly encouraged to client’s
watcher with Intestinal Parasitism as ordered by physician to ensure the continuing
management and treatment.
D- Diet should be promoted, such as soft and bland diet that cannot irritate the GI tract.
 Submitted to:

Mr. Felix SP. Aquino, RN

Submitted by:

BSN 103-A/ Group A2

Flores, Ma. Fe

Gabriel, Ivy

Garcia, Kesselyn

Garingo, Jeovina

Gumasing, Mary Janine

Gutierrez, Sunshine

Hernandez, Baby Jane

Lamurena, Jacquelyn

Lopez, Christine Anne

Lualhati, Richard

Mapiscay, Ma. Richel

Mendoza, Rosa Mia

Nicolas, Jean Therese