ASSESSMENT DIAGNOSIS RATIONALE GOAL INTERVENTION RATIONALE EVALUATION

Subjective: Impaired skin Chickenpox, After 3 hours Monitor vital signs Serves as a After 3 hours of
integrity also known as of nursing especially baseline data nursing intervention,
“nagsimula na para related to varicella, is a intervention, temperature patient was able to
lumabas at unti- exposure to highly patient will display timely
unting pumutok at Varicella-zoster contagious and display timely Bath with cool This would healing of lesions
magsugat ang mga virus as self-limited healing of water help ease the without having any
bulutong niya.” As evidenced by infection that lesions without itchiness complication
verbalized by the dry vesicle most having any
patient’s mother lesions on the commonly complication Kept area clean To stimulate Objective:
entire body affects children and dry normal body After 30 min of
Objective: sencondary to between 5-10 Objective: repair nursing intervention,
chicken pox years of age. After 30 min of the patient’s mother
Received patient VZV is nursing understood the
lying on bed, awake communicable intervention, Encourage family Reduces risk of disease process, its
alert, coherent , by both direct the patient’s who touched spreading signs and
afebrile. Presence of skin-to-skin mother will be patient to use infection symptoms,
dry vesicular rashes, contact and via able to antibacterial soaps prevention, control
and lesions noted respiratory understand the before and after
on the trunk, droplets (for disease care After 30 of nursing
abdominal, face, and example, process, its intervention,
extremities. Small coughing, signs and Avoid salty and This may patient’s support
drainage of blood sneezing) from symptoms, acidic foods trigger irritation system
noted on the right the infected prevention, of the skin demonstrated
chest region. individual. If control techniques to
the individual Advise visitors to Prevents prevent spread of
is infected by After 30 of cover mouth and spread of infection
the virus then nursing nose during infection via
signs and intervention, coughing and airborne
symptoms like patient’s sneezing droplet
appearance of support
vesicles and system will Use calamine
rashes appear. demonstrate lotion
techniques to Help relieve
prevent spread itchiness
of infection Wet compresses
can be done Help relieve
itchiness
Dependent:
 Administer
medications as
needed- anti itch
creams and
medications