Varicella (chicken pox) is highly communicable and is a common epidemic disease of childhood (peak incidence in children age 2-6 years). Adult cases do occur. Zoster occurs sporadically, chiefly in adults and without seasonal prevalence. Ten to 20 percent of adults will experience at least one zoster attack during their lifetime. It is much more common in winter and spring than in summer in temperate climates. Varicella spreads readily by airborne droplets and by direct contact. A varicella patient is probably infectious from shortly before the appearance of vesicles to about 5 days later. Contact infection is less common in zoster, perhaps because the virus is absent from the upper respiratory tract in typical cases. Zoster patients can be the source of varicella in susceptible children and can initiate large outbreaks. Uncomplicated varicella is a mild disease. Very few patients require hospitalization; less than 1% of those die, usually from central nervous or lung complications. The mortality rate may approach 30% in leukemic children infected with varicella in the absence of treatment. January 11, 2012, AM shift at San Lazaro Hospital, we took care of a patient who was diagnosed with Varicella Infection G1, P0 31-32 weeks AOG. On the day of our duty, we introduced ourselves and took her vital signs. She is pregnant so we conducted a short health teaching on what to do before and after she delivers her baby. Our patient is a person who you can get along with. We conducted a quick assessment and interviewed her.
A. SIGNIFICANCE OF THE STUDY
The study focuses on a patient diagnosed with Varicella, which is commonly called Chicken Pox. This research paper aims to tackle the appropriate nursing care to a patient with this condition; and to know the ideal nursing interventions that could be done for the said patient’s well-being. This study aims to present in a more understandable way of learning what the definition of this study is, the cause, the signs and symptoms, the diagnostic tests, and the treatments for the people having this kind of disease and to those people who want to learn more of the disease so that may be able to prevent having this kind of disease.
B. OBJECTIVES OF THE STUDY
At the end of the case presentation the students will be able to: 1) Identify the meaning of Varicella.
2) Enumerate the risk factors of the disease.
3) Enumerate pharmacological management for the patient.
4) Discuss the Nursing Assessment.
5) Enumerate the Pathognomonic sign of the disease.
6) Discuss the period of communicability of the disease.
7) Identify the mode of transmission of the disease.
8) Enumerate the nursing interventions to be done to the patient.
A. Demographic Data
We named our patient “Patient X”. She is 19 years of age, residing in L-271 Block 4, Bagong Silang, Sucat, Muntinlupa City. Patient X finished high school and applied to become a sales lady, but when she became pregnant, she just stay at home and do household chores. This is her second hospitalization.
B. Nursing History
1. Gordon’s Functional Model
a. Health Perception-Health Management
The patient does not smoke and drink. Before the patient is not allergic to sea foods, but when she started to crave, she became allergic. Patient X describes health as one who do not get sick, who is energetic, and who is always free from any severe illness. b. Nutritional Metabolic Pattern
Patient X loves to eat salty foods and fatty foods such as meat, fish, chicken, and also some junk foods. She seldom eats vegetable. She eats three times a day. She also drinks 8-10 glasses of water a day. During her hospitalization, she eats all the food that is served and drinks 6-8 glasses of water per shift. c. Elimination Pattern
Patient X defecates once every three days and urinates without...