Nursing Diagnosis for Encephalitis : Acute Pain related to irritation of the brain lining.
Patients seen decreases pain / pain control.
- Patients can sleep.
- Saying decrease pain.
1. Try to create a safe and quiet environment.
Rationale : Lowering the reaction to external stimuli or sensitivity to light and encourage patients to rest.
2. Cold compress to the head and a cool cloth on the eye.
Rationale : Can cause vasoconstriction of blood vessels of the brain.
3. Perform active or passive motion exercise in accordance with the conditions of tender and careful.
Rationale : Can help to relax tense muscles and may decrease pain / disconfort.
4. Give analgesics.
Rationale : It may be necessary to decrease pain.
Nursing Diagnosis for Encephalitis : Risk for Injury related to the presence of seizures, altered mental status and decreased level of consciousness.
Patients free from injury caused by seizures and loss of consciousness.
1. Monitor spasms in hands, feet, mouth and other facial muscles.
Rationale : Require evaluation in accordance with the appropriate interventions to prevent complications.
2. Prepare a safe environment such as bed boundaries, safety boards, and suction devices have always been close to the patient.
Rationale : Protecting patients when seizures occur.
3. Maintain total bedrest during the acute phase.
Rationale : Reduce the risk of falls / injured if vertigo, sincope, and ataxia occurred.
4. Give appropriate therapy doctors advice.
Rationale : To prevent or reduce seizures.