Signature assignment- about a patient suffering from chicken pox

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The Title of Your Paper Not the Name of the Assignment

Your First Name, Middle initial. Last Name

WCU

PATH 370: Pathophysiology

Dr. Armida Belvill

Month day, year

The Title of Your Paper Not the Name of the Assignment

Presentation of Patient and Problem

In this paragraph explain who the patient is. Give their age, gender, and anything else. Give an explanation of the specific problem. What were they diagnosed with or what happened to bring them into the Emergency Department, Clinic, or Doctor’s office. Introduce your main argument. State what you as a nurse should focus on or do for this patient. Use in text citation of the Nursing Journal you used to learn what to focus on for this situation. (Author’s last name & Author’s last name, year of publication).

Pathophysiology

Explain the disease in detail. Since this class is pathophysiology this section should have a lot of information. Give signs, symptoms, causes, side effects, issues unique to this disease or condition. (Author, year of publication).

History

Explain other health problems your patient has or has been diagnosed with. Don’t say the patient doesn’t have any. Give them something. Detail any and all previous treatments including prior surgeries and/or medication. Any allergies or no allergies.

Nursing Physical Assessment

List all the patient’s vital signs in sentences with specific numbers or levels. For example: patient’s blood pressure was 140/92, pulse was 80 beats/min, respiration 15 breaths/min. Remember this is a physical assessment which means you will listen to the patient’s lungs, heart, abdomen. You will also palpate the liver, the spleen, the abdomen for any enlargements, tumors, tenderness etc. (Author, year of publication).

Related Treatments

Explain any treatments and/or procedures the patient has received for the disease or condition you chose. (Author, year of publication)

Nursing Diagnosis & Patient Goals

Explain your nursing diagnosis not medical diagnosis. Give the main problem for this patient. May be it is difficulty breathing or feeling lightheaded or having nose bleeds or nausea and vomiting. What do you as a nurse have to address. Explain what your goal as a nurse is for helping this patient recover. What do you want to change for the patient? (Author, year of publication).

Nursing Interventions

Explain how you will accomplish the goals you mentioned in the previous paragraph but don’t forget to cite the nursing journals where you learned this information. Make sure you are paraphrasing the information. Put it in your own words. (Author, year of publication).

Evaluation

Explain how effective the nursing intervention was by explaining what happened after the nursing intervention. Did the patient get better, did they get worse.

Recommendations

Explain what the patient and/or nurse should do in the future to continue the recovery/improvement for the patient. (Author’s name, year of publication)

References

Author, A. A., Author, B. B., & Author, C. C. (Year). Title of article. Title of Periodical,

volume number(issue number), pages. https://doi.org/xx.xxx/yyyy

Lastname, F. M. (Year, Month Date). Title of page. Site name. URL {Web page}

Group name. (Year, Month Date). Title of page. Site name. URL {Web page with no

author}

Editor, E. E. (Ed.). (Year of publication). Title of work: Capital letter also for subtitle.

Publisher. DOI (if available) {Books with editors and not authors}

Author, A. A. (Year of publication). Title of work: Capital letter also for subtitle (E.

Editor, Ed.). Publisher. DOI (if available) {Books with authors and editors}

Author, A. A. (Year of publication). Title of work: Capital letter also for subtitle (# edition). Publisher. DOI (if available) {Edition other than the first}

Author, A. A., & Author, B. B. (Year of publication). Title of chapter. In E. E. Editor & F.

F. Editor (Eds.), Title of work: Capital letter also for subtitle (pp. pages of

chapter). Publisher. DOI (if available) {Article or chapter in an edited book}

Institution or organization name. (Year). Title of entry. In Title of reference

work (edition, page numbers). Publisher name. {Dictionary or Encyclopedias}

All examples are from Purdue Owl APA https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/reference_list_other_print_sources.html

2

Title

Your First Name, Middle initial. Last Name

WCU

PATH 370: Pathophysiology

Dr. Armida Belvill

Month day, year

Comment by Rayamajhi, Satyika: Look for care plans or case studies. If you don’t know how to do this paper. You are writing this paper as a nurse and what you should do in this case.

Comment by Rayamajhi, Satyika: Please check your grammar and use simple sentences for this paper. Use in-text citation in each paragraph your write.

CHICKEN POX (VARICELLA)

Presentation of Patient and Problem

           A 12 years old Caucasian girl was brought to the clinic for evaluation. Her mother noticed a few spots on the child’s face. A few days later, the child’s eye swelled up, and she could not open it. The patient was sent to a medical ward after showing up at the hospital’s emergency room. A skin sample verified varicella.   Comment by Rayamajhi, Satyika: State what you as a nurse should focus on or do for this patient. Use in-text citation of the Nursing Journal you used to learn what to focus on for this situation. (Author’s last name & Author’s last name, year of publication).

Pathophysiology

           Varicella, the more popular name for chickenpox, is a highly contagious acute illness that mostly affects children under puberty. Adults who were not vaccinated against varicella or who were infected with the virus as children have been known to get the disease. Varicella-zoster virus (VZV), a member of the herpesvirus family, is the virus that causes the illness. An infected person may spread the illness to others in close proximity that has never had chickenpox before, making it very infectious and self-limiting. To spread chickenpox, there are two primary methods. Having physical touch with someone afflicted with shingles may spread the illness. VZN, the same DNA virus that causes chickenpox, is the cause of shingles. People who had chickenpox as children are more likely to have shingles as they age. When a person not sick with chickenpox inhales the secretions of an infected individual, they may get the disease. Comment by Rayamajhi, Satyika: Explain in detail the pathogenesis of chicken pox. How does the disease develop? Give signs, symptoms, causes, side effects, and issues unique to this disease or condition. (Author, year of publication).

Infected cells in the lymph nodes produce viral particles within 2-5 days after infection. Spleen and liver cells are used to replicate the virus, which causes symptoms such as fever and fatigue. Itchy blisters appear all over the body during the first two weeks after exposure to the varicella virus. Intercellular and intracellular edema is caused by a viral infection of cells in the Malpighian layer during incubation (Shrim,et al., 2018). Consequently, the host’s immune system is compromised, and the synthesis of antibodies such as immunoglobin G, M, and A is impacted. Degenerative alterations within the epithelial cells cause the top dermis to inflate before severe indications of infection become apparent. The vaccination must be delivered in two doses; the first is given to a kid between the ages of 12 and 15 months, and the second is given to a child between the ages of 4 and 6 years. When an infected person’s nasal secretions are inhaled, it causes chickenpox. When a kid becomes infected with chickenpox because of the extremely infectious nature of the VZV, the virus swiftly spreads to a large number of their peers.

History

           Streptococcus Pyogenes had previously been detected through an eye swab (Group A Streptococcus). The patient has no known allergies. Comment by Rayamajhi, Satyika: Explain other health problems your patient has or has been diagnosed with. Don’t say the patient doesn’t have any. Give them something. Detail any and all previous treatments including prior surgeries and/or medication.

Nursing Physical Assessment

           

HR: 95, BP: 130/78, Resp: 20, Temp: 98.8, Ht: 4’0””, Wt: 75lbs. Both lungs provide a clean, even tone. The patient has Effortless and steady breathing. She has Symmetrical enlargement of the chest on both sides. Aortic, pulmonary, Erb’s point, tricuspid, and mitral S1 and S2 may be heard. There isn’t even a murmur or a gallop. Radial and dorsal pulses are bound bilaterally. The limbs are not swollen. Comment by Rayamajhi, Satyika: This sentence is not clearly understood. You will listen to the patient’s lungs, heart, and abdomen. You will also palpate the liver, the spleen, the abdomen for any enlargements, tumors, tenderness etc. (Author, year of publication).
Please use intext citation.

Related Treatments

           The clinical signs and symptoms of chickenpox allow for an accurate diagnosis. Diagnosis is based on the presence of a rash that develops into clear vesicles and eventually crusts; thus, laboratory testing is not required (). Adults, adolescents, and children who have never had the chickenpox vaccination should get two doses from the Centers for Disease Control and Prevention. The CDC recommends that children get their first dose of the vaccine between the ages of 12 and 15 months, followed by a second dose between the ages of 4 and 6. Chickenpox may be treated with an anti-itching treatment, as well as with lotions, fever-controlling medications, relaxation, and drinks. Aspirin, in particular, should not be used to treat chickenpox or to reduce fever because of the risk of vomiting and liver issues that come along with it (Guilfoile, 2010). For fever management, Acetaminophen is an option. Additionally, a drug may lessen the severity of symptoms in children at high risk for developing a rash within 24 hours of its onset. Comment by Rayamajhi, Satyika: Here don’t list the treatment options. Explain what treatment and procedure this patient has received for this disease in the hospital. In text citation
(Author, year of publication).

Nursing Diagnosis & Patient Goals

The first diagnosis is impaired skin integrity. This is related to skin infection due to chickenpox, evidenced by blisters, rashes and scabs. This patient must regain healthy skin integrity after going through a chickenpox treatment regimen. The other diagnosis is the risk of infection related to contagious skin integrity (Asghar, et al., 2020). The main goal is, therefore, to prevent the spread of infection to the entire body following the chickenpox treatment regimen. Comment by Rayamajhi, Satyika: Also add what do you want to change for the patient? In text citation.

Nursing Interventions

The patient’s skin must initially be evaluated over her whole body in the first stage. Varicella chickenpox severity and any afflicted regions requiring particular attention or wound care are the focus of this evaluation. The first seven days following the onset of the rash, until the blisters have entirely dried up, should be spent with the patient in her room. This is critical because Varicella chickenpox is a highly contagious skin illness that spreads easily. Pregnant women should avoid it since it might damage their unborn child. As the last step, I will provide antiviral medicine and ensure that the patient completes the necessary course of antibiotics ordered by the doctor.  Comment by Rayamajhi, Satyika: Not thorough enough. As a nurse what should you do? Like checking fever, assessing pain and what else according to this disease. Explain how you will accomplish the goals you mentioned in the previous paragraph. In text citation.

Evaluation

           The patient’s varicella chickenpox has improved using antiviral medication, and the rash has dried up. To avoid further infection and spread of the rash, I applied non-stick bandages to the afflicted regions, and this worked perfectly well.  Comment by Rayamajhi, Satyika: This should be in interventions not here. Also explain what have you done and how they get better. Explain thoroughly. In text citation.

Recommendations

           To prevent rubbing or scratching the inflamed regions, educate the patient on instructions on how to do it safely. I also advised the patient to continue antiviral medication for at least seven days, even if symptoms have improved and recovery is visible. All youngsters under the age of 14 should be vaccinated against varicella. The combination measles, mumps, rubella, and varicella vaccination is generally given at 18 months of age in a single dose. Adolescents in Year 7 (aged 12 to 13 years) in secondary school are given a catch-up dosage (Kennedy, & Gershon, 2018). In this instance, catch-up immunization is critical for youngsters. Vaccines containing varicella have modest and well-tolerated side effects. Reactions at the injection site are the most often reported. About five to 26 days after vaccination, a varicella vaccine-associated rash may develop (Kumar, 2020). Comment by Rayamajhi, Satyika: Also, recommend what the nurse should do in the future. Family and patient teaching. Intext citation.

In addition, I recommended that the patient keep his or her fingernails trimmed and practice good hand hygiene on a regular basis. He or she should avoid scratching the afflicted regions. Those with long fingernails are more likely to carry germs. As a result of scratching the affected skin, germs will spread to the nails, as well as to the fingerpads. The illness will spread if the patient contacts other individuals or things with contaminated hands. I showed the mother how to properly apply nonstick bandages to the infected areas in order to prevent the rash from spreading and becoming infected further. Non-stick bandages may also help prevent the spread of the rash and additional infection if applied correctly.

References Comment by Rayamajhi, Satyika: Use scholarly peer-reviewed sources. Minimum 5 sources. Properly cite in APA 7th edition.

Asghar, S. A., Tahir, F., Majid, Z., Qadar, L. T., & Zaidi, S. M. H. (2020). Post viral acute cerebellar ataxia following chickenpox (Varicella) in a toddler.

Kennedy, P. G., & Gershon, A. A. (2018). Clinical features of varicella-zoster virus infection. Viruses, 10(11), 609.

Kumar, R. K. (2020). Congenital Varicella Syndrome and Neonatal Chicken Pox (Varicella).

Shrim, A., Koren, G., Yudin, M. H., & Farine, D. (2018). No. 274-Management of Varicella infection (chickenpox) in pregnancy. Journal of Obstetrics and Gynaecology Canada, 40(8), e652-e657.