Nursing Assessment for Tonsillitis

Saturday, July 23, 2011

Nursing Assessment for Tonsillitis

Tonsillitis is an inflammation of the tonsils most commonly caused by viral or bacterial infection. Symptoms of tonsillitis include sore throat and fever. While no treatment has been found to shorten the duration of viral tonsillitis, bacterial causes are treatable with antibiotics.


Nursing Assessment for Tonsillitis

  1. Main complaint
    • Sore throat, painful swallowing, fever etc.

  2. History of present illness:
    • Attack, characteristics, incidence, progression, therapeutic effect, etc.

  3. Past medical history :
    • birth history
    • immunization history
    • disease history has ever suffered (recurrent pharyngitis, respiratory infection, otitis media)
    • history of hospitalization

  4. General assessment
    • Age, level of consciousness, antopometri, vital signs, etc.

  5. Breathing
    • Difficulty breathing, coughing
    • Size of tonsils expressed as:
      • T0: if've never had surgery
      • T1: normal size of the existing
      • T2: enlargement of tonsils is not up to the midline
      • T3: enlargement reach the midline
      • T4: zooming past the midline

  6. Nutrition
    • Sore throat, painful swallowing, decreased appetite, refusing to eat and drink, less turgor

  7. Activity / rest
    • Appear weak, lethargic, irritable, malaise

  8. Security / comfort
    • Anxiety of children to hospitalization

Nursing Assessment for Tonsillitis

 
 
 

NANDA - Nursing Diagnosis

Nursing Care Plan

Nursing Care Plan