Nursing Assessment for Scabies

Scabies

Scabies is an itchy skin condition caused by the microscopic mite Sarcoptes scabei. It is common all over the world, and it affects people of all races and social classes. Scabies spreads quickly in crowded conditions where there is frequent skin-to-skin contact between people. Hospitals, child-care centers and nursing homes are examples. Scabies can easily infect sex partners and other household members. Sharing clothes, towels, and bedding can also spread scabies. You cannot get scabies from a pet. Pets get a different mite infection called mange.

Symptoms are

• Pimple-like irritations or a rash
• Intense itching, especially at night
• Sores caused by scratching
• Several lotions are available to treat scabies. The infected person's clothes, bedding and towels should be washed in hot water and dried in a hot dryer.

Centers for Disease Control and Prevention

Nursing Assessment for Scabies

I. Medical history

• The main complaint
  In patients with scabies, skin lesions are the back and feel the itch mainly at night.


• Health history now
  Patients began to feel the itch that heats up and then be due to edema due to scratching an itch that was great.


• Past medical history
  Patients never hospitalized because of an allergic.


• Family health history
  In families of patients are suffering from illnesses such as a natural client is ringworm, scabies.

II. Patterns of Health Functions

• Health Perception and Health Management
  If sick, the client used to buy medicines at the nearest drugstore, or if there is no change to the health center or check the patient nearest hospital.


• Activity and Exercise Patterns
  Exercise activity during the illness:
  Activity: 0 1 2 3 4
  Eat
  Bath
  Dress
  Elimination
  Mobilization in bed


• Rest Sleep Pattern
  In patients with sleep pattern disturbance scabies occur due to intense itching at night.


• Nutritional Metabolic Pattern
  No disturbances in metabolic nutrition.


• Elimination Pattern
  Clients 1x daily bowel movement, with a soft consistency, color yellow, characteristic odor and urination 4-5x a day, with a distinctive odor, clear yellow color.


• Cognitive-Perceptual Pattern
  At assessment, clients are sober, clear speech, hearing and normal vision.


• Role-Relationship Pattern


• Self-Perception-Self-Concept Pattern


• Value-Belief Pattern


• Sexuality and Reproduction
  On the client scabies impaired in sexual reproduction.


• Coping-Stress Tolerance Pattern
  • The main problem that occurred during the client's illness, the client always feels itchy, and the patient became lazy to work.
  • Loss or changes : Changes that occur the client lazy to perform daily activities.
  • Fearful of violence: no
  • Outlook optimistic about the future clients to recover.

Labels: Nursing Assessment for Scabies