2 Nursing Interventions for Encephalitis

Nursing Care Plan for Encephalitis 

Encephalitis is irritation and swelling (inflammation) of the brain, most often due to infections.

Some patients may have symptoms of a cold or stomach infection before encephalitis symptoms begin.

When a case of encephalitis is not very severe, the symptoms may be similar to those of other illnesses, including:
  • Fever that is not very high
  • Mild headache
  • Low energy and a poor appetite

Other symptoms include:
  • Clumsiness, unsteady gait
  • Confusion, disorientation
  • Drowsiness
  • Irritability or poor temper control
  • Light sensitivity
  • Stiff neck and back (occasionally)
  • Vomiting

Symptoms in newborns and younger infants may not be as easy to recognize:
  • Body stiffness
  • Irritability and crying more often (these symptoms may get worse when the baby is picked up)
  • Poor feeding
  • Soft spot on the top of the head may bulge out more
  • Vomiting

Emergency symptoms:
  • Loss of consciousness, poor responsiveness, stupor, coma
  • Muscle weakness or paralysis
  • Seizures
  • Severe headache
  • Sudden change in mental functions:
    • "Flat" mood, lack of mood, or mood that is inappropriate for the situation
    • Impaired judgment
    • Inflexibility, extreme self-centeredness, inability to make a decision, or withdrawal from social interaction
    • Less interest in daily activities
    • Memory loss (amnesia), impaired short-term or long-term memory

Nursing Interventios for Encephalitis

High risk of infection associated with lower body resistance to infection

Goal :
no infection

Expected results :
Healing on time with no evidence of spread of infection endogenous

Nursing Intervention :
Defense aseptic technique and proper hand washing techniques either nurses or visitors. Monitor and limit visitors.
R /. reduce the risk of patients exposed to secondary infection. control the spread of the source of infection.
Measure the temperature on a regular basis and clinical signs of infection.
R /. Detecting early signs of infection
Give antibiotics as indicated
R /. Drugs are selected depending on the type of infection and sensitivity of the individual.

High risk of injury associated with seizure activity

Goal :
There was no trauma

Results expected :
Not having a seizure
No trauma

Nursing Intervention :
Give safety to patients by giving bearings, fixed the bed barriers and give a booster attached to the mouth, the airway remains free.
R /. Protect patients in case of seizure, booster mouth somewhat tongue is not bitten.
Note: enter the booster mouth when the mouth just relaxation.
Maintain bed rest in the acute phase.
R /. Lowering the risk of falling / injury during the vertigo.
Collaboration
Give the drug as an indication as delantin, valum, etc..
R /. An indication for treatment and prevention of seizures.
Observation of vital signs
R /. Early detection of seizures for possible further action.