Assessment
Diagnosis
Planning
Implementation
Evaluation

Subjective data:

“I’m cold, I want something warm in my body,” as stated by thepatient.

Objective data:
-          Temperature (390C)
-          Sweating
-          Decreased appetite
-          Flushed skin
-          Lethargy
-          Malaise


Alter in body temperature related to the presence of bacteria in the blood as manifested by above normal temperature (390C) and increase in white blood cell.

-          After an hour of nursing intervention, the patient’s body temperature will be decreased from 390C to 37.60C.

-          There will be decreased sweating of the client



-          After a day of nursing interventions, there will be an increase in the client’s appetite


-          Assess body temperature ever 20 min
-          Provide a quiet environment for the patient to rest well
-          Perform tepid sponge bath to decrease the patient’s body temperature
-          Increase fluid intake to prevent dehydration
-          Remove excess clothing or blankets that make the patient feel hotter or uncomfortable

-          After an hour of nursing intervention, the client’s body temperature decreased from 390C to 37.60C.

-          The patient underwent decreased of sweating after half an hour of nursing intervention

-          There was an increase in the client’s appetite after a day of nursing interventions

-          The goals were met, therefore, the plan should not anymore be revised

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