F2F Measles

BACHELOR OF SCIENCE IN NURSING:
NCMB312 – COMMUNICABLE DISEASE NURSING

RLE MODULE RLE UNIT WEEK
2 8 9
Measles
 Read course and laboratory unit objectives

 Read study guide prior to class attendance
 Read required learning resources; refer to course unit terminologies for jargons
 Participate in weekly discussion board (Canvas)
 Answer and submit course unit tasks
At the end of this unit, the students are expected to:
General Objective:
This case study aims to broaden the students’ knowledge regarding measles in a pregnant
mother, and it is designed to develop and enhance the skills and attitude in the application of
different nursing processes and management of the patient with measles.
Specific Objectives:
1. To be able to acquire knowledge regarding measles, its background and epidemiology

through research.
2. To trace the pathophysiology of measles.
3. To render the necessary nursing care and responsibilities to a client with measles.
4. To correlate the results of the diagnostic procedures to its normal values.
5. To formulate and present drug studies of medications given to the client as a part of
treatment regimen.
6. To develop an effective nursing care plan in which the client may benefit.
7. To provide health teaching about measles.
Navales, Dionesia M. (2010). Handbook of Common Communicable and Infectious Disease, C

and E Publishing, Inc. QC.
GROUP TASK:
1. The class will be divided into groups depending upon the number of students.
2. Each group will discuss among themselves the case scenario provided.
3. Each group should make their PowerPoint for presentation.
4. Each group should present their case in a synchronous session via zoom class for 30
minutes.
4. Each group should submit their manuscript and PowerPoint through email or Canvas
upload.
5. Students presentation will be graded with the use of a Rubric.
CLINICAL SCENARIO:
NURSING HEALTH HISTORY
Patient’s Profile
Name: Patient X
Age: 18 years old
Date of birth: April 3, 2000
Sex: Female
Place of birth: Antipolo City
Citizenship: Filipino
Status: Single
Height: 5’1 ft.
Weight: 48. 4kg
Religion: Roman Catholic
Date of Admission: August 19, 2020
Time of Admission: 7:00 AM
Allergy: No allergy to food and medication
Accommodation: Ward with Philhealth
Initial Diagnosis:
Measles, Pregnancy Uterine 33 5/7 weeks AOG G1P0 with Intestinal Complications (AGE)
Chief complaint:
Fever and productive cough
History of Present Illness:

The client was admitted to the San Lazaro Hospital last August 4, 2020. 2 weeks prior to
consultation: (+) undocumented fever, intermittent, no other associated symptoms no
consultation done, no medications taken. 1 week PTC: (+) onset of productive cough (yellow
mucus), colds, no fever or rashes, no consult done, no meds taken. Interval history revealed
persistence of cough and colds until 1 day (+) rashes, non-pruritic on abdomen which spread
to the trunk and face. Sought consult and was prescribed vitamins and sent home.
Past Medical/ Personal and Social History:

No previous hospitalizations and surgeries.
Past Medical History:

(-) PTB
(-) Diabetes Mellitus
(-) Asthma
(-) Hypertension
(-) Cancer
(-) allergy
Family History:
(-) Hypertension
(-) Diabetes
(-) Cancer
(-) PTB
(-) Asthma
Admission Order
The patient was admitted on August 19, 2020 at 7:00 am with a chief complaint of fever and
productive cough. Client was admitted to Emergency Room. Consent was secured for
admission. Client was the transferred to Adult Female Ward. Patient received with IVF D5LR
1L regulated at 150cc/hr. Client’s vital signs are (BP - 100/70 RR - 25 T - 38.3 HR - 116 O2
saturation - 95%) There is a presence of fever with macula-papular rash on the patient with
productive cough (whitish to yellowish mucus secretion). The patient also showed sign of body
weakness, poor appetite, abdominal pain and defecates a mushy consistency stool. Physician
ordered for CBC, BT, Measles IgG, IgM, CXR-PA view, Serum Creatinine, Na, K, SGPT,
SGOT, and Stool exam. Paracetamol 1 tab PRN for fever >37.8, Hexetidine 10 ml for oral
gargle was given. Performed tepid sponge bath. Encouraged to increase fluid intake.
Maintained high back rest. Advised the watcher not to leave the client unattended. Kept
monitored the safety of the client by maintaining side rails up. Vital signs monitored q4 and
recorded. Intake and Output monitored. Watched out for (WOF) any signs of respiratory
distress such as dyspnea or increased respiratory rate. The following day, client was seen
awake and lying in bed. Client’s vital sign are (BP- 90/60 RR-23 T- 36.7 HR-97 O2 sat- 97%).
Client still manifested maculopapular rash with body malaise. Cough still productive with
crackles heard on both upper lung area. IVF D5LR 1L regulated at 150cc/hr was started.
Noted and referred Physician’s order for Isoxsuprine 10mg/tab, 2tabs PO TID and
Dexamethasone 6mg/amp TIV q6 x4 doses. . IVF PNSS 1L at 110cc/hr to follow. Advised not
to scratch the skin to prevent skin integrity impairment. Maintained HOB elevation at 30-40
degrees. Provided a quiet and calm environment. Instructed the watcher not to leave the
patient alone. Kept monitored the safety of the client by maintaining side rails up. Instructed
dietary intake as tolerated. Vital signs monitored q4 and recorded. Intake and Output
monitored. WOF vaginal bleeding and refer to the staff nurse immediately. Client was seen
awake and lying in bed. Client’s vital sign are (BP 100/60 RR-22 T-36 HR-85 O2 sat95%).
Client manifested conjunctivitis and still showed presence of rash in the skin. Cough still
productive. Acetylcysteine 600mg 1-tab dissolve in 50cc water ODHS were given. Patient was
ordered for discharge. Noted and instructed the patient regarding the following home
medications ordered by the Physician, Co-amoxiclav 625 mg 1tab TID for 7 days, Hexetidine
gargle 10ml TID, Multivitamins 1tab OD and B-Complex 1tab OD. Encouraged client to
increase oral fluid intake. Advised to follow-up to OPD after 1 week. Vital signs monitored and
recorded.
COURSE TASKS:
1. Complete the Gordon’s Functional Health Pattern of your client based on the history and the
chart by answering the box of during hospitalization. What statements will your patient will tell
you, can also base your answer in your experience during your duty in the hospital.
1. Health Perception and Health Management

Prior to Admission During Hospitalization
She claimed she doesn't get sick often. Every
time she had a fever and cough before her
pregnancy, her mother just gave her
paracetamol and lagundi capsule as
medication. She reported that she does not
have a complete vaccination record. She
claimed she does not smoke and drink alcohol
or use any illegal drugs.
2. Nutritional and Metabolic Pattern

According to the client, she usually ate rice,
vegetables, and meat for breakfast, lunch and
dinner. She claimed she has a good appetite.
3. Elimination Pattern
She claimed that she defecated once a day
with brown and formed stool. She had not
experienced any difficulties in defecation and
she never used any laxatives and stool
softeners. She said she urinated 3 times a day
with yellow urine and has no foul smell. And
She did not experience any difficulties in
voiding
4. Activity-Exercise Pattern
She did not usually exercise except for
household chores.
5. Sleep-Rest Pattern
She went to bed at 9 pm and wakes up 10 am
and takes a nap from 3pm- 4pm.
6. Cognitive-Perceptional Pattern
According to the client, she does not have any
problems in hearing, sight as well as memory.
7. Self-Perception/ Self-Concept Pattern

She rarely go out to socialize with other
people.
8. Role Relationship Pattern

The Client’s permanent address is in Antipolo
Rizal. She stays together with her live in
partner and her family.
9. Sexually Reproductive Pattern

The client is sexually active. She had one
sexual partner.
10. Coping/Stress Tolerance

Client talked to her mother whenever she felt
anxious. According to the client, watching K
drama was her way to alleviate stress.
11. Value / Belief Pattern

Client is a Roman Catholic but her family
rarely goes to church every Sunday.
2. Conceptualize the pathophysiological alterations distinct to the case.

 Establish the pathophysiological triad of Host – Agent – Environment specific to the
case.
 Trace the pathophysiological changes and highlight problems that are
experienced by the client.
 Connect the pertinent nursing care and medical – surgical management to the
various signs and symptoms presented by the client.
Host Agent Environment

 Assessments found in  Etiologic agent  Predisposing factors present
the host contributing to in the host contributing to
the development of the the development of the
disease disease
Disease Process
 Concise and brief flow of the pathophysiologic changes
3. Make a drug study with 6 columns.

3.1. Generic name, brand name if any, classification, dosage, frequency, route of
administration
3.2. Mechanism of action
3.3. Indications and drug rationale (why the drug is being given to patient
3.4. Contraindication
3.5. Common side effects
3.6. Nursing considerations while taking the drug.
4. Make at least two (2) nursing care plan based on your assessment that needs to prioritize.
5. Make at least 2 days course in the ward based on the admission order and some activities
happened in the ward. (reflect on your experiences in the ward)
Date Completed:
Date Submitted:
You can send through gmail account @ganicolas@fatima.edu.ph.
Links:
www.cdc.gov
www.doh.gov.ph
http://caro.doh.gov.ph/infectious-diseases/
www.who.org
Can access to YouTube, Google and other electronic communicable disease nursing books
available

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BACHELOR OF SCIENCE IN NURSING:

NCMB312 – COMMUNICABLE DISEASE NURSING

 Read course and laboratory unit objectives

At the end of this unit, the students are expected to:

1. To be able to acquire knowledge regarding measles, its background and epidemiology

Navales, Dionesia M. (2010). Handbook of Common Communicable and Infectious Disease, C

NURSING HEALTH HISTORY

History of Present Illness:

Past Medical/ Personal and Social History:

Past Medical History:

1. Health Perception and Health Management

2. Nutritional and Metabolic Pattern

7. Self-Perception/ Self-Concept Pattern

8. Role Relationship Pattern

9. Sexually Reproductive Pattern

10. Coping/Stress Tolerance

11. Value / Belief Pattern

2. Conceptualize the pathophysiological alterations distinct to the case.

Host Agent Environment

3. Make a drug study with 6 columns.

You can send through gmail account @ganicolas@fatima.edu.ph.

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