Nursing Scientific Nursing

Objective Rationale Evaluation

Diagnosis Analysis Intervention
Difficulty in Tonsillitis is an After 6-8 >Perform an Indicates need for/ After 6-8 hours of
swallowing infection of the tonsils hours of assessment of pain to effectiveness of nursing
related to and will often, but not nursing include location, interventions and may intervention, the
inflamed tonsils necessarily, cause a intervention, characteristics , signal development/ patient will be
as evidenced by sore throat and fever. the patient will onset/ duration, resolution of able to:
pain swallowing, Symptoms of tonsillitis be able to: frequency, quality, complications a. passed food /
lack of chewing, include a severe sore a. pass food / severity, grimacing fluid from mouth
food or fluid throat (which may be fluid from ( 0 – 10 scale) to stomach safely.
refusal/ volume experienced as referred mouth to
limiting and long pain to the ears), stomach Encouraged a rest To minimize fatigue b. maintained
meals with little painful/difficult safely. period before meals adequate
consumption swallowing, coughing, hydration as
headache, fever and b. maintain Managed size of bites To encourage smaller evidenced by
S chills. Tonsillitis is adequate and cut all solid foods bites and easier to good skin turgor
characterized by signs hydration as into small pieces. swallow. and moist mucous
O - pain of red, swollen tonsils evidenced by membranes
swallowing which may have a good skin Ensured temperature This will stimulate
purulent exudative turgor and (hot or cold versus sensory receptors
lack of chewing coating of white moist mucous tepid) of foods/fluid
patches (i.e. pus). membranes
food refusal/ There may be enlarged
volume limiting and tender neck Incorporated client’s To avoid fatigue and
cervical lymph nodes. eating style and pace frustration with process.
long meals with when feeding
little
consumption Monitored intake, To evaluate adequacy of
output and body fluid and caloric intake.
weight

Provided analgesics To enhance comfort,

prior to feeding, as being cautious to avoid
indicated. decreasing awareness /
sensory perception

Intaked of pain NSAID activity includes

reliever and modulation of T-cell
antibacterial function, inhibition of
medications as per inflammatory cell
doctor’s order and chemotaxis, decreased
advise. release of superoxide
radicals, or increased