Saint Louis University Bachelor of Science in Nursing School of Nursing

Dengue Fever

Submitted by: Gumpic, Czarinah Rose C. Submitted to: Sir Phildon Jonar Austria

Description of the learner: The learner is a 27 year old male who came in with a chief complaint fever. Through PA and diagnostics, it was found that the client was positive for dengue fever through the Dengue NS1 test. The client verbalized willingness to learn more about and be reinforced about dengue fever, its management and how it can be prevented. Learning needs: Client verbalized the need for help in the Dos and Donts of Dengue fever. SO verbalized the need for reinforcement of knowledge regarding dengue fever. SO exhibited malpractices and accepts need for knowledge regarding care of client. With these cues, clients learning needs will include Dengue fever description its cause, management and prevention. Time allotment: Time allotment for the overall health teaching regarding Dengue Fever will be for 15 minutes.

Behavioral Learning Objectives

Learning Content Method of Teaching

Teaching Strategy Time Materials

Evaluation assessment

Upon completion of the instructional session. The client will: 1. Define Dengue Fever and identify what causes it 2. Identify atleast 3 signs and symptoms of Dengue Fever 3. Enumerate atleast 3 ways to manage symptoms of Dengue Fever 4. Show 3 basic ways of preventing and controlling Dengue through enumeration and demonstration Definition of Dengue Fever and how it is acquired

Discussion

2 minutes

Pamphlet

Client or SO will be able to define Dengue in own words and what causes it Client or SO will be able to answer questions regarding the symptoms of Dengue Client or SO will be able to demonstrate properly ways to manage symptoms of dengue Client or So will be able to enumerate and demonstrate ways on how to prevent and control occurrence of Dengue

Signs and symptoms of Dengue fever

Discussion and Demonstration

4 minutes

Pamphlet with pictures

Management of Dengue symptoms

Demonstration and Discussion

4 minutes

Pamphlet

Prevention and Control of Dengue

Discussion and presentation of pictures

5 minutes

Pamphlet with pictures

References: Sales, D. (2012). Dengue Fever. Retrieved from http://www.scribd.com/doc/35551195/Dengue-Fever-Health-Teaching last June 4, 2012 Natinal Environment Agency. (2002). Dengue prevention Checklist. Rerievedfrom http://app.nea.gov.sg/cms/htdocs/article.asp?pid=675 National Vector Borne Disease Control Programme. dos and donts for managing dengue fever/dengue haemorrhagic fever cases. Retrieved from http://nvbdcp.gov.in/Doc/guidelines%20for%2 0treatment%20of%20Dengue.pdf

DENGUE VIRUS A viral infection carried by mosquitoes, manifested initially with fever that is caused by the Flavi virus. Aedes aegypti or the common household female mosquito are the transmitters of the disease, these are day-biting mosquitoes that lay eggs in clear and stagnant water found in flower vases, cans, rain barrels, old rubber tires, etc. The adult mosquitoes rest in dark places of the house. These mosquitoes are day time feeders where their peak biting time is usually early in the morning and in the evening before sunset. SIGNS AND SYMPTOMS
First 4 days: invasive stage: -Sudden onset of high fever (37.8 and above) -Abdominal pain -Joint & muscle pain -Headache -Vomiting -Pain behind the eyes -Nose bleeding -Loss of appetite and Weakness 4th 7th days: toxic stage -Lowering of temperature -Skin rashes -red tiny spots on the skin called petechiae Severe abdominal pain -Vomiting -Vomiting of blood and black colored stools -Unstable Blood Pressure 7th 10th day: recovery stage -Generalized flushing (blushing ) -With intervening areas of blanching (whitening of skin) -Appetite regained and blood pressure already stable

MANAGEMENT There is no specific medication or procedure that can cure the disease. The treatment addresses the symptoms of Dengue in order to prevent further complications of the disease.
Complete bed rest especially during fever Avoid aspirin/NSAIDS and dark colored food Avoid citrus fruits, coffee, tea Drink plenty of fluids as tolerated You may use paracetamol for fever ORS can be given if dehydrated (6 teaspoons of sugar and 1/2 teaspoon of salt in 1 liter of drinking water) Watch out for signs of bleeding, difficulty of breathing, sleepiness, cold skin, and excessive thirst

PREVENTION AND CONTROL Cover water drums and water pails at all times to prevent mosquitoes from breeding. Replace water in flower vases every other day and wash roots of plants and flowers. Clean all water containers once a week.. Scrub the sides well to remove eggs of mosquitoes sticking to the sides. Clean gutters of leaves and debris so that rain water will not collect as breeding places of mosquitoes. Old tires used as roof support should be punctured or cut to avoid accumulation of water. Collect and dispose all unusable tin cans, jars, bottles and other items that can collect and hold water. Insect repellents, screen the window and bed mosquito net Wear long-sleeved shirts and pants. Also wear socks and shoes, and apply insect repellents on your skin and your clothing whenever going out in infected area.
References: Natinal Environment Agency. (2002). Dengue prevention Checklist. Rerievedfrom http://app.nea.gov.sg/cms/htdocs/article.asp?pid=675