Lesson plan

Subject : Community Health Nursing-I

Chicken Pox and Mumps

Unit

Topic Level of student Date Time Place Method of teaching Instructional aids

: Chicken Pox and Mumps : Post Basic Bsc Nursing IInd year : : : Lecture hall : Lecture and discussion : OHP and charts

Previous Knowledge of Students : Students have basic knowledge about communicable disease. Students have attended classes about communicable disease.

General objectives: At the end of the class the students will gain the knowledge about chicken pox and mumps its care. Specific objectives: At the end of the class students should be able to,

Name of the causative agents for chicken pox and mumps List down the clinical features Describe the nursing consideration List down the interventions for the nursing diagnosis

TIME 2 min

OBJECTIVES Introduce the topic

CONTENTS

AV AIDS 'lack board ( chalk

Introduction:
Chicken pox and mumps are the communicable disease common in childhood. The nurse has an important role in care of child with these communicable disease to avoid the spreading of disease and its complications. he should tell about the spreading of disease and its complications. he should tell about the period of communicabilit! and follow up care to the parents and famil! members especiall! the parents of school going children.

TEACHER/ EVALUATION LEARNER ACTIVITIES Lecture ( discussion

1 min

Name the causative organism of chicken pox

Agent:
"aricella #oster virus $"%N&

'lack board ( chalk

Lecture ( discussion

)hich is the causative organism of chicken pox *

2 min

+escribe the mode of transmission

Mode of tr n!"i!!ion:
+irect contact +roplet spread $air borne spread& Contaminated ob-ects

'lack board ( chalk

Lecture ( discussion

List down the mode of transmission*

1 min

,xplain the incubation period

Incu# tion $eriod:

2./ weeks usuall! 1/.10 da!s

'lack board ( chalk

Lecture ( discussion

,xplain the incubation period* ,xplain the period of communicabilit!*

1 min

,xplain the 'lack %eriod of co""unic #i&it': period of board ( 1robabl! 1 da! before exception of lesions to 2 da!s after chalk communicabilit! first crop of vesicles when crusts have formed ,xplain about the clinical manifestations

Lecture ( discussion

2 min

C&inic & " nife!t tion!:

%rodro" & !t ge: light fever3 malaise and anorexia for first 24 hours3 rash highl! provide begins as macule3 rapidl! progresses to papule and then vesicle and then crests Ot(er !ign! nd !'"$to"!:

'lack board ( chalk

Lecture ( discussion

,numerate the clinical manifestations*

,levated temperature from l!mphodenopath! 3 irritabilit! from pruitis. St ge! of &e!ion: 1apale 3 vesicle3 crust 'lack board ( chalk 'lack board ( chalk Lecture ( discussion Lecture ( discussion ,xplain the stage of lesions* ,xplain the therapeutic management*

1 min / min

,xplain the stages of lesions ,xplain about therapeutic management

T(er $eutic " n ge"ent:

S$ecific: 5ntiviral agent ac!clovir3 varicella immune globulin after exposure in high risk children. 6ral ac!dovir should be administered for 7 da!s either the first 24 hours of rash onset at a dose of 28mg9kg four times a da!. Children between 1/.1:!ear of age the dose in :88mg four times a da! for 7 da!s. It decreases the number of varicella lesions3 speeds healing of lesions. Su$$orti)e: +iphenh!dramine h!drochloride or antihistamines to relieve itching3 skin care to prevent secondar! bacterial infection. %re)ention: "aricella #oster immunoglobulin $"%I;&

2 min

,xplain about the prevention

'lack

Lecture (

,xplain the prevention*

Immunoglobulin $"%I;& given within 02 hours of exposure has been recommended for prevention. 5 dose 1.27 to 7ml is given intramuscularl!. Co"$&ic tion: econdar! bacterial infections like abcesses3 cellulites3 2 min ,xplain about complications pneumonia3 sepsis and encephalitis3 varicella pneumonia haemorrhagic varicella. Nur!ing con!ider tion!: <aintain strict isolation in hospital / min ,xplain about the nursing consideration Isolate child in home until vesicles have dried 5dminister skin care3 give bath and change clothes and linens dail!3 appl! topical of calamine lotion keep children=s finger nails short and clean. >eep child coat it ma! decrease the number of lesion ?emove loose crusts that ma! be cause rub and irritate the skin Teach child to appl! pressure to provide area rather than scratching it If older child reason with child regarding danger of scan

board ( chalk

discussion

'lack board ( chalk

Lecture ( discussion

,xplain the complications*

'lack board ( chalk

Lecture ( discussion

,xplain the nursing considerations*

formation from scratching.

Mu"$!:
1 min Name the causative organism of mumps Agent!: 1aram!xo virus Mode of tr n!"i!!ion: +irect contact with or droplet spreads from a infected person 1 min ,xplain the mode of transmission ,xplain the incubation period Incu# tion $eriod: 14.21 da!s %eriod of co""unic #i&it': Immediatel! before and after swelling begins 1 min ,xplain the period of communicabilit! C&inic & " nife!t tion!: %rodro" & !t ge: 2 min ,xplain about @ever3 head ache3 malaise and anoeraxia for 24hours 'lack Lecture ( 'lack board ( chalk Lecture ( discussion 'lack board ( chalk 'lack board ( chalk Lecture ( discussion Lecture ( discussion 'lack board ( chalk Lecture ( discussion

Name the causative organism of mumps *

,xplain the mode of transmission* ,xplain the incubation period* ,xplain the period of communicabilit!* ,xplain about clinical manifestations*

1 min

clinical manifestations

followed b! earache that is aggravated b! chewing 1arotitisA '! third da! enlarges accompanied b! pain and tenderness ubmaxillar! and sublingual infectionA orchitis3 meningoencephalitis

board ( chalk

discussion

T(er $eutic " n ge"ent:

5nalgesic for pain 5ntip!retics of fever 2 min ,xplain about the therapeutic management I" fluids if necessar! incase of child who refuses to drink or vomits. 'lack board ( chalk Lecture ( discussion List down the therapeutic management*

Co"$&ic tion!:
2 min ensorideafness 1ostinfectious encephalitis <!ocarditis 5rthritis Bepatitis ,pidid!ma.orchitis

terilit! $ extremel! rare in adult males&

Nur!ing con!ider tion!:

Isolation during period of communicabilit! / min ,xplain about the nursing consideration <aintain bed rest during prodromal phase ;ive analgesics for pain ,ncourage fluids and soft bland foods3 avoid foods reCuiring chewing 5ppl! hot or cold compresses to neck To relieve orchitis3 provides warmth and local support. 'lack board ( chalk Lecture ( discussion List down the nursing considerations*

Nur!ing c re $& n:
Nur!ing di gno!i!: 7 min Nursing care plan of child with chicken pox and mumps 1&1ain related to skin lesions3 malaise Inter)ention!: Dse cool moist vapor#en3 gargles and lo#enges to keep mucous membranes moist >eep skin clean charge bed clothes and linens at least 'lack board ( chalk Lecture ( discussion ,xplain the nursing care plan*

dail! 5dminister oral h!giene >eep child because overheating increase itching ;ive cool bath and appl! calamine lotion 2&5ltered famil! process related to child with an acute illness Inter)ention!: Inform parents of treatment ?einforce famil!=s effort to carr! out plan of care 1rovide assistance when necessar! /&Impaired social interaction related to isolation from peers Inter)ention!: ,xplain reason for confinement and use of an! special precautions to increase child=s understanding of restrictions 5llow child to pla! with gloves3 mask and gown to facilitate positive coping ,ncourage parents to remain with child during

hospitali#ation to decrease separation and provide companionship ,ncourage contact with friends via telephone 1repare child=s peers for altered ph!sical appearance such as with chicken pox 1 to encourage peer acceptance. 4&Bigh risk for impaired skin integrit! related to scratching from pruitis Inter)ention!: >eep nails short and clean to minimi#e trauma and secondar! infection 5ppl! mitlens or elbow restransts to prevents scratching +ress in light weights3 loose and non.irritating clothing Cover affected areas 'ath in cool water with no soap or appl! cool compresses 5void exposure to heat or sun3 which can increase rash in chicken pox. 7&Bigh risk for infection related to susceptible host and infectious

agents Inter)ention!: 'e lightl! suspicious of infectious disease Identif! high risk children 1articipate in public education and service programmes regarding proph!lactic immuni#ations <ake referral to public health nurse.

Conc&u!ion:
1 min Conclude the topic These are can conclude that the care of child with communicable disease include the isolation during communicable period and the care of child with visible skin lesion while returning to school.

Chalk board summary Topic : Chicken pox and mumps

Chicken pox and mumps Agents or causative organism Mode of transmission Incubation period Clinical manifestation Therapeutic management Complications Nursing consideration Nursing care plan

Bibliography

1. Donna L Wong, Whaley and Wongs ,NURISNG CARE OF INFANTS AND CHILDREN, Fifth edition ,.1995,Moshy st.Louis Missore , page no: 668-681.

2. Park K, ,PREVENTIVE AND SOCIAL MEDICINE, 18th edition, mis Banarsidas bhanot publishers,

page no: 122-124, Pg : 129-130.