INDIVIDUAL CONTAMINATION Nursing Care Plan

Mr. Beckenly was farmer who always uses organic materials for fertilizer. However, he receive thousand worth of chemical fertilizer from the government as a donation and at the same time, a promotion of a new said product. Mr. Beckenly used the chemical fertilizer for 3 weeks until he noticed something was not right in his body and he gotten so sick. He immediately went to a hospital to get some help. He said in the interview everything that may cause his sickness and first thing he knew that it is because of using the chemical fertilizer. So the medical staff asked for a sample of that chemical to identify its contents and too confirm Mr. Beckenly's sickness. This is a nursing care plan sample about individual contamination of Mr. Beckenly, 28 years old, farmer.

 

Assessment:

Objectives:

- Irritation to nose and throat
- Burning sensation in throat and chest
- Shortness of breath
- Upper airway irritation
- Dyspnea
- Confusion
- Anxiety
- Pinpoint pupils
- Blurred vision
- Dizziness
- Bradycardia
- Hypotension
- Tremors
- Weakness
- Paralysis
- Hyperthermia
- Conjunctivitis

Diagnosis:

Individual contamination related to exposure to pesticides secondary to irritation of nose and throat.

Planning:

After 2 hours of nursing interventions, the patient's adverse health effects of contamination will be minimized.

Interventions:

- General interventions are to help Mr. Beckenly to cope with contamination incident. Provide him accurate information on risks involved, preventive measures, use of medicines. Assist Mr. Beckenly in dealing with his feelings of fear, vulnerability, and grief. Encourage Mr. Beckenly to talk to others about his fears. Assist him in thinking positively and moving to the future.

- Specific interventions are to employ skin decontamination with dermal exposures. Clinical effects on body systems vary with exposure to specific agents. Monitor Mr. Beckenly carefully and provide supportive care. Employ appropriate isolation precautions: universal, airborne, droplet, and contact isolation to Mr. Beckenly and others.

 

- Primary decontamination of Mr. Beckenly is agent specific. Remove his contaminated clothing. Use copious amounts of water and soap or diluted (0.5%) sodium hypochlorite. For secondary decontamination from his clothing or equipment of those exposed, use proper physical protection.

 

- Remove the outer layer of Mr. Beckenly's clothing. If chemical materials are on his clothes, getting it away from him will reduce the external contamination and decrease the risk of internal contamination. It will also reduce the length of time that he are exposed to these chemicals. If possible, place his clothing in a plastic bag or leave it in an out-of-the-way area, such as the corner of a room. Keep people away from it to reduce their exposure to these chemicals. Keep cuts and abrasions covered when handling contaminated items to avoid getting the chemical materials in them. Wash all of the exposed parts of Mr. Beckenly's body using lots of soap and lukewarm water to remove contamination. This process is called decontamination. Try to avoid spreading contamination to parts of his body that may not be contaminated, such as areas that were clothed.

Evaluation:

After 2 hours of nursing interventions, the patient's adverse health effects of contamination have been minimized.

 

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