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.
For more samples of nursing care plan you are free to check it out in our NCP LIST page.
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