Furunculosis

Assessment

Diagnosis

Planning (Goals/Expected Outcomes)

Implementation

Rationale

Evaluation

Swelling

Impaired Skin Integrity related to pus buildup as evidenced by tender lumps in the ear canal

Promote skin healing and alleviate discomfort.

– Administer prescribed antibiotics or antifungal medication based on the cause.                                                                                                    – Encourage warm compresses to promote drainage.                                                                                                    – Provide analgesic medication as prescribed.                                                                                                    – Educate the patient on proper ear care and hygiene.

– Medication targets the underlying infection (bacterial or fungal).                                                                                                    – Warm compresses aid in promoting drainage and relieving pain.                                                                                                    – Analgesic medication helps alleviate pain and discomfort.                                                                                                    – Patient education prevents further complications and promotes self-care.

Skin integrity was improved and the patient verbalised comfort.

Hearing loss if occluding the meatus.

Impaired Hearing related to occlusion of the meatus as evidenced by the patient verbalising reduced hearing ability.

Restore and maintain optimal hearing.

– Administer prescribed medications to reduce inflammation.                                                                                                    – Encourage the patient to keep the ear dry and avoid inserting foreign objects.                                                                                                    – Monitor hearing status and provide support as needed.

– Medication reduces inflammation, aiding in hearing restoration.                                                                                                    – Keeping the ear dry prevents further complications.                                                                                                    – Regular monitoring ensures early intervention if hearing status worsens.

Patient verbalised having had his hearing restored.

Inflammation of neighboring lymph nodes.

Impaired Lymphatic Drainage related to inflammation of neighboring lymph nodes as evidenced by swollen lymph nodes in the neck area.

Reduce inflammation and promote lymphatic drainage.

– Administer prescribed anti-inflammatory medication.                                                                                                    – Encourage gentle massage and warm compresses to the affected lymph nodes.                                                                                                    – Educate the patient on the importance of proper ear care to prevent recurrence.

– Anti-inflammatory medication reduces inflammation and promotes drainage.                                                                                                    – Massage and warm compresses enhance lymphatic circulation.                                                                                                    – Patient education supports preventive measures.

Inflammation was reduced and lymphatic drainage restored.

Difficulty in chewing.

Impaired Nutrition: Less Than Body Requirements related to difficulty in chewing as evidenced by patient verbalising pain on chewing.

Improve nutritional intake.

– Collaborate with the dietitian to plan a soft and nutritious diet.                                                                                                    – Provide small, frequent meals that are easy to chew.                                                                                                    – Monitor and record food intake.

– Soft and nutritious diet ensures adequate nutrition despite difficulty in chewing.                                                                                                    – Small, frequent meals are easier to manage.                                                                                                    – Monitoring food intake ensures nutritional needs are met.

Patient verbalised being able to eat soft meals.

Pain and tenderness on pulling the ear, throbbing in nature.

Disturbed Sleep Pattern related to pain and discomfort as evidenced by patient’s inability to get optimal sleep

Improve sleep pattern.

– Administer analgesic medication as prescribed.                                                                                                    – Encourage the patient to find a comfortable sleeping position.                                                                                                    – Provide a quiet and calm environment for sleep.

– Analgesic medication helps relieve pain and discomfort.                                                                                                    – A comfortable sleeping position and a calm environment promote restful sleep.

Sleep pattern was improved.

Presence of furuncles with pus discharge.

Risk for Infection related to compromised skin integrity

Prevent secondary infections.

– Administer prescribed antibiotics or antifungal medication.

– Teach the patient about proper wound care and hygiene.                                                                                                    – Monitor for signs of infection (increased redness, swelling, or warmth).

– Antibiotics or antifungal medication target the infection.                                                                                                    – Patient education on wound care reduces the risk of secondary infections.                                                                                                    – Regular monitoring detects early signs of infection.

…..

Pain and tenderness on pulling the ear, throbbing in nature.

Acute Pain related to bacterial infection as evidenced by the patient pulling the ear, and having a 7/10 on a pain scale.

Alleviate pain to 1/10 on the pain scale within 1 hour

– Administer analgesic medication as prescribed.

– Encourage warm compresses to the affected area.

– Provide distractions and diversions to reduce focus on pain.

– Evaluate pain intensity using a pain scale.

– Analgesic medication helps alleviate pain.

– Warm compresses promote comfort and reduce pain.

– Distractions and diversions redirect the patient’s attention from pain.

– Regular pain assessments guide the effectiveness of interventions.

Pain was elevated with a scale reading of 1/10 within 1 hour