6 Kawasaki Disease Nursing Care Plans

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Kawasaki Disease (mucocutaneous lymph node syndrome) is an acute systemic vasculitis of unknown origin that occurs usually in children less than 5 years of age. The disease is self-limiting, however, about 20% of those untreated will likely develop a cardiac complication such as coronary arteritis and aneurysm formation.

The disease is divided into 3 phases: the acute phase is described by progressive small blood vessels inflammation (vasculitis) accompanied by high fever, inflammation of the pharynx, dry, reddened eyes, swollen hands and feet, rash, and cervical lymphadenopathy. In the subacute phase, the manifestations disappear, but there is inflammation of larger vessels and the child is at highest risk of developing coronary aneurysms. In the convalescent phase (6-8 weeks after onset), signs and symptoms slowly go away, but laboratory values are not completely normal.

There are no specific tests to confirm Kawasaki disease, but normally the diagnosis is established on the basis of the child exhibiting at least 5 of 6 criterion manifestations. Treatment started within 10 days of symptoms often prevents the development of complications.

Nursing Care Plans

Nursing goals for a child with Kawasaki disease may include increased understanding of the parents and child about the disease condition, medical treatment and planned follow-up care, relief of pain, improved physical mobility, adequate coping, and absence of complications.

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Here are six nursing care plans (NCP) and nursing diagnosis for Kawasaki Disease:

  1. Hyperthermia
  2. Acute Pain
  3. Impaired Skin Integrity
  4. Impaired Physical Mobility
  5. Impaired Oral Mucous Membrane
  6. Anxiety
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Impaired Physical Mobility

Nursing Diagnosis

May be related to

  • Joint pain

Possibly evidenced by

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  • Difficulty in walking
  • Limited ROM

Desired Outcomes

  • Child will perform activity independently or within the limit of disease.
Nursing InterventionsRationale
Assess the child’s energy level and ability to perform ADL.Restricted movement brought about by the joint pain affects the ability to perform ADLs effectively.
Provide joint support using pillows.Pillows can be used to stabilize a joint and to minimize the risk of pressure ulcers.
Provide client with sufficient time to accomplish mobility-related activities and encourage to rest in between.Maximize the child’s commitment and participation in the activity; Promotes conservation of energy and decrease fatigue.
Assist with passive ROM exercises as tolerated.Maintains and improves joint function, muscle strength, and overall stamina.
Provide instruction in the use of appropriate assistive devices as indicated.Use of adjunct devices assist the client during ambulation and enhances safety while walking.
Encourage intake of foods such as salmon, tuna, whole grains, carrots.These food items help strengthen mobility and maximize energy production.
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Recommended Resources

Recommended nursing diagnosis and nursing care plan books and resources.

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See also

Other recommended site resources for this nursing care plan:

Other nursing care plans for pediatric conditions and diseases:

Paul Martin is a registered nurse with a bachelor of science in nursing since 2007. Having worked as a medical-surgical nurse for five years, he handled different kinds of patients and learned how to provide individualized care to them. Now, his experiences working in the hospital is carried over to his writings to help aspiring students achieve their goals. He is currently working as a nursing instructor and have a particular interest in nursing management, emergency care, critical care, infection control, and public health. As a writer at Nurseslabs, his goal is to impart his clinical knowledge and skills to students and nurses helping them become the best version of themselves and ultimately make an impact in uplifting the nursing profession.
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