NURSING CARE PLANS FOR MUMPS

NGUYỄN THỊ NGỌC THẮM

1831400104
1. Define the definition of bacterial mumps
2. Demonstrate clinical signs and symptoms of
Objectives
mumps.
3. Explain the diagnosis and treatment of
mumps
4. Recognize the importance of vaccination with
MMR to prevent mumps.
5. Identify the prevention of mumps
6. Apply nursing care plan for the mumps
patient
 Definition
Mumps is an illness caused by a virus which is Rubulavirus. It usually
affects the glands on each side of the face. These glands, called Parotid
Glands , make saliva. Swollen glands may be tender or paintful.
By WHO
Mumps is an acute disease of children and young adults, caused by a paramyxovirus of
which there is only a single serotype. Humans are the only known host for mumps virus,
which is spread via direct contact or by airborne droplets from the upper respiratory tract of
infected individuals.
 CAUSES
Mumps is caused by a virus from the
paramyxovirus group (RNA virus), which belongs
to a family of viruses known as paramyxoviruses.
These viruses are a common source of infection,
particularly in children.

When you get mumps, the virus moves from your

respiratory tract (your nose, mouth and throat) into
your parotid glands (saliva-producing glands found
either side of your face), where it begins to
reproduce. This causes the glands to swell.
The virus spreads from
person to person through
direct contact with infected
saliva or through
respiratory droplets from
the infected person’s
nose, mouth or throat
 INFECTIOUS
Pathogen
• Rubulaviru
CHAINS
Portal of
Portal of
entry:
s exist: • Mouth
• Mouth Transmission:
• Nose
• Droplets
• Direct contact with
saliva's infected
Reservoir:
person
• Subclinical/
• Articles soiled
Clinical
with nose and
person
throat discharge
• A carrier/
(indirectly)
infected
Pathophysiology
Germs enter the upper respiratory tract,
proliferate here and can enter the bloodstream,
spreading the infection to many different
locations in the body, causing inflammation in
different parts of the body:
• Testicles
• Ovaries
• Pancreas
• Meninges.
 • Humans are the only host

Epidemiology • The disease occurs everywhere,

forming a small epidemic in large
groups such as kindergartens and
schools
• Diseases transmitted by respiratory
tract: saliva, cough, sneeze
• The disease is contagious 6 days
before parotiditis, lasts 2 weeks, is
most contagious about 2-4 days after
the onset of the disease.
• Diseases for sustained immunity
with or without clinical symptoms
Clinical Signs and Symptoms
Incubation period: 18-21 days, no clinical
symptoms.

Period of onset: Occurs suddenly with:

• Mild fever, not accompanied by chills.
• Discomfort, loss of appetite, headache.
• Sore throat, jaw pain.
• The parotid gland is enlarged, painful.
Full-blown period:
• Infectious syndrome: Fever 38-39C in the
first 3 days. High fever seen in cases of
meningitis or orchitis.
• Parotid gland inflammation: The parotid
gland is swollen and painful on one side and
then spreads to the other side. The skin on
the gland is red, not hot, and feels elastic
when pressed. The uvula is sometimes
swollen.
Recovery period: After a week
• The parotid gland reduced pain and became smaller
• The symptoms of sore throat, difficulty swallowing
decreased and gradually disappeared
Laboratory Testing for Mumps Infection
• The typical case of mumps needs no
laboratory confirmation but it may be
essential in atypical infection and where
meningitis or other systemic involvement is
the sole manifestation
• The diagnosis may be established by virus
isolation and serological tests.
The virus may be isolated from the saliva ,urine
or CSF: from the saliva within4-5 days , urine up
to two weeks and CSF 8-9 days after the onset of
illness.
Photos of Mumps Virus

This illustration provides a 3D

This picture of the mumps virus was taken using an electron graphical representation of a
microscope. spherical-shaped, mumps virus
particle that is studded with
glycoprotein tubercles.
 Complications
• Meningitis: headache, vomiting, fever,
and nuchal rigidity
• Encephalitis: changes in the level of
• Mumps during pregnancy is unknown consciousness, convulsions,
to lead to premature birth, low birth paresis,aphasia, and involuntary
weight, or fetal malformation movements.

• Deafness: unilateral, rarely bilateral,

• Orchitis or epididymo-orchitis: fever 39°
nerve deafness
to 41°C, chills, headache, vomiting, and • Pancreatitis: severe epigastric pain and
testicular pain of the involved testicle
tenderness accompanied by fever,
and erythema of the scrotum, testicular
nausea, and vomiting.
atrophy • Arthritis: migratory
• Oophoritis: fever, nausea, vomiting, and
polyarthritis,monoarticular arthritis and
lower abdominal pain.
arthralgia have also been reported
 Treatment
There is no specific treatment for mumps. Most people recover within 3 to 10 days.
 Steps you can take to aid recovery and lessen
symptoms include:
• Rest.
• Pain relievers that you can get without a prescription such as ibuprofen
(Advil, Motrin IB, others) and acetaminophen (Tylenol, others).
• A cold or warm cloth for swollen salivary glands.
• A cold cloth or ice pack for swollen testicles.
• Drinking plenty of fluids.

It's important to isolate patient during the illness to prevent spreading the infection. Avoid contact with others until at least five
days after the start of swollen salivary glands.
Prevention
Vaccination is the best way to prevent mumps and mumps complications. This vaccine is included in the
combination measles-mumps-rubella (MMR) and measles-mumps-rubella-varicella (MMRV) vaccines.
Two doses of mumps vaccine are 88% (range 32% to 95%) effective at preventing the disease; one dose is
78% (range 49% to 91%) effective.
 Subjective Data:
1. Pain and discomfort in the jaw or neck area.
2. Difficulty with chewing or swallowing.
3. Muscle aches.
4. Headache and general malaise.

Nursing Care Plan

for Mumps
Objective Data:
1. Swelling of the parotid or other salivary glands.
2. Fever.
3. Symptoms of complications, such as testicular swelling
(orchitis) or abdominal pain (pancreatitis).
4. Possible meningitis symptoms, such as neck stiffness and
photophobia, in severe cases.
Nursing Assessment for Mumps
Assessment of Glandular Pain Assessment:
Swelling:
Monitor the extent and Evaluate pain levels and
severity of salivary gland impact on activities like
swelling. eating and speaking.

Fever Monitoring: Assessment for Complications:

Regularly check body Monitor for signs of orchitis,

temperature. oophoritis, pancreatitis, and
meningitis.
Nursing Diagnosis for
Mumps
• Acute Pain related to inflammation of the salivary
glands.
• Risk for Infection Transmission to others.
• Imbalanced Nutrition:
⚬ Less Than Body Requirements related to
difficulty swallowing.
• Knowledge Deficit regarding isolation protocols
and self-care measures.
Pain Management: Administer analgesics as
prescribed and apply warm or cold compresses to the
swollen glands.
Goal: Helps to reduce discomfort and inflammation of
the swollen glands.
Nursing Interventions
Infection Control Measures: Implement isolation
precautions as appropriate and educate the patient and
family about preventing the spread of the virus.

Goal: Reduces the risk of transmitting the virus to

others.
Oral Care: Provide gentle oral care and encourage sips
of water or sucking on ice chips to keep the mouth
moist.
Goal: Maintains oral hygiene and comfort, especially
in the presence of dry mouth.
Nursing Interventions

• Nutritional Support: Encourage soft, easy-to-

chew foods and adequate fluid intake.

Aim: Ensures nutritional needs are met despite

difficulty with chewing and swallowing.

• Monitor for Complications: Assess for signs

of orchitis, oophoritis, meningitis, and
encephalitis.

Aim: Early identification and treatment of

complications can prevent more serious
outcomes.
 • Symptom Management:
Nursing
Assess the effectiveness of interventions in reducing pain and
Evaluation for glandular swelling.
Nutritional Intake:
Mumps Monitor food and fluid intake and ensure that nutritional needs are
met.

• Infection Control Effectiveness:

Evaluate adherence to isolation protocols and preventive measures

to limit spread.

• Patient and Family Understanding:

Assess their understanding of mumps and their ability to manage

symptoms and prevent transmission.
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NURSING.com – Mumps (https://www.nursing.com)

Reference
CDC-Mumps
(https://www.cdc.gov/mumps/index.html)

https://www.who.int/teams/health-product-
policy-and-standards/standards-and-
specifications/vaccine-standardization/mumps
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