This document presents a case study of a 6-year-old male patient named Mr. Moovendndhiran who was admitted for a tonsillectomy to treat chronic tonsillitis. The patient presented with a 1-month history of throat pain, 4 months of coughing, and difficulty swallowing for the past 5 days. On examination, the patient's growth and development were appropriate for his age, though he was slightly underweight. Following the tonsillectomy, the patient's self-care deficits included acute pain, fatigue, sleep disturbances, and the parents' anxiety and knowledge deficits regarding their child's condition and surgical risks.

2. CLINICAL PRESENTATION
ON
CHRONIC TONSILLITIS
PRESENTED BY
NANDHINI.C,
M.SC. (N) IST YEAR,
DEPT. OF CHN,
CON.PIMS.

3. PATIENT
PROFILE
 Name Of The Child: Mr. Moovendndhiran
 Age: 6 Yrs
 Gender: Male
 Developmental Age: Pre- schooler
 Informant: Mother
 Diagnosis: Chronic Tonsillitis
 Name Of The Surgery: Tonsillectomy
 Date Of The Surgery: 22.6.21
 Date Of Admission : 21.6.21

4.  Throat pain for 1 month
 Cough for 4 months
 Difficult in swallowing for 5days

5. Socioeconomic
history
Family
history
Birth history immunization

6. MEDICAL AND
SURGICAL
HISTORY

7. GROWTH AND
DEVELOPMENT
OF PRE-
SCHOOLER
 PHYSICAL GROWTH:
 expt wgt:16kg child wgt:13.3
kg
 expt hgt:101cm child hgt:98 cm
 PHYSIOLOGICAL GROWTH
 temp: 98.6F
 pulse:80bt/min
 resp:26br/min
 Bp:100/60mmhg

8.  PSYCHOSOCIAL DEVELOPMENT
INITIATIVE VS GUILT
 PSYCHOSOCIAL DEVELOPMENT
PHALLIC STAGE
 INTELLECTUAL DEVELOPMENT
PRECONCEPTUAL PHASE
 SPIRITUAL DEVELOPMENT
INTUTIVE PROJECTIVE FAITH
 MORAL DEVELOPMENT
PRE- CONVENTIONAL MORALITY
 LANGUAGE DEVELOPMENT
 PLAY
ASSOCIATIVE PLAY

10. ANATOMY

32. Orem’s self care deficit theory

33.  Acute pain (throat) related to surgical incision
as evidenced by verbalization and pain scale
scoring=6/10
 Fatigue related to anemia as evidenced by
investigation report and pale conjunctiva
 Sleep pattern disturbance related to pain as
evidenced by patient verbalization
 Parental anxiety related to disease condition as
evidenced by frequently asking questions
 Parental knowledge deficit related to disease
condition as evidenced by misconception
 Risk for complication related to surgery