how to write a nursing care plan for malaria

Malaria Nursing Diagnosis and Nursing Care Plan

Last updated on February 16th, 2023 at 12:07 pm

Malaria Nursing Care Plans Diagnosis and Interventions

Malaria is a life-threatening disease that usually thrives in tropical countries like Africa and Philippines. Globally, there were 241 million cases of malaria recorded in 2020, about 627,000 of which were reported deaths from malaria.

Signs and Symptoms of Malaria

Malaria symptoms often appear between 10 and 15 days following the infected insect bite. High fever, chills, and sweating may be accompanied by:

Types of Malaria

Cause of malaria.

Malaria is caused by a plasmodium parasite which is transmitted to humans by an infected female mosquito bite. The cycle starts when an uninfected mosquito feeds on an infected human.

Risk Factors to Malaria

The risk of being infected by malaria increases when there is low utilization of Insecticide Treated bed Nets, and Indoor Residual Spray in places with high infection rate.

Complications of Malaria

Diagnosis of malaria.

Diagnosis for malaria should usually include the following:

Treatment for Malaria

Prevention of malaria, nursing diagnosis for malaria, nursing care plan for malaria 1.

Nursing Diagnosis: Hyperthermia related to increased metabolic rate secondary malaria as evidenced by body temperature above the normal range, localized redness, raised heart rate and respiratory rate, appetite loss, weakness, and seizures.

Nursing Care Plan for Malaria 2

Nursing Diagnosis: Risk for infection related to inadequate primary defenses and contact with contagious agents

Nursing Care Plan for Malaria 3

Nursing Diagnosis: Impaired Tissue Perfusion related to decrease in the cellular elements required for the body to receive oxygen and nutrition secondary to malaria as evidenced by chest pain, dyspnea, weak peripheral pulses, and decreased urine output.

Nursing Care Plan for Malaria 4

Nursing Diagnosis: Fluid Volume Deficit related to dehydration and excessive sweating secondary to malaria as evidenced by changes in mental state, tachycardia, weak pulse, feelings of weakness and thirst, concentrated urine, sunken eyes and dry mucous membranes, lower skin turgor, hypotension, or orthostatic hypotension

Nursing Care Plan for Malaria 5

Nursing Diagnosis: Knowledge Deficit related to lack of knowledge about the cause, course, and prognosis of the disease secondary to malaria as evidenced by verbalization of questions or comments of misunderstanding, incorrectly following directions, information requests, and the emergence of issues that should have been avoided.

Nursing References

Gulanick, M., & Myers, J. L. (2022).  Nursing care plans: Diagnoses, interventions, & outcomes . St. Louis, MO: Elsevier. Buy on Amazon

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Please follow your facilities guidelines, policies, and procedures.

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Nursing Care of Malaria

Nursing care plan for malaria patients..

Malaria is a relatively common condition caused by parasitic infection by the Plasmodium protozoans, generally acquired from the bite of a mosquito. The disease is widespread throughout the tropical and subtropical regions, including much of Latin America and Asia, however, the vast majority of reported cases – approximately 90% – occur in Sub-Saharan Africa.

The disease remains very prevalent in these regions with 216 million cases of malaria reported globally in 2016 1 , resulting in an estimated 731,000 deaths 2 .

The Malaria parasites belong to the Plasmodium (phylum Apicomplexa) genus. Infection in humans is generally caused by infection by P. malariae, P. ovale, P. knowles, P. vivax and P. falciparum 3 4 . The vast majority of infections are reported to be caused by P. falciparum, accounting for approximately 75% of cases 5 .

Signs and Symptoms

Transmission, pathophysiology.

Immune Response

The parasite is relatively invisible to the body’s immune system and able to evade detection as it resides within the cells of the liver and red-blood cells. The parasite actively prevents host red-blood cells from destruction in the spleen by displaying adhesion proteins to stick to the blood vessel walls.

Genetic Resistance

The prevalence of the disease in low socio-economic combined with high levels of mortality and morbidity has resulted in genetic pressure on the human genome favouring those with genetic factors such as sickle cell traits, a glucose-6-phosphate dehydrogenase deficiency and the absence of Duffy antigens on red blood cells. Medical Management Malaria is commonly treated with a combination of anti-fever and targeted anti-malarial medications. Infection with lesser strains, such as P. vivax, P. ovale and P. malariae frequently do not require hospitalisation 14 . The standard treatment for simple or uncomplicated malaria is the use of artemisinins in combination with other anti-malarial medications, known as antemisinin-combination therapy, or ACT 15 . Common drugs used in the treatment of Malaria include;

• Amodiaquine
• lumefantrine
• sulfadoxine/pyrimethamine
• dihydroartemisinin
• piperaquine

Physical Assessment

Assess the patient’s level of consciousness and monitor vital signs and urine output. Assess for evidence of shock and evidence of an enlarged spleen or liver, as well as anaemia, which could indicate active or previous malaria infection.

Look for signs of bleeding and prepare for blood transfusion if patient shows excessive bleeding. Monitor blood glucose and evaluate the patients nervous system for level of consciousness hourly.

Nursing Diagnosis & Care Plan

Impaired circulation related to anemia.

Nursing Assessments – Assess the patient’s airway and breath sounds for signs of respiratory distress, or shortness of breath. – Monitor vital signs – Assess skin colour, turgor, peripheral pulse and capillary refill.

Nursoing Interventions – Administer oxygen is SpO2 below 92%. – Ventilate the room and ensure air can circulate. – Place the patient in a semi-fowlers position. – Discourage the patient from undertaking any high exertion activities.

Hyperthermia related to increased metabolism, dehydration.

Nursing Assessments • Monitor vital signs, particularly body temperature.

Nursing Interventions • Administer antipyretic medications as ordered. • Ensure patient is appropriately dressed for the environment. Remove blankets or clothing is necessary. • Maintain fluid balance to combat dehydration.

Fluid volume deficit

Nursing Assessments • Monitor fluid balance (fluid balance chart) • Assess for dehydration

Nursing Interventions • Anticipate fluid loss through sweat associated with fever. • Administer parenteral fluids as appropriate.

Nutrition/Metabolic Deficit

Nursing Assessments • Assess GO tract for regular bowel sounds. • Measure patients weight.

Nursing interventions • Provide food as tolerated • Provide oral hygiene • Encourage bed rest or reduced activity • Administer PRN anti-emetic medications

Patient/Carer Knowledge Deficit

Nursing Assessments • Assess the patient’s knowledge of the disease, its processes and risks

Nursing Interventions • Discuss the importance of adhering to the treatment plan. • Review and explain medication with patient or and/or carer • Review disease process with patient •Supply patient with reading material or documentation if appropriate

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Nursing Care Plans (NCP) Ultimate Guide and List

Writing the  best   nursing care plan  requires a step-by-step approach to complete the parts needed for a care plan correctly. This tutorial will walk you through developing a care plan. This guide has the ultimate database and list of nursing care plans (NCP) and nursing diagnosis samples  for our student nurses and professional nurses to use—all for free! Care plan components, examples, objectives, and purposes are included with a detailed guide on writing an excellent nursing care plan or a template for your unit. 

Table of Contents

Standardized care plans, individualized care plans, purposes of a nursing care plan, three-column format, four-column format, student care plans, step 1: data collection or assessment, step 2: data analysis and organization, step 3: formulating your nursing diagnoses, step 4: setting priorities, short-term and long-term goals, components of goals and desired outcomes, types of nursing interventions, step 7: providing rationale, step 8: evaluation, step 9: putting it on paper, basic nursing and general care plans, surgery and perioperative care plans, cardiac care plans, endocrine and metabolic care plans, gastrointestinal, hematologic and lymphatic, infectious diseases, integumentary, maternal and newborn care plans, mental health and psychiatric, musculoskeletal, neurological, pediatric nursing care plans, reproductive, respiratory, recommended resources, references and sources, what is a nursing care plan.

A  nursing care plan (NCP)  is a formal process that correctly identifies existing needs and recognizes a client’s potential needs or risks. Care plans provide a way of communication among nurses, their patients, and other healthcare providers to achieve healthcare outcomes. Without the nursing care planning process, the quality and consistency of patient care would be lost.

Nursing care planning begins when the client is admitted to the agency and is continuously updated throughout in response to the client’s changes in condition and evaluation of goal achievement. Planning and delivering individualized or patient-centered care is the basis for excellence in nursing practice .

Types of Nursing Care Plans

Care plans can be informal or formal: An informal nursing care plan is a strategy of action that exists in the nurse ‘s mind. A  formal nursing care plan is a written or computerized guide that organizes the client’s care information.

Formal care plans are further subdivided into standardized care plans and individualized care plans:  Standardized care plans specify the nursing care for groups of clients with everyday needs.  Individualized care plans are tailored to meet a specific client’s unique needs or needs that are not addressed by the standardized care plan.

Standardized care plans are pre-developed guides by the nursing staff and health care agencies to ensure that patients with a particular condition receive consistent care. These care plans are used to ensure that minimally acceptable criteria are met and to promote the efficient use of the nurse’s time by removing the need to develop common activities that are done repeatedly for many of the clients on a nursing unit.

Standardized care plans are not tailored to a patient’s specific needs and goals and can provide a starting point for developing an individualized care plan .

Care plans listed in this guide are standard care plans which can serve as a framework or direction to develop an individualized care plan.

An individualized care plan care plan involves tailoring a standardized care plan to meet the specific needs and goals of the individual client and use approaches shown to be effective for a particular client. This approach allows more personalized and holistic care better suited to the client’s unique needs, strengths, and goals.

Additionally, individualized care plans can improve patient satisfaction . When patients feel that their care is tailored to their specific needs, they are more likely to feel heard and valued, leading to increased satisfaction with their care. This is particularly important in today’s healthcare environment , where patient satisfaction is increasingly used as a quality measure.

Tips on how to individualize a nursing care plan:

• Perform a comprehensive assessment of the patient’s health, history, health status, and desired goals.
• Involve the patient in the care planning process by asking them about their health goals and preferences. By involving the client, nurses can ensure that the care plan is aligned with the patient’s goals and preferences which can improve patient engagement and compliance with the care plan.
• Perform an ongoing assessment and evaluation as the patient’s health and goals can change. Adjust the care plan accordingly.

The following are the goals and objectives of writing a nursing care plan:

• Promote evidence-based nursing care and render pleasant and familiar conditions in hospitals or health centers.
• Support holistic care , which involves the whole person, including physical, psychological, social, and spiritual, with the management and prevention of the disease.
• Establish programs such as care pathways and care bundles. Care pathways involve a team effort to reach a consensus regarding standards of care and expected outcomes. In contrast, care bundles are related to best practices concerning care for a specific disease.
• Identify and distinguish goals and expected outcomes.
• Review communication and documentation of the care plan.
• Measure nursing care.

The following are the purposes and importance of writing a nursing care plan:

• Defines nurse’s role. Care plans help identify nurses’ unique and independent role in attending to clients’ overall health and well-being without relying entirely on a physician’s orders or interventions.
• Provides direction for individualized care of the client.  It serves as a roadmap for the care that will be provided to the patient and allows the nurse to think critically in developing interventions directly tailored to the individual.
• Continuity of care. Nurses from different shifts or departments can use the data to render the same quality and type of interventions to care for clients, therefore allowing clients to receive the most benefit from treatment.
• Coordinate care. Ensures that all members of the healthcare team are aware of the patient’s care needs and the actions that need to be taken to meet those needs preventing gaps in care.
• Documentation . It should accurately outline which observations to make, what nursing actions to carry out, and what instructions the client or family members require. If nursing care is not documented correctly in the care plan, there is no evidence the care was provided.
• Serves as a guide for assigning a specific staff to a specific client.  There are instances when a client’s care needs to be assigned to staff with particular and precise skills.
• Monitor progress. To help track the patient’s progress and make necessary adjustments to the care plan as the patient’s health status and goals change.
• Serves as a guide for reimbursement.  The insurance companies use the medical record to determine what they will pay concerning the hospital care received by the client.
• Defines client’s goals. It benefits nurses and clients by involving them in their treatment and care.

A nursing care plan (NCP) usually includes nursing diagnoses , client problems, expected outcomes, nursing interventions , and rationales . These components are elaborated on below:

• Client health assessment , medical results, and diagnostic reports are the first steps to developing a care plan. In particular, client assessment relates to the following areas and abilities: physical, emotional, sexual, psychosocial, cultural, spiritual/transpersonal, cognitive, functional, age-related, economic, and environmental. Information in this area can be subjective and objective.
• Nursing diagnosis . A nursing diagnosis is a statement that describes the patient’s health issue or concern. It is based on the information gathered about the patient’s health status during the assessment.
• Expected client outcomes. These are specific goals that will be achieved through nursing interventions . These may be long and short-term.
• Nursing interventions . These are specific actions that will be taken to address the nursing diagnosis and achieve expected outcomes . They should be based on best practices and evidence-based guidelines.
• Rationales. These are evidence-based explanations for the nursing interventions specified.
• Evaluation . These includes plans for monitoring and evaluating a patient’s progress and making necessary adjustments to the care plan as the patient’s health status and goals change.

Care Plan Formats

Nursing care plan formats are usually categorized or organized into four columns: (1) nursing diagnoses, (2) desired outcomes and goals, (3) nursing interventions, and (4) evaluation. Some agencies use a three-column plan where goals and evaluation are in the same column. Other agencies have a five-column plan that includes a column for assessment cues.

The three-column plan has a column for nursing diagnosis, outcomes and evaluation, and interventions.

This format includes columns for nursing diagnosis, goals and outcomes, interventions, and evaluation.

Below is a document containing sample templates for the different nursing care plan formats. Please feel free to edit, modify, and share the template.

Download: Printable Nursing Care Plan Templates and Formats

Student care plans are more lengthy and detailed than care plans used by working nurses because they serve as a learning activity for the student nurse.

Care plans by student nurses are usually required to be handwritten and have an additional column for “Rationale” or “Scientific Explanation” after the nursing interventions column. Rationales are scientific principles that explain the reasons for selecting a particular nursing intervention.

Writing a Nursing Care Plan

How do you write a nursing care plan (NCP)? Just follow the steps below to develop a care plan for your client.

The first step in writing a nursing care plan is to create a client database using assessment techniques and data collection methods ( physical assessment , health history , interview, medical records review, and diagnostic studies). A client database includes all the health information gathered . In this step, the nurse can identify the related or risk factors and defining characteristics that can be used to formulate a nursing diagnosis. Some agencies or nursing schools have specific assessment formats you can use.

Critical thinking is key in patient assessment, integrating knowledge across sciences and professional guidelines to inform evaluations. This process, crucial for complex clinical decision-making , aims to identify patients’ healthcare needs effectively, leveraging a supportive environment and reliable information

Now that you have information about the client’s health, analyze, cluster, and organize the data to formulate your nursing diagnosis, priorities, and desired outcomes.

Nursing diagnoses are a uniform way of identifying, focusing on and dealing with specific client needs and responses to actual and high-risk problems. Actual or potential health problems that can be prevented or resolved by independent nursing intervention are termed nursing diagnoses.

We’ve detailed the steps on how to formulate your nursing diagnoses in this guide:  Nursing Diagnosis (NDx): Complete Guide and List .

Setting priorities involves establishing a preferential sequence for addressing nursing diagnoses and interventions. In this step, the nurse and the client begin planning which of the identified problems requires attention first. Diagnoses can be ranked and grouped as having a high, medium, or low priority. Life-threatening problems should be given high priority.

A nursing diagnosis encompasses Maslow’s Hierarchy of Needs and helps to prioritize and plan care based on patient-centered outcomes. In 1943, Abraham Maslow developed a hierarchy based on basic fundamental needs innate to all individuals. Basic physiological needs/goals must be met before higher needs/goals can be achieved, such as self-esteem and self-actualization. Physiological and safety needs are the basis for implementing nursing care and interventions. Thus, they are at the base of Maslow’s pyramid, laying the foundation for physical and emotional health.

Maslow’s Hierarchy of Needs

• Basic Physiological Needs: Nutrition (water and food), elimination (Toileting), airway (suction)-breathing (oxygen)-circulation (pulse, cardiac monitor, blood pressure ) (ABCs), sleep , sex, shelter, and exercise.
• Safety and Security: Injury prevention ( side rails , call lights, hand hygiene , isolation , suicide precautions, fall precautions, car seats, helmets, seat belts), fostering a climate of trust and safety ( therapeutic relationship ), patient education (modifiable risk factors for stroke , heart disease).
• Love and Belonging: Foster supportive relationships, methods to avoid social isolation ( bullying ), employ active listening techniques, therapeutic communication , and sexual intimacy.
• Self-Esteem: Acceptance in the community, workforce, personal achievement, sense of control or empowerment, accepting one’s physical appearance or body habitus.
• Self-Actualization: Empowering environment, spiritual growth, ability to recognize the point of view of others, reaching one’s maximum potential.

The client’s health values and beliefs, priorities, resources available, and urgency are factors the nurse must consider when assigning priorities. Involve the client in the process to enhance cooperation.

Step 5: Establishing Client Goals and Desired Outcomes

After assigning priorities for your nursing diagnosis, the nurse and the client set goals for each determined priority. Goals or desired outcomes describe what the nurse hopes to achieve by implementing the nursing interventions derived from the client’s nursing diagnoses. Goals provide direction for planning interventions, serve as criteria for evaluating client progress, enable the client and nurse to determine which problems have been resolved, and help motivate the client and nurse by providing a sense of achievement.

One overall goal is determined for each nursing diagnosis. The terms “ goal outcomes “ and “expected outcome s” are often used interchangeably.

According to Hamilton and Price (2013), goals should be SMART . SMART stands for specific, measurable, attainable, realistic, and time-oriented goals.

• Specific. It should be clear, significant, and sensible for a goal to be effective.
• Measurable or Meaningful. Making sure a goal is measurable makes it easier to monitor progress and know when it reaches the desired result.
• Attainable or Action-Oriented. Goals should be flexible but remain possible.
• Realistic or Results-Oriented. This is important to look forward to effective and successful outcomes by keeping in mind the available resources at hand.
• Timely or Time-Oriented. Every goal needs a designated time parameter, a deadline to focus on, and something to work toward.

Hogston (2011) suggests using the REEPIG standards to ensure that care is of the highest standards. By this means, nursing care plans should be:

• Realistic. Given available resources. 
• Explicitly stated. Be clear about precisely what must be done, so there is no room for misinterpretation of instructions.
• Evidence-based. That there is research that supports what is being proposed. 
• Prioritized. The most urgent problems are being dealt with first. 
• Involve. Involve both the patient and other members of the multidisciplinary team who are going to be involved in implementing the care.
• Goal-centered. That the care planned will meet and achieve the goal set.

Goals and expected outcomes must be measurable and client-centered.  Goals are constructed by focusing on problem prevention, resolution, and rehabilitation. Goals can be short-term or long-term . Most goals are short-term in an acute care setting since much of the nurse’s time is spent on the client’s immediate needs. Long-term goals are often used for clients who have chronic health problems or live at home, in nursing homes, or in extended-care facilities.

• Short-term goal . A statement distinguishing a shift in behavior that can be completed immediately, usually within a few hours or days.
• Long-term goal . Indicates an objective to be completed over a longer period, usually weeks or months.
• Discharge planning . Involves naming long-term goals, therefore promoting continued restorative care and problem resolution through home health, physical therapy, or various other referral sources.

Goals or desired outcome statements usually have four components: a subject, a verb, conditions or modifiers, and a criterion of desired performance.

• Subject. The subject is the client, any part of the client, or some attribute of the client (i.e., pulse, temperature, urinary output). That subject is often omitted in writing goals because it is assumed that the subject is the client unless indicated otherwise (family, significant other ).
• Verb. The verb specifies an action the client is to perform, for example, what the client is to do, learn, or experience.
• Conditions or modifiers. These are the “what, when, where, or how” that are added to the verb to explain the circumstances under which the behavior is to be performed.
• Criterion of desired performance. The criterion indicates the standard by which a performance is evaluated or the level at which the client will perform the specified behavior. These are optional.

When writing goals and desired outcomes, the nurse should follow these tips:

• Write goals and outcomes in terms of client responses and not as activities of the nurse. Begin each goal with “Client will […]” help focus the goal on client behavior and responses.
• Avoid writing goals on what the nurse hopes to accomplish, and focus on what the client will do.
• Use observable, measurable terms for outcomes. Avoid using vague words that require interpretation or judgment of the observer.
• Desired outcomes should be realistic for the client’s resources, capabilities, limitations, and on the designated time span of care.
• Ensure that goals are compatible with the therapies of other professionals.
• Ensure that each goal is derived from only one nursing diagnosis. Keeping it this way facilitates evaluation of care by ensuring that planned nursing interventions are clearly related to the diagnosis set.
• Lastly, make sure that the client considers the goals important and values them to ensure cooperation.

Step 6: Selecting Nursing Interventions

Nursing interventions are activities or actions that a nurse performs to achieve client goals. Interventions chosen should focus on eliminating or reducing the etiology of the priority nursing problem or diagnosis. As for risk nursing problems, interventions should focus on reducing the client’s risk factors. In this step, nursing interventions are identified and written during the planning step of the nursing process ; however, they are actually performed during the implementation step.

Nursing interventions can be independent, dependent, or collaborative:

• Independent nursing interventions are activities that nurses are licensed to initiate based on their sound judgement and skills. Includes: ongoing assessment, emotional support, providing comfort , teaching, physical care, and making referrals to other health care professionals.
• Dependent nursing interventions are activities carried out under the physician’s orders or supervision. Includes orders to direct the nurse to provide medications, intravenous therapy , diagnostic tests, treatments, diet, and activity or rest. Assessment and providing explanation while administering medical orders are also part of the dependent nursing interventions.
• Collaborative interventions are actions that the nurse carries out in collaboration with other health team members, such as physicians, social workers, dietitians, and therapists. These actions are developed in consultation with other health care professionals to gain their professional viewpoint.

Nursing interventions should be:

• Safe and appropriate for the client’s age, health, and condition.
• Achievable with the resources and time available.
• Inline with the client’s values, culture, and beliefs.
• Inline with other therapies.
• Based on nursing knowledge and experience or knowledge from relevant sciences.

When writing nursing interventions, follow these tips:

• Write the date and sign the plan. The date the plan is written is essential for evaluation, review, and future planning. The nurse’s signature demonstrates accountability.
• Nursing interventions should be specific and clearly stated, beginning with an action verb indicating what the nurse is expected to do. Action verb starts the intervention and must be precise. Qualifiers of how, when, where, time, frequency, and amount provide the content of the planned activity. For example: “ Educate parents on how to take temperature and notify of any changes,” or “ Assess urine for color, amount, odor, and turbidity.”
• Use only abbreviations accepted by the institution.

Rationales, also known as scientific explanations, explain why the nursing intervention was chosen for the NCP.

Rationales do not appear in regular care plans. They are included to assist nursing students in associating the pathophysiological and psychological principles with the selected nursing intervention.

Evaluation is a planned, ongoing, purposeful activity in which the client’s progress towards achieving goals or desired outcomes is assessed, and the effectiveness of the nursing care plan (NCP). Evaluation is an essential aspect of the nursing process because the conclusions drawn from this step determine whether the nursing intervention should be terminated, continued, or changed.

The client’s care plan is documented according to hospital policy and becomes part of the client’s permanent medical record, which may be reviewed by the oncoming nurse. Different nursing programs have different care plan formats. Most are designed so that the student systematically proceeds through the interrelated steps of the nursing process , and many use a five-column format.

Nursing Care Plan List

This section lists the sample nursing care plans (NCP) and nursing diagnoses for various diseases and health conditions. They are segmented into categories:

Miscellaneous nursing care plans examples that don’t fit other categories:

Care plans that involve surgical intervention .

Nursing care plans about the different diseases of the cardiovascular system :

Nursing care plans (NCP) related to the endocrine system and metabolism:

Care plans (NCP) covering the disorders of the gastrointestinal and digestive system :

Care plans related to the hematologic and lymphatic system:

NCPs for communicable and infectious diseases:

All about disorders and conditions affecting the integumentary system:

Nursing care plans about the care of the pregnant mother and her infant. See care plans for maternity and obstetric nursing:

Care plans for mental health and psychiatric nursing:

Care plans related to the musculoskeletal system:

Nursing care plans (NCP) for related to nervous system disorders:

Care plans relating to eye disorders:

Nursing care plans (NCP) for pediatric conditions and diseases:

Care plans related to the reproductive and sexual function disorders:

Care plans for respiratory system disorders:

Care plans related to the kidney and urinary system disorders:

Recommended nursing diagnosis and nursing care plan books and resources.

Disclosure: Included below are affiliate links from Amazon at no additional cost from you. We may earn a small commission from your purchase. For more information, check out our privacy policy .

Ackley and Ladwig’s Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care We love this book because of its evidence-based approach to nursing interventions. This care plan handbook uses an easy, three-step system to guide you through client assessment, nursing diagnosis, and care planning. Includes step-by-step instructions showing how to implement care and evaluate outcomes, and help you build skills in diagnostic reasoning and critical thinking.

Nursing Care Plans – Nursing Diagnosis & Intervention (10th Edition) Includes over two hundred care plans that reflect the most recent evidence-based guidelines. New to this edition are ICNP diagnoses, care plans on LGBTQ health issues, and on electrolytes and acid-base balance.

Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions, and Rationales Quick-reference tool includes all you need to identify the correct diagnoses for efficient patient care planning. The sixteenth edition includes the most recent nursing diagnoses and interventions and an alphabetized listing of nursing diagnoses covering more than 400 disorders.

Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care  Identify interventions to plan, individualize, and document care for more than 800 diseases and disorders. Only in the Nursing Diagnosis Manual will you find for each diagnosis subjectively and objectively – sample clinical applications, prioritized action/interventions with rationales – a documentation section, and much more!

All-in-One Nursing Care Planning Resource – E-Book: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health   Includes over 100 care plans for medical-surgical, maternity/OB, pediatrics, and psychiatric and mental health. Interprofessional “patient problems” focus familiarizes you with how to speak to patients.

Recommended reading materials and sources for this NCP guide: 

• Björvell, C., Thorell-Ekstrand, I., & Wredling, R. (2000). Development of an audit instrument for nursing care plans in the patient record.   BMJ Quality & Safety ,  9 (1), 6-13. [ Link ]
• DeLaune, S. C., & Ladner, P. K. (2011).  Fundamentals of nursing: Standards and practice . Cengage learning .
• Freitas, F. A., & Leonard, L. J. (2011). Maslow’s hierarchy of needs and student academic success .  Teaching and learning in Nursing ,  6 (1), 9-13.
• Hamilton, P., & Price, T. (2007). The nursing process, holistic.  Foundations of Nursing Practice E-Book: Fundamentals of Holistic Care , 349.
• Lee, T. T. (2004). Evaluation of computerized nursing care plan: instrument development .  Journal of Professional Nursing ,  20 (4), 230-238.
• Lee, T. T. (2006). Nurses’ perceptions of their documentation experiences in a computerized nursing care planning system .  Journal of Clinical Nursing ,  15 (11), 1376-1382.
• Rn , B. O. C., Rn, H. M., Rn, D. T., & Rn, F. E. (2000). Documenting and communicating patient care : Are nursing care plans redundant?.  International Journal of Nursing Practice ,  6 (5), 276-280.
• Stonehouse, D. (2017). Understanding the nursing process .  British Journal of Healthcare Assistants ,  11 (8), 388-391.
• Yildirim, B., & Ozkahraman, S. (2011). Critical thinking in nursing process and education .  International journal of humanities and social science ,  1 (13), 257-262.

69 thoughts on “Nursing Care Plans (NCP) Ultimate Guide and List”

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What is a nursing care plan a mother in second stage of labour?

Please see: 36 Labor Stages, Induced and Augmented Labor Nursing Care Plans

What is the nursing care plan for pulmonary oedema?

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Hi Matt! I would like to purchase a textbook of your nursing care plan. Where I can purchase pls help!

Hi Criselda,

Sorry, we don’t have a textbook. All of our resources are here on the website and free to use.

Good day, I would like to know how can I use your website to help students with care plans.

Sincerely, Oscar A. Acosta DNP, RN

Oh I love your works. Your explanations

I’m glad I’ve met your website. It helps me a lot. Thank you

I love this, so helpful.

These care plans are great for using as a template. I don’t have to reinvent the wheel, and the information you provided will ensure that I include the important data without leaving things out. Thanks a million!

Hi, I have learnt a lot, this is a wonderful note you’ve prepared for all nurses thank you.

Matt, this page is very informative and I especially appreciate seeing care plans for patients with neurological disorders. I notice, though, that traumatic brain injury is not on your list. Might you add a care plan page for this?

Thanks alot I had gained much since these are detailed notes 🙏🙏

OMG, this is amazing!

Wow very helpful.thank you very much🙏🙏

Hi, is there a downloadable version of this, pdf or other files maybe this is awesome!

Hi Paul, on your browser go to File > Print > Save as PDF. Hope that helps and thanks for visiting Nurseslabs!

Matt, I’m a nursing instructor looking for tools to teach this. I am interested in where we can find “rules” for establishing “related to” sections…for example –not able to utilize medical diagnosis as a “related to” etc. Also, resources for nursing rationale.

Hello, please check out our guide on how to write nursing diagnoses here: https://nurseslabs.com/nursing-diagnosis/

Nursing care plan is very amazing

Thanks for your time. Nursing Care Plan looks great and helpful!

complete knowledge i get from here

great resource. puts it all together. Thank for making it free for all

Hello Ujunwa, Thanks a lot for the positive vibes! 🌟 It’s super important to us that everyone has access to quality resources. Just wondering, is there any specific topic or area you’d love to see more about? We’re always looking to improve and add value!

Great work.

Hi Abbas, Thank you so much! Really glad to hear you found the nursing care plans guide useful. If there’s a specific area or topic you’re keen on exploring more, or if you have any suggestions for improvement, feel free to share. Always aiming to make our resources as helpful as possible!

It has been good time me to use these nursing guides.

What is ncp for acute pain

For everything you need to know about managing acute pain, including a detailed nursing care plan (NCP), definitely check out our acute pain nursing care plan guide . It’s packed with insights on assessment, interventions, and patient education to effectively manage and alleviate acute pain.

Good morning. I love this website

what is working knowledge on nursing standard, and Basic Life Support documentation?

Thank you for the website, it is awesome. I just have one question about the 1st set of ABG (Practice Exam) – The following are the values: pH 7.3, PaCO2 68 mm Hg, HCO3 28 mmol/L, and PaO2 60 mm Hg…Definitely Respiratory Acidosis, but the HC03 is only 28 mmol/L..I thought HC03 of 28 mmol/L would be within the normal range and thus, no compensation, but the correct answer has partial compensation because of the HC03 value. What value ranges are you using for HC03. Thanks, EK Mickley, RN BSN

welcome to you can get the best way to days after the holiest month

Intra operative care ncp

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Care Quality Commission. GP mythbuster 107: Pre-travel health services. 2022. https://www.cqc.org.uk/guidance-providers/gps/gp-mythbusters/gp-mythbuster-107-pretravel-health-services (accessed 17 March 2023)

Good Practice Guidance for Providing a Travel Health Service, Faculty of Travel Medicine of the Royal College of Physicians and Surgeons of Glasgow. 2020. https://rcpsg.ac.uk/travel-medicine/good-practice-guidance-for-providing-a-travel-health-service (accessed 17 March 2023)

Lalloo DG, Shingadia D, Bell DJ UK malaria treatment guidelines 2016. J Infect. 2016; 72:(6)635-649 https://doi.org/10.1016/j.jinf.2016.02.001

NaTHNaC. Country List (undated). https://travelhealthpro.org.uk/countries (accessed 17 March 2023)

NaTHNaC. Malaria Factsheet. 2021. https://travelhealthpro.org.uk/factsheet/52/malaria (accessed 17 March 2023)

NaTHNaC. Insect and tick bite avoidance. 2023. https://travelhealthpro.org.uk/factsheet/38/insect-and-tick-bite-avoidance (accessed 17 March 2023)

Nursing and Midwifery Council. The Code. 2018. http://www.nmc.org.uk/code (accessed 17 March 2023)

Public Health England. Malaria: information for people travelling overseas. 2010. https://www.gov.uk/government/publications/malaria-information-for-people-travelling-overseas (accessed 17 March 2023)

Public Health England. Malaria imported into the United Kingdom. 2019. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/989677/Malaria_imported_into_the_United_Kingdom_in_2019.pdf (accessed 17 March 2023)

Public Health England. Malaria in the UK annual report. 2021. https://www.gov.uk/government/publications/malaria-in-the-uk-annual-report (accessed 17 March 2023)

Royal College of Nursing. Competencies: travel health nursing: career and competence development. 2018. https://www.rcn.org.uk/Professional-Development/publications/pdf-006506 (accessed 17 March 2023)

Royal College of Nursing. Female genital mutilation. 2020. http://www.rcn.org.uk/Professional-Development/publications/rcn-fgm-travel-health-pub-009375 (accessed 17 March 2023)

UK Health Security Agency. Advisory Committee on Malaria Prevention update 2023. 2022a. https://www.gov.uk/government/publications/malaria-prevention-guidelines-for-travellers-from-the-uk (accessed 17 March 2023)

UK Health Security Agency. Notifiable diseases and causative organisms. 2022b. https://www.gov.uk/guidance/notifiable-diseases-and-causative-organisms-how-to-report (accessed 17 March 2023)

UK Health Security Agency. Malaria Reference Laboratory. 2022c. https://www.gov.uk/government/collections/malaria-reference-laboratory-mrl (accessed 17 March 2023)

UK Health Security Agency. Visiting friends and relatives abroad: health advice. 2023a. https://www.gov.uk/government/publications/travelling-overseas-to-visit-friends-and-relatives-health-advice/visiting-friends-and-relatives-abroad-advice-for-travellers (accessed 17 March 2023)

UK Health Security Agency. Malaria Reference Laboratory. 2023b. https://www.gov.uk/government/collections/malaria-reference-laboratory-mrl (accessed 17 March 2023)

World Health Organization. World malaria report 2022. 2022. https://www.who.int/teams/global-malaria-programme/reports/world-malaria-report-2022 (accessed 17 March 2023)

Malaria: an update for nurses in general practice

Sandra Grieve

Independent travel health specialist nurse, Warwickshire

View articles · Email Sandra

Malaria is a mosquito-borne, potentially fatal disease that is distributed throughout the tropics. Malaria is caused by the parasite Plasmodium, transmitted to humans by the bite of a female Anopheles mosquito, most active between dusk and dawn. Insect bite avoidance is crucial to prevent bites from infected mosquitoes causing infection. All travellers visiting malaria endemic areas are at risk of exposure. Conducting a pre-travel risk assessment and providing appropriate advice to the individual is essential. The malaria prevention guidance emphasises that effective bite prevention should be the first line of defence against malaria infection, even when chemoprophylaxis is used. Recommendations for antimalarials should be appropriate for the destination, tailored to the individual, and account for the risks and benefits to the traveller.

Malaria is a preventable, but potentially fatal illness. Sandra Grieve provides an update for those providing travel consultations in general practice

Malaria is a serious, potentially fatal, but preventable, febrile illness caused by the parasite Plasmodium, transmitted to humans by the bite of a female Anopheles mosquito, most active between dusk and dawn. Red blood cells are infected with the parasite Plasmodium. Five species of Plasmodium can infect humans ( Table 1 ). Malaria is distributed throughout the tropics. In Africa, P. falciparum causes most severe malaria cases and deaths. P. vivax mostly dominates in countries outside of sub-Saharan Africa. P. knowlesi is usually transmitted from monkeys to humans by mosquito bites in South-East Asia ( UK Health Security Agency (UKHSA), 2022a ). A pictorial illustration of the malaria life cycle indicating where preventative measures act, is included in the malaria guidelines ( UKHSA, 2022a ). Insect bite avoidance is crucial to prevent bites from infected mosquitoes causing infection. Causal prophylaxis acts on the parasite in the liver, whereas suppressive prophylaxis acts on parasites in the red blood cells ( UKHSA, 2022a ).

Travellers' risk

Endemicity and transmission patterns vary. Despite disruptions to prevention, diagnosis and treatment during the pandemic, countries largely averted further setbacks to malaria control with only moderate levels of disruption reported ( World Health Organization, 2022 ). Travel health practitioners should always refer to individual country recommendations for current guidance. For selected countries, the malaria guidelines provide printable in-country maps of prophylactic advice linked to malaria distribution. Maps are subject to change so travel health practitioners should always refer to current information ( UKHSA, 2022a ; NaTHNaC, undated). All travellers visiting malaria endemic areas are at risk of exposure. Due to an increased risk of developing severe malaria and a higher fatality risk, pregnant travellers should avoid travel to malaria endemic areas. They must be made aware of the risks of the disease and the risks and benefits of antimalarial chemoprophylaxis, particularly if travel is unavoidable. UK migrants born in malaria endemic areas who return there to visit friends and family (VFRs) may be at higher risk ( UKHSA, 2023a ). These travellers may not seek, or feel they don't need, pre-travel advice on malaria preventive measures, believing they have immunity. With no risk of malaria in the UK, any immunity they did have wanes quickly on migration. Children born in the UK will have no immunity. All visitors to malaria endemic areas, particularly VFRs and those at higher risk of exposure, should follow the ABCD of malaria prevention and be aware of the importance of employing all recommended preventive measures ( Table 2 ). In the UK, VFRs to West Africa account for the highest number of imported malaria cases annually. Most cases were caused by P. falciparum ( Public Health England (PHE), 2019 ; 2021 ).

As international travel was restricted during the pandemic, imported cases of P. falciparum malaria subsequently fell, but have since increased. Data predicts that the total for 2022 may exceed the 2019 figure of 1475 cases ( PHE, 2021 ; UKHSA, 2022c ).

Pre-travel risk assessment

Conducting a pre-travel risk assessment and providing appropriate advice to the individual is essential. Healthcare professionals should be competent in the process ( Royal College of Nursing (RCN), 2018 ). Undertaking a comprehensive pre-travel risk assessment and communicating the risk of malaria at the destination, the importance of insect bite prevention and other preventive measures, takes time and should be clearly communicated ( UKHSA, 2022a ). A traveller may present with complex health issues or pre-conceived notions of their risk of malaria exposure, which needs time to explore and discuss. For example, some travels may be taking medications that are incompatible with antimalarial drugs. Sufficient time should be allotted to assess individual risk and deliver appropriate management advice correctly. Communication skills are key to an effective consultation and should be supported by a range of methods and tools ( Chiodini et al, 2020 ). Reasonable steps must be taken to meet language and communication needs ( Nursing and Midwifery Council, 2018 ), including an accredited interpreter if necessary ( RCN, 2020 ). Nurses should obtain a full medical history, including current prescribed medication, pre-existing health issues and drug allergies ( UKHSA, 2022a ). A risk assessment template for those advising on malaria prevention is provided in the malaria guidelines ( UKHSA, 2022a ). When an antimalarial is prescribed, including an over-the-counter pharmacy-only medicine, a risk assessment should be undertaken ( UKHSA, 2022a ). For those providing travel health services in England and regulated by the Care Quality Commission (CQC), the CQC confirms that the provision of travel health services includes pre-travel risk assessment and travel health advice including malaria prevention ( CQC, 2022 ).

Malaria is preventable. It is important that advisors have an understanding of the malaria life cycle. Nurses should emphasise the ABCD of malaria prevention ( Table 2 ) and provide supporting information, through websites and leaflets, which are available in various languages ( PHE, 2010 ). The malaria prevention guidance emphasises that effective bite prevention should be the first line of defence against malaria infection ( UKHSA, 2022a ; NaTHNaC, 2023 ). For some destinations, ACMP advises awareness of risk and bite prevention without recommending chemoprophylaxis. However, where chemoprophylaxis is recommended, the benefits of employing bite prevention measures should still be emphasised, as they are effective against malaria and other vector-borne diseases. Bite prevention measures include insect repellents, wearing long sleeved tops, trousers and socks if outdoors after sunset and using insecticide-treated bed nets ( UKHSA, 2022a ).

As P. falciparum malaria can progress quickly to a severe, life-threatening illness, prompt diagnosis and treatment are paramount. Travellers should be made aware of the signs and symptoms of malaria, and advised to seek prompt medical attention, while abroad or for up to a year after return, stating their travel itinerary and destination ( UKHSA, 2022a ).

Chemoprophylaxis

Recommendations for antimalarials should be appropriate for the destination, tailored to the individual, and account for the risks and benefits to the traveller. No regimen is 100% effective, but combined malaria preventive measures offer the best protection. Travellers should source chemoprophylaxis medication from a reputable UK source before departure and be advised that antimalarials purchased abroad or online could be fake. Prophylactic regimens against malaria for adults and children and those in higher risk categories, for example pregnant women, advice should follow the UKHSA (2022a) guidance. Although aimed at healthcare workers and developed specifically for travellers from the UK, it is open for public access and for travellers wishing to explore their options ( UKHSA, 2022a ). For most travellers, standby emergency antimalarial medication is not routinely recommended. Emergency standby treatment is recommended for those taking chemoprophylaxis and visiting remote areas where they are unlikely to be within 24 hours of medical attention. Standby treatment should be started if it is impossible to consult a doctor and/or reach a diagnosis within 24 hours of the onset of fever. A traveller information leaflet can be copied for use when required ( UKHSA, 2022a ).

Box 1.Key points from Guidelines for malaria prevention in travellers from the UK

• COVID-19 likely affected malaria eradication programmes in endemic areas
• COVID-19 affected international travel reducing the number of malaria cases imported into the UK
• Case numbers are increasing. The Malaria Reference Laboratory (MRL) and Hospital for Tropical Diseases (HTD) are concerned about increased severity and/or higher parasitaemia in falciparum malaria cases
• Risk of misdiagnosis in imported malaria cases. Non-specific clinical features may be mistaken for COVID-19, influenza, or another infectious disease, leading to delayed treatment. Death due to misdiagnosis of imported falciparum malaria has occurred in the UK.
• Ensuring protection against malaria for those potentially risking exposure and maintaining awareness of malaria as a possible diagnosis in returned travellers is greater than ever.
• ACMP will keep its advice for travellers to individual countries under review. Check regularly for updates and changes to recommendations.
• The World Health Organization (WHO) World Malaria Report 2020 indicates moderate levels of disruption in many countries.
• It is possible that due to increased transmission, travellers' risk of malaria infection increases for some areas, with possible re-introduction to areas recently considered to have interrupted transmission. Stay alert to changes and temporary recommendations.
• Updated section on insect bite avoidance to emphasise it as the first line of defence in preventing malaria and the importance of malaria prevention measures.
• Travel providers in England regulated by the Care Quality Commission (CQC) should include pre-travel risk assessments, travel health advice, including malaria prevention measures.
• Includes detailed advice for special risk groups, including pregnant travellers or those planning a pregnancy.
• FAQ section.
• References can be linked directly from the document.
• Healthcare professionals working in England, Wales or Northern Ireland are advised to use the ACMP guidelines as their preferred source of guidance for malaria prevention.

UKHSA, 2022a

The disease

The incubation period of P. falciparum malaria is 7–14 days, but can be longer where there is partial immunity or if antimalarials have suppressed the parasite. In P. vivax or P. ovale infection incubation is 12–18 days, but can be months or years (rarely) due to emergence of latent hypnozoites from the liver entering the bloodstream. ( NaTHNaC, 2021 ). If treatment is delayed in those infected with P. falciparum, illness can progress rapidly and lead to serious life-threatening complications. Travellers should be aware of the signs and symptoms of malaria, which presents with non-specific symptoms like fever, sweating or chills, malaise, myalgia, headache, diarrhoea or cough. Malaria cannot be excluded or confirmed by clinical features alone. Absence of fever does not exclude malaria, while malaria with fever may be misdiagnosed or confused with another illness ( UKHSA, 2022a ). Malaria is a notifiable disease ( UKHSA, 2022b ).

Diagnosis and treatment

Practitioners should be alert to travellers returning from a malaria risk area presenting with fever or flu-like symptoms and consider a malaria diagnosis ( UKHSA, 2022a ). Such travellers should be investigated urgently. Treatment should be initiated in consultation with an infectious disease or tropical medicine unit and according to the ACMP malaria treatment guidelines ( Lalloo et al, 2016 ; NaTHNaC, 2021 ). The first case of P. falciparum artemisinin drug resistant malaria was reported in a UK resident who travelled to Uganda. Artemisinin is the most important therapeutic agent for malaria, especially malaria resistant to other drugs. This highlights the importance of malaria prevention measures and compliance with antimalarial chemoprophylaxis. Current preventive measures are over 90% effective when used correctly ( UKHSA, 2023b ). Where illness occurs abroad, travellers should know to seek medical help immediately. During remote travel, rapid diagnostic tests (RDTs) are available for diagnosis but not recommended for routine use ( UKHSA, 2022a ).

The UKHSA Advisory Committee on Malaria Prevention (ACMP) publishes practical updated malaria prevention guidelines for travellers from the UK annually. This is a key resource for healthcare professionals advising travellers. As temporary recommendations may occasionally be necessary, practitioners must ensure that current advice is sourced. Malaria is a mosquito-borne, potentially fatal disease. A comprehensive pre-travel risk assessment is essential for gathering information, including a full medical history. Travellers from the UK visiting malaria endemic areas should know that malaria is preventable and be advised on the ABCD measures necessary for protection. As no malaria regimen is 100% effective, nurses should emphasise the importance of insect bite avoidance and other malaria preventative measures. As malaria presents with non-specific symptoms, there is concern that imported cases may be wrongly diagnosed as another infectious illness, resulting in delayed treatment and severe or fatal consequences. In ill travellers returning from malaria risk areas, think malaria first, or until it is excluded from the diagnosis.

KEY POINTS:

• Malaria is a mosquito-borne, potentially fatal disease
• Conducting a pre-travel risk assessment and providing appropriate advice to the individual is essential
• Travellers from the UK visiting malaria endemic areas should know that malaria is preventable and be advised on the ABCD measures necessary for protection

CPD REFLECTIVE PRACTICE:

• How could you encourage those who are visiting friends and relatives to seek advice on malaria prevention?
• How would you advise a pregnant woman who wanted to travel to a malaria endemic region?
• What preventive advice would you give to travellers?

Delayed malaria treatment, especially of cases caused by P. falciparum parasites, may result in a patient’s rapid deterioration and the development of life-threatening complications. Recognizing and promptly treating patients with severe malaria is essential.

This handbook provides practical guidance given current evidence and knowledge on the diagnosis and clinical management of severe malaria. It outlines the necessary general nursing care, considers possible complications, and provides advice on their management. While intended primarily for clinical professionals and health staff responsible for in-patient facilities in malaria-endemic countries, it is also of practical use to physicians in non-endemic areas.

Topics included within this handbook includes general management and nursing care, clinical features of severe malaria and management of common complications in children, clinical features of severe malaria and management of complications in adults, special clinical features and management of severe malaria in pregnancy, prognostic indicators in severe falciparum malaria and common errors in diagnosis and management. Additional tools in this handbook provides information on coma scales, intra-osseous infusion in children, measuring jugular venous pressure, peritoneal dialysis and calculating volumes of maintenance fluid and blood transfusions.

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NANDA - Nursing Diagnosis

Nursing care plan for malaria - diagnosis and interventions.

• Activity Intolerance
• Altered Urinary Elimination
• Decreased Cardiac Output
• Disturbed Body Image
• Disturbed Thought Processes
• Excess Fluid Volume
• Impaired Gas Exchange
• Impaired Home Maintenance
• Impaired Physical Mobility
• Impaired Skin Integrity
• Impaired Verbal Communication
• Ineffective Airway Clearance
• Ineffective Breathing Pattern
• Ineffective Cerebral Tissue Perfusion
• Ineffective Tissue Perfusion
• Knowledge Deficit
• Low Self-esteem
• Risk for Decreased Cardiac Output
• Risk for Infection
• Risk for Shock
• Self-Care Deficit
• Self-concept Disturbance
• Addison's Disease
• Alzheimer's Disease
• Angina Pectoris
• Atelectasis
• Bronchial Asthma
• Cerebral Palsy
• Cesarean Section
• Colon Cancer
• Cushing's Syndrome
• Cystic Fibrosis
• Febrile Seizures
• Heart Failure
• Heart Rhythm Disorders: Arrhythmia
• Hirschsprung's Disease
• Hyaline Membrane Disease (HMD)
• Hydronephrosis
• Hyperemesis Gravidarum
• Hypertension
• Morbus Basedow
• Myocardial Infarction
• Pulmonary TB
• Rheumatic Fever
• Rheumatoid Arthritis
• Schizophrenia
• Stevens Johnson Syndrome
• TB Meningitis
• Tongue Cancer
• Urethral Stricture
• Uterine Fibroids

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Patient and Family Care Study on Malaria

A patient and Family care study on Severe Malaria

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Severe Malaria Observatory

Knowledge sharing for severe malaria, patient care.

Please refer to the full prescribing information and/or patient information supplied by the relevant marketing authorization holder for your country, as well as local policies and treatment guidelines as they may vary from country to country.

Measures to be taken for all patients with diagnosed or suspected severe malaria. Meticulous nursing care can be life-saving, especially for unconscious patients.

• Rapid clinical assessment
• Treatment and management
• If coma: exclude meningitis by lumbar puncture
• Carry out regular laboratory evaluation/monitoring

Bedside management

• Treat with IV artesunate or alternative
• Avoid over- or under-hydration
• Avoid drugs that increase the risk for gastrointestinal bleeding
• Manage complicating or associated infections
• Treat seizures
• Manage those unable to retain oral fluids
• If black or red urine: prepare for transfusion if necessary 
• Manage raised temperature above 39º
• Maintain a clear airway
• Turn the patient every 2h
• Monitor breathing
• Monitor vital signs every 4 hours
• Instill more sophisticated monitoring if complications develop
• Record and observe urine output
• Monitor for retinal whitening, vascular changes or haemorrhages
• Monitoring for hypoglycaemia
• Monitor the therapeutic response
• Look for other causes of coma

Antibiotics

There is considerable clinical overlap between septicaemia, pneumonia and severe malaria, and these conditions may coexist. It is often impossible to rule out septicaemia in a severely ill child who is in shock or obtunded. When possible, blood should always be taken on admission for bacterial culture.

Children with suspected severe malaria and associated alterations in the level of consciousness: start on broad-spectrum antibiotic treatment immediately together with antimalarial treatment. Treatment should be completed unless a bacterial infection is excluded.

Adults with severe malaria: antibiotics are recommended if there is evidence of bacterial co-infection (e.g. hypotension or pneumonia).

World Health Organization.  Management of severe malaria . 2012.

A patient and family care study on malaria

Journal Title

Journal issn, volume title, description, collections.

Wednesday, May 13, 2015

Malaria: nursing care plan, nursing diagnoses and interventions.

86 comments:

Thanks for sharing very nice article for. Nurses!

but there is no evaluation and implementation

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Please help me on how to draw a care plan for a year old child with malaria

I am very happy to inform the general public that I am finally cured from Herpes simplex virus recently with the use of herbal medicine, the powerful herbal medicine cured me completely and i was tested negative after usage, I am using this means to inform other's who have the virus that there is a cure for Herpes simplex 1&2 . It is absolutely true. I was cured by Dr Alli, only him I can recognize who cure Herpes perfectly well. I will advice you to contact this great doctor who God has send to put an end to the sorrowful and deadly disease. Contact him via Email  [email protected] or add him on WhatsApp +2348100772528

very nice but i can't understand nursing interventions of hyperthermia is it correct?

All thanks too God almighty for this great joy he has brought to my life, I am so grateful to him, i was suffering from HIV virus for 10 years,when i contacted DR Ehijator after reading the wonderful testimony that people has been sharing about him. I have being on medication and trying too look for cure to my ailment. I went through internet doctors and i contacted a Tradomedical/Traditional doctor named, Dr Ehijator for help. He give me all his rules and regulations,that if he cured me that I should write about him on internet site and that is what I’m doing now. He assure me that he will cure me with his herbal medicine which he really did, and I’m now completely cured from HIV virus. What will i say rather than thanking him for saving me. Why suffering in silence when there is remedy to your diseases.Dr Ehijator also specialize in curing the following disease: *HIV/Aids *Kidney failure *Hepatitis b * fibroid *Arthritis *Diabetes *Hypertension *Ebola and Other Hemorrhagic Fevers *The Opioid Epidemic *Antibiotic Resistance *Vaccine Hesitancy *Candida Auris *Stroke *Obesity *Infertility/Impotency *Cancer *Eye Problem *Skin Problem *Fibroid Tumor *Ulcer *Prostate Problem *Asthma *Weight Management *Gonorrhea/Staphylococcus *Candidie *Low sperm can *Weak erection *Weak ejaculation *Pile *Elephantiasis *Skin Infection *Paralysis e.t.c *If you want your ex back. *If you always have bad dreams. *Herpes *Hpv *If you want to be promoted in your office. For more information contact Dr Ehijator via email:( [email protected] you can also call him on his mobile number or what'app +2349039447158

WHAT A GREAT MIRACLE THAT I HAVE EVER SEE IN MY LIFE. My names are Clara David I’m a citizen of USA, My younger sister was sicking of breast cancer and her name is Sandra David I and my family have taking her to all kind of hospital in USA still yet no good result. I decided to go to the internet and search for cancer cure so that was how I find a ladycalled peter Lizzy she was testifies to the world about the goodness of a herbal man who has the roots and herbs to cure all kind of disease and the herbal man email was there. So I decided to contact the herbal man @herbalist_sakura for my younger sister help to cure her breast cancer. I contacted him and told him my problem he told me that I should not worry that my sister cancer will be cure, he told me that there is a medicine that he is going to give me that I will cook it and give it to my sister to drink for one week, so I ask how can I receive the cure that I am in USA, he told me That I will pay for the delivery service. The courier service can transport it to me so he told me the amount I will pay, so my dad paid for the delivery fee. two days later I receive the cure from the courier service so I used it as the herbal man instructed me to, before the week complete my sister cancer was healed and it was like a dream to me not knowing that it was physical I and my family were very happy about the miracle of Doctor so my dad wanted to pay him 5 million us dollars the herbal man did not accept the offer from my dad, but I don't know why he didn't accept the offer, he only say that I should tell the world about him and his miracle he perform so am now here to tell the world about him if you or your relative is having any kind of disease that you can't get from the hospital please contact [email protected] or whats app him +2348110114739  you can follow him up on Instagram @herbalist_sakura for the cure, he will help you out with the problem. And if you need more information about the doctor you can mail [email protected] 

My name is hoover, my 18 years old daughter, Tricia was diagnosed of herpes 3 years ago. ever since then,we have been going from one hospital to the other. We tried all sorts of pills but all efforts to get rid of the virus was futile. The blisters kept on reappearing after some months. My daughter was making use of Acyclovir tablets 200mg. 2 tablets every 6hours and fusitin cream 15grams. and H5 POT. Permanganate with water to be applied 2x a day but all still show no result. So I was on the internet some months back, to sought for any other means of saving my only child. just then, i came across a comment on dr imoloa herbal treatment and decided to give it a try. i contacted the him and he prepared some herbs and sent it to me together with guidelines on how to use the herbs through DHL courier service. my daughter used it as directed dr imoloa and in less than 14days, my daughter regained her health.. You should contact Dr imoloa today directly on his email address for any kind of health challenge; lupus disease,  mouth ulcer,  mouth cancer, body pain, fever, hepatitis A.B.C.,   syphilis,  diarrhea,  HIV/AIDS,  Huntington's Disease,   back acne,  Chronic renal failure,   addison disease,  Chronic Pain,   Crohn's Disease,   Cystic Fibrosis,  Fibromyalgia,   Inflammatory Bowel Disease,  fungal nail disease, Lyme Disease, Celia disease, Lymphoma, Major Depression,  Malignant Melanoma,   Mania,  Melorheostosis,   Meniere's Disease,  Mucopolysaccharidosis , Multiple Sclerosis,  Muscular Dystrophy,  Rheumatoid Arthritis, Alzheimer's Disease, parkison disease, vaginal cancer, epilepsy,  Anxiety Disorders, Autoimmune Disease,   Back Pain,  Back Sprain,   Bipolar Disorder,  Brain Tumour,  Malignant,   Bruxism, Bulimia,  Cervical Disk Disease, cardiovascular disease, Neoplasms, chronic respiratory disease,  mental and behavioural disorder,     Cystic Fibrosis,   Hypertension, Diabetes, asthma,  Inflammatory autoimmune-mediated arthritis.  chronic kidney disease, inflammatory joint disease,  impotence,  feta alcohol spectrum,  Dysthymic Disorder,   Eczema, tuberculosis,  Chronic Fatigue Syndrome, constipation, inflammatory bowel disease.  and many more; contact him on email- [email protected]./ also on  whatssap-+2347081986098.

FINALLY FREE FROM HERPES VIRUSI thought my life had nothing to offer anymore because lifebecame meaningless to me because I had Herpes virus, thesymptoms became very severe and bold and made my familyrun from and abandoned me so they won't get infected. I gaveup everything, my hope, dreams,vision and job because thedoctor told me there's no cure. I consumed so many drugs butthey never cured me but hid the symptoms inside me makingit worse. I was doing some research online someday when Icame across testimonies of some people of how DR Ebhotacured them from Herpes, I never believed at first and thoughtit was a joke but later decided to contact him on the detailsprovided and when I messaged him we talked and he sent mehis herbal medicine and told me to go for a test after twoweeks. Within 7 days of medication the symptomsdisappeared and when I went for a test Lo and behold I wasNEGATIVE by the Doctor Who tested me earlier. Thank you DREbhota because I forever owe you my life and I'll keep ontelling the world about you. If you are going through samesituation worry no more and contact DR Ebhota viadrebhotasolution@gmail. com or WhatsApp him via +2348089535482.he also special on cureing 1. HIV/AIDS2. HERPES 3. CANCER 4.ALS 5. HEPATITIS B 6.DIABETES 7. HUMAN PAPILOMA VIRUS DISEASE(HPV)8. ALZHEIMER 9. LUPUS (Lupus Vulgaris or LupusErythematosu

FINALLY FREE FROM HERPES VIRUSI thought my life had nothing to offer anymore because lifebecame meaningless to me because I had Herpes virus, thesymptoms became very severe and bold and made my familyrun from and abandoned me so they won't get infected. I gaveup everything, my hope, dreams,vision and job because thedoctor told me there's no cure. I consumed so many drugs butthey never cured me but hid the symptoms inside me makingit worse. I was doing some research online someday when Icame across testimonies of some people of how DR Ebhotacured them from Herpes, I never believed at first and thoughtit was a joke but later decided to contact him on the detailsprovided and when I messaged him we talked and he sent mehis herbal medicine and told me to go for a test after twoweeks. Within 7 days of medication the symptomsdisappeared and when I went for a test Lo and behold I wasNEGATIVE by the Doctor Who tested me earlier. Thank you DREbhota because I forever owe you my life and I'll keep ontelling the world about you. If you are going through samesituation worry no more and contact DR Ebhota viadrebhotasolution@gmail. com or WhatsApp him via +2348089535482.he also special on cureing 1. HIV/AIDS2. HERPES 3. CANCER 4.ALS 5. HEPATITIS B 6.DIABETES 7. HUMAN PAPILOMA VIRUS DISEASE(HPV)8. ALZHEIMER 9. LUPUS (Lupus Vulgaris or LupusErythematosus

Am tracy by name,from Germany, i was diagnosed with Herpes for 6years ago i lived in pain with the knowledge that i wasn't going to ever be well again i contacted so many herbal doctors on this issue and wasted a large sum of money but my condition never got better i was determined to get my life back so one day i saw mrs neme amber post on how Dr Abumere saved him from the VIRUS with herbal medicine i contacted Dr Abumere on his email address: [email protected] or WhatsApp +2349021975055 we spoke on the issue i told him all that i went through and he told me not to worry that everything will be fine again so he prepared the medicine and send it to me through courier service and told me how to use it,after 18days of usage I went to see the doctor for test ,then the result was negative,am the happiest woman on earth now. this testimony .is real.thanks to Dr Abumere God bless you..

I'm so excited to share my testimonies about the Good Work of  Dr. Anuge who got me cured from herpes simplex virus (HSV1&2) with his herbs, I never thought that I would live on earth before the year runs out. I have been suffering from herpes, I had spent a lot of money going from one Hospital to another looking for a way to get rid of this disease, the hospital has been my home everyday residence. Constant checks up have been my hobby not until this fateful day, I was searching through the internet, I saw a testimony on how @Dr_anuge7 helped someone in curing his herpes disease using his healing Herbs, quickly I copied his email just to give him a test I spoke to him, he told me that he is going to provide the herbal cure to me, which he did, after I received his herbs and I took it as instructed. I was cured permanently from herpes. My herpes disease was gone. so I decided to share my testimony, that nothing is impossible with God, God used a man to heal me. No matter what you are passing through, no matter how deadly the sickness is and no matter what the situation is God that did mine is still going to do yours, people suffering from herpes, brain tumor, kidney disease, pcos, AIDS, ALS, copd, asthma, arthritis, herpes, Cancer, Hpv, any kind of disease, you can reach him now via Gmail address: [email protected] or whatsapp   +2348164866838

Herpes is a serious and recurring disease which can't be cured through drugs or injections by the American doctors but the best way to deal with Herpes is by taking natural herbs medicine for it, I have read about DR OLUTA the great herbalist doctor who cure me from herpes with his powerful herbal medicine. I contacted him to know how he can help me and he told me never to worry that he will help me with the natural herbs from God! After 2 days of contacting him, he told me that the cure has been ready and he sent it to me via UPS SPEED POST and it got to me after 3 days! i used the medicine as he instructed me (MORNING and EVENING) and i was cured! it's really like a dream but I am so happy! for the people suffering from the following diseases, Cancer, hypothyroidism, Herpes, COPD, HIV, Arthritis, Hpv, Infections,Liver Disease, Autoimmune Diseases, Parkinson's disease,Lupus and more should contact him for his herbal medicine because i am a living testimony and i was cured of herpes and his medicine is legit. I sent him what he requested and he sent me his medicine which I took for 3 good weeks and today I am out here with a negative result. When I went for the test I was so happy after going through his medication. you can reach him through his email [email protected] or  whatsapp number:+2349065326267 

FINALLY FREE FROM HERPES VIRUSI thought my life had nothing to offer anymore because lifebecame meaningless to me because I had Herpes virus, thesymptoms became very severe and bold and made my familyrun from and abandoned me so they won't get infected. I gaveup everything, my hope, dreams,vision and job because thedoctor told me there's no cure. I consumed so many drugs butthey never cured me but hid the symptoms inside me makingit worse. I was doing some research online someday when Icame across testimonies of some people of how DR Ebhotacured them from Herpes, I never believed at first and thoughtit was a joke but later decided to contact him on the detailsprovided and when I messaged him we talked and he sent mehis herbal medicine and told me to go for a test after twoweeks. Within 7 days of medication the symptomsdisappeared and when I went for a test Lo and behold I wasNEGATIVE by the Doctor Who tested me earlier. Thank you DREbhota because I forever owe you my life and I'll keep ontelling the world about you. If you are going through samesituation worry no more and contact DR Ebhota viadrebhotasolution@gmail. com or WhatsApp him via +2348089535482.he also special on cureing 1. HIV/AIDS2. HERPES 3. CANCER 4.ALS 5. HEPATITIS B 6.DIABETES 7. HUMAN PAPILOMA VIRUS DISEASE(HPV)8. ALZHEIMER 9. LUPUS (Lupus Vulgaris or LupusErythematosus

Hello! I'm very excited to inform everyone that I'm completely cured from my HSV 1&2 recently. I have used Oregano oil, Coconut oil, Acyclovir, Valacyclovir, Famciclovir, and some other products and it's really help during my outbreaks but I totally got cured! from my HSV with a strong and active herbal medicine ordered from a powerful herbalist and it completely fought the virus from my nervous system and I was tested negative after 12 days of using the herbal medicine. I'm here to let y'all know that herpes virus has a complete cure, I got rid of mine with the help of Dr Emmanuel and his herbal exploit. Contact him via email: [email protected] or Call/WhatsApp him at +2348140073965  thank you..

Hej det är laa! För 9 månader sedan berättade min läkare att jag fick diagnosen HSV2. Jag var hjärtbruten, men samma månad hittade jag en Dr Ricksin. som hjälpte mig att bota viruset med naturlig örtbehandling permanent. tack till Dr. Ricksin för hans naturliga växtbaserade behandling som eliminerat detta virus i min kropp för alltid. hans kontaktinformation för alla obotliga virus via; [email protected] eller whatsapp honom eller ring honom via hans telefonnummer +3197005034579

WHAT A GREAT MIRACLE THAT I HAVE EVER SEE IN MY LIFE. My names are Clara David I’m a citizen of USA, My younger sister was sicking of breast cancer and her name is Sandra David I and my family have taking her to all kind of hospital in USA still yet no good result. I decided to make search for cancer cure so that was how I find a lady called peter Lizzy she was testifying  to the world about the goodness of a herbal man who has the roots and herbs to cure all kind of disease and the herbal man email was there. So I decided to contact the herbal man @herbalist_sakura for my younger sister help to cure her breast cancer. I contacted him and told him my problem he told me that I should not worry that my sister cancer will be cure, he told me that there is a medicine that he is going to give me that I will cook it and give it to my sister to drink for one week, so I ask how can I receive the cure that I am in USA, he told me That I will pay for the delivery service. The courier service can transport it to me so he told me the amount I will pay, so my dad paid for the delivery fee. two days later I receive the cure from the courier service so I used it as the herbal man instructed me to, before the week complete my sister cancer was healed and it was like a dream to me not knowing that it was physical I and my family were very happy about the miracle of Doctor so my dad wanted to pay him 5 million us dollars the herbal man did not accept the offer from my dad, but I don't know why he didn't accept the offer, he only say that I should tell the world about him and his miracle he perform so am now here to tell the world about him if you or your relative is having any kind of disease that you can't get from the hospital please contact [email protected] or whats app him +2348110114739  you can follow him up on Instagram @herbalist_sakura for the cure, he will help you out with the problem. And if you need more information about the doctor you can mail me [email protected] 

My health was horrible before I decided to try the Protocol Of taking Dr Ebhota herbal mixture. I felt there was no hope for my health and I was doubtful to try the Protocol thinking it wouldn’t work because I have visited so many hospital but same result. However, I was convinced by my friend to try the herbal medicine because I wanted to get rid of HPV/WART. The herbal mixture that was given to me was really quick and easy to take, and since I have be taking it for less than 3 days I have less outbreak. But within one week i was fully cured from WART/HPV. The herbal medicine really work and I will like to share this great herb doctor contact with you all email him [email protected] or whatsapp +2348089535482. Pls try and help yourself out of warts completely today. he also c My health was horrible before I decided to try the Protocol Of taking Dr Ebhota herbal mixture. I felt there was no hope for my health and I was doubtful to try the Protocol thinking it wouldn’t work because I have visited so many hospital but same result. However, I was convinced by my friend to try the herbal medicine because I wanted to get rid of HPV/WART. The herbal mixture that was given to me was really quick and easy to take, and since I have be taking it for less than 3 days I have less outbreak. But within one week i was fully cured from WART/HPV. The herbal medicine really work and I will like to share this great herb doctor contact with you all email him [email protected] o r whatsapp +2348089535482. Pls try and help yourself out of warts completely today. he ure DIABETIES ULCAL CANCER etc.He also told me that he has solution for the flowing.1 Cancer cure2 Diabetes cure3 Ringing ear4 Herpes cure5 Warts cure6 HPV cure7 Get your ex back8 Pregnancy herbal medicine9 Prostate enlargement10 Hepatitis B11 Disability12 Kidney problem Etc.

Happiness is all i see now, i was herpes sicker for 6 years but i thank God for directing my footsteps to Dr Emu, he gave me instructions and i followed and in 2 weeks i was completely cured using his medicine, I am now Herpes Negative Contact Dr Emu for more information, He also has other cure to other ailment, HIV AIDS, CANCER, DIABETES, HEART DISEASE, HEPATITIS B/C And also restore broken relationships such as Ex HUSBAND, Ex WIFE, BROKEN MARRIAGES, Any kind of Problem in any relationship can be restore back in 24hours, Just Email: [email protected]  Whatsapp or call: +2347012841542

I GOT CURED FROM HERPES VIRUS I was diagnosed of HERPES virus and i have tried all I can to get cured but all to no avail,,until I saw a post in a health forum about a herbalist man who prepare herbal medications to cure all kind of diseases including #HERPES virus,at first I doubted if it was real but decided to give it a try,when I contacted this herbalist via his email and he prepared a #HERPES herbal cure and sent it to me via DHL delivery company service, when I received this herbal medicine, he gave me step by direction on how to apply it,after applying the way I was instructed,I was totally cured of this deadly disease called HERPES, all thanks to Dr OGODO Email this great herbal doctor via his email [email protected] You can also WhatsApp him on +2349044680467 HE CAN ALSO CURE SICKNESS LIKE {1}HIV/AIDS {2}DIABETES {3}EPILEPSY {4} BLOOD CANCER {5} HPV {6} ALS {7} HEPATITIS {8}LOVE SPELL {9} SICKLE AND ANEMIA Only DR OGODO Can Help You I Love You Father.

There is a safe & effective Natural Herbal Medicine. For Total Cure Call    +2349010754824,  or email him   [email protected]       For an Appointment with (Dr.) AKHIGBE contact him. Treatment with Natural Herbal Cure. For:Dengue Fever, Malaria. Painful or Irregular Menstruation. HIV/Aids. Diabetics. Vaginal Infections. Vaginal Discharge. Itching Of the Private Part. Breast Infection. Discharge from Breast. Breast Pain & Itching. Lower Abdominal Pain. No Periods or Periods Suddenly Stop. Women Sexual Problems. High Blood Pressure Chronic Disease. Pain during Sex inside the Pelvis. Pain during Urination. Pelvic Inflammatory Disease, (PID). Dripping Of Sperm from the Vagina As Well As for Low sperm count. Parkinson disease. Obesity, Lupus. Soreness/Injury  Cancer.  Tuberculosis.  Zero sperm count. Bacteria, Impotence Fertility,Protoplasmic, Diarrhea. Hepatitis A&B, Rabies. Asthma.  Quick Ejaculation. Gallstone, Cystic Fibrosis, Schizophrenia, Crubs, Cirrhosis,  Premature Ejaculation. Herpes. Joint Pain. Stroke. Cornelia Disease, Weak Erection. Ovarian problem,  HeartBurn, Erysipelas, Thyroid, Relapsing polychondritis,  Discharge from Penis. Bronchial Problem,  HPV.  Hepatitis A and B. STD. Smallpox, Staphylococcus + Gonorrhea + Syphilis. Heart Disease.  Pile-Hemorrhoid.rheumatism,  Impotence, thyroid, Autism, Depression,  Sepsis Bacteria,  Penis enlargement, Prostate Problem,  Waist & Back Pain.  Male Infertility and Female Infertility. Etc. Take Action Now. contact him & Order for your Natural Herbal Medicine:  +2349010754824  and email him    [email protected]    Note For an Appointment with (Dr.) AKHIGBE.I suffered in Cancer for a year and three months dying in pain and full of heartbreak. One day I was searching through the internet and I came across a testimony of herpes cure by doctor Akhigbe. So I contacted him to try my luck, we talked and he sent me the medicine through courier service and with instructions on how to be drinking it.To my greatest surprise drinking the herbal medicine within three weeks I got the changes and I was cured totally. I don't really know how it happens but there is power in Dr Akhigbe herbal medicine. He is a good herbalist doctor.

First, I want to complement this site administrator for creating this platform I frequently get cold sores(which lasts for 5-6 days on my lips and its painful both physically and mentally) .. As a bodybuilder, I basically get outbreak due to the daily pressure and heat in the body.. Recently I stumbled upon my salvation. I found a herbal remedy to cure hsv completely, in just 4weeks .. I got to know about Dr Utu after seeing a lady's testimony online. I reached the doctor and I ordered for herpes herbal medicine. He sent the herbs to me and I started making use of them. In just 2days, the cold sores are cleared. 4weeks after medication, I went to the hospital for test of cold sores and it was completely NEGATIVE. By following every prescription, i was able to cure my cold sore in less than 4weeks. 100% natural herbs no after effect. Note: Please do let others know if this work for you. The doctor's email is [email protected] Note : follow all instructions accordingly.. If you are sure that you have benefited from this African herbs be courageous to inform others. Thanks in advance

My name is Denial Edward, I want to thank Dr. Patrick who cast a SPELL that helped my family win a court case that would have sentenced my brother for life, who was charged with murder. My family and I are totally grateful. You can also contact him if you have a similar challenge on the email: [email protected], he also cast a spell to win the lottery, get your ex-lover back, promotion spell, luck spell, coronavirus COVID 19, hiv cure / AIDS, cancer, spell to have children, etc.

There are some natural remedies that can be used in the prevention and elimination of diabetes totally. However, the single most important aspect of a diabetes control plan is adopting a wholesome lifestyle Inner Peace, Nutritious and Healthy Diet, and Regular Physical Exercise. A state of inner peace and self-contentment is essential to enjoying a good physical health and overall well-being. The inner peace and self contentment is a just a state of mind.People with diabetes diseases often use complementary and alternative medicine. I was diagnosed with diabetes .It was at work and  feeling unusually tired and sleepy. I borrowed a cyclometer from a co-worker and tested at 760. Went immediately to my doctor and he gave me prescriptions like: Insulin ,Sulfonamides,Thiazolidinediones but Could not get the cure rather to reduce the pain but bring back the pain again. i found a woman testimony name Comfort online how Dr Akhigbe cure her HIV  and I also contacted the doctor and after I took his medication as instructed, I am now completely free from diabetes by doctor Akhigbe herbal medicine.So diabetes patients reading this testimony to contact his email     [email protected]   or his Number   +234 802  501 2866   He also use his herbal herbs to diseases like:SPIDER BITE, SCHIZOPHRENIA, LUPUS,EXTERNAL INFECTION, COMMON COLD, JOINT PAIN, EPILEPSY,STROKE,TUBERCULOSIS ,STOMACH DISEASE. ECZEMA, GOUT, PROGENITOR, EATING DISORDER, LOWER RESPIRATORY INFECTION,  DIABETICS,HERPES,HIV/AIDS, ;ALS,  CANCER , TUMOR MENINGITIS,HEPATITIS A AND B,ASTHMA, HEART DISEASE, CHRONIC DISEASE. NAUSEA VOMITING OR DIARRHEA,KIDNEY DISEASE. HEARING  LOSSDr Akhigbe is a good man and he heal anybody that comes to him. here is email    [email protected]    and his Number +234 901 075 4824

FINALLY FREE FROM HERPES VIRUS I thought my life had nothing to offer anymore because lifebecame meaningless to me because I had Herpes virus, thesymptoms became very severe and bold and made my familyrun from and abandoned me so they won't get infected. I gaveup everything, my hope, dreams,vision and job because thedoctor told me there's no cure. I consumed so many drugs butthey never cured me but hid the symptoms inside me makingit worse. I was doing some research online someday when Icame across testimonies of some people of how DR Ebhota cure them from Herpes, I never believed at first and thoughtit was a joke but later decided to contact him on the detailsprovided and when I messaged him we talked and he sent mehis herbal medicine and told me to go for a test after twoweeks. Within 7 days of medication the symptomsdisappeared and when I went for a test Lo and behold I was NEGATIVE by the Doctor Who tested me earlier. Thank you Dr Ebhota because I forever owe you my life and I'll keep ontelling the world about you. If you are going through samesituation worry no more and contact DR Ebhota viadrebhotasolution@gmail. com or WhatsApp him via +2348089535482.he also special on cureing 1. HIV/AIDS2. HERPES 3. CANCER 4.ALS 5. HEPATITIS B 6.DIABETES 7. HUMAN PAPILOMA VIRUS DISEASE(HPV)8. ALZHEIMER 9. LUPUS (Lupus Vulgaris or LupusErythematosus

There are some natural remedies that can be used in the prevention and elimination of diabetes totally. However, the single most important aspect of a diabetes control plan is adopting a wholesome lifestyle Inner Peace, Nutritious and Healthy Diet, and Regular Physical Exercise. A state of inner peace and self-contentment is essential to enjoying a good physical health and overall well-being. The inner peace and self contentment is a just a state of mind.People with diabetes diseases often use complementary and alternative medicine. I was diagnosed with diabetes .It was at work and  feeling unusually tired and sleepy. I borrowed a cyclometer from a co-worker and tested at 760. Went immediately to my doctor and he gave me prescriptions like: Insulin ,Sulfonamides,Thiazolidinediones but Could not get the cure rather to reduce the pain but bring back the pain again. i found a woman testimony name Comfort online how Dr Akhigbe cure her HIV  and I also contacted the doctor and after I took his medication as instructed, I am now completely free from diabetes by doctor Akhigbe herbal medicine.So diabetes patients reading this testimony to contact his email     [email protected]   or his Number   +234 802  501 2866   He also use his herbal herbs to diseases like:SPIDER BITE, SCHIZOPHRENIA, LUPUS,EXTERNAL INFECTION, COMMON COLD, JOINT PAIN, EPILEPSY,STROKE,TUBERCULOSIS ,STOMACH DISEASE. ECZEMA, GOUT, PROGENITOR, EATING DISORDER, LOWER RESPIRATORY INFECTION,  DIABETICS,HERPES,HIV/AIDS, ;ALS,  CANCER , TUMOR, HEART HEALTH, MENINGITIS,HEPATITIS A AND B,ASTHMA, HEART DISEASE, CHRONIC DISEASE. NAUSEA VOMITING OR DIARRHEA,KIDNEY DISEASE. HEARING  LOSSDr Akhigbe is a good man and he heal anybody that comes to him. here is email    [email protected]    and his Number +2348025012866

There is a safe & effective Natural Herbal Medicine. For Total Cure Call    +2348025012866,  or email him   [email protected]       For an Appointment with (Dr.) AKHIGBE contact him. Treatment with Natural Herbal Cure. For:Dengue Fever, Malaria. Painful or Irregular Menstruation. HIV/Aids. Diabetics. Vaginal Infections. Vaginal Discharge. Itching Of the Private Part. Breast Infection. Discharge from Breast. Breast Pain & Itching. Lower Abdominal Pain. No Periods or Periods Suddenly Stop. Women Sexual Problems. High Blood Pressure Chronic Disease. Pain during Sex inside the Pelvis. Pain during Urination. Pelvic Inflammatory Disease, (PID). Dripping Of Sperm from the Vagina As Well As for Low sperm count. Parkinson disease. Obesity, Lupus. Soreness/Injury  Cancer.  Tuberculosis.  Zero sperm count. Bacteria, Impotence Fertility,Protoplasmic, Diarrhea. Hepatitis A&B, Rabies. Asthma.  Quick Ejaculation. Gallstone, Cystic Fibrosis, Schizophrenia, Crubs, Cirrhosis,  Premature Ejaculation. Herpes. Joint Pain. Stroke. Cornelia Disease, Weak Erection. Ovarian problem,  HeartBurn, Erysipelas, Thyroid, Relapsing polychondritis,  Discharge from Penis. Bronchial Problem,  HPV.  Hepatitis A and B. STD. Smallpox, Staphylococcus + Gonorrhea + Syphilis. Heart Disease.  Pile-Hemorrhoid.rheumatism,  Impotence, thyroid, Autism, Depression,  Sepsis Bacteria,  Penis enlargement, Prostate Problem,  Waist & Back Pain.  Male Infertility and Female Infertility. Etc. Take Action Now. contact him & Order for your Natural Herbal Medicine:  +2348025012866  and email him    [email protected]    Note For an Appointment with (Dr.) AKHIGBE.I suffered in Cancer for a year and three months dying in pain and full of heartbreak. One day I was searching through the internet and I came across a testimony of herpes cure by doctor Akhigbe. So I contacted him to try my luck, we talked and he sent me the medicine through courier service and with instructions on how to be drinking it.To my greatest surprise drinking the herbal medicine within three weeks I got the changes and I was cured totally. I don't really know how it happens but there is power in Dr Akhigbe herbal medicine. He is a good herbalist doctor.

I experienced dark urine and ribs pain, so I went to the hospital for treatment and I was diagnosed for chronic HEPATITIS B. The doctor gave me drugs to slowdown the viral load which later worsens the ailment because the drugs weren’t effective anymore. And I was so scared because they say it has no cure, I told a friend about it and luckily he told me he ones battled same problem in the past but he was saved by Dr. Iyabiye. He gave me his contact and I reached him and I became well and tested negative after the treatment. Here is his contact if you have such case. Contact: +234-815-857-7300, ([email protected])

Herbal treatment is 100% guaranteed for Herpes cure, the reason why most people are finding it difficult to cure Herpes is because they believe on medical report, drugs and medical treatment which is not helpful to cure Herpes. Natural roots/herbs are the best remedy which can easily eradicate herpes forever for more information about Herpes cure Pls share this. I was so happy to see that my result showed up negative after taking Dr.Sandy herbal medication for my Herpes contact him via Email    [email protected]     call Whatsapp Number +2349154145362 FOR FIX THE FOLLOWING PROBLEMS USING POWERFUL SPELLS TO ALL ACROSS THE GLOBE ON: 1 Cancer herbal medicine 2 Hiv herbal medicine 3 Low sperm count 4 Barrennessi 5 Hvp herbal medicine 6 Herpes herbal medicine   7 ADHD CDC cure..  8 Coronavirus cure

Good New Everyone !! I'm here to testify about Dr AIre I was suffering from Herpes Simplex Virus for about 4 years and I was cured by Dr Aire He sent me the medicine through DHL, I got the medicine and He instructed me on how I'm going to take the medicine, He asked me to drink for 14days which was 2weeks and I did according to his instructions, that was how I got Rid of Herpes Simplex Virus permanently, You can also contact him to get HIV/AIDS medicine by calling him or texting him on WhatsApp through this number +2347036740271 or Kindly Email him directly on; [email protected] or https://mobile.facebook.com/drairehome48

Dr. Riaria cured my herpes virus that have been in my body since two years, ever since then my life has been incomplete, I have used so many drugs that was prescribed to me by doctors, but it didn't cure my herpes virus, i was checking for solution on the internet then I miraculously came across Dr. Riaria the powerful herbalist that  can cure herpes infection, then I contacted him through his email, I explained everything to him and he prepared a herbal medicine and sent it to me through FedEx, which I took for 14 days with the instruction he gave me, and when I did a test in the hospital my result came out negative it was the happiest day of my life that am cure from HSV 2,  are you also suffering from same virus or another diseases you can simply contact him via email: [email protected]  you can also call or WhatsApp him on: +2349134987375.  

Having herpes is not the end of life there are many treatment to cure herpes infection with the help of Dr salisu herbal product. I was positive to the deadly virus called HERPES and i lost hope because i was out casted and rejected even by my closet friends. I searched on-line to know and enquirer about cure for HERPES and i read someone testimony on how he was cured from HSV-2 so i decided to contact the Sameer herbalist Call Dr salisu because i know that nature has the power to heal everything. I contacted him to know how he can help me and he told me never to worry that he will help me with the natural herbs from God! after 2 days of contacting him, he told me that the cure has been ready and he sent it to me via UPS SPEED POST and it got to me after 3 days! I used the medicine as he instructed me (MORNING and EVENING) and i was cured! its really like a dream but i am so happy! that's the reason i decided to also add more comment of Him so that more can be saved just like me! and if you need his help,you can email [email protected] WhatsApp him on +2349028391813

My symptoms started at the age of 47. My fingers on my left hand were stiff and were difficult to move. People noticed that my walk was not normal. I was often asked did I hurt. I noticed nothing different about my walk. It was difficult getting up from` a chair and getting out of a car. I was diagnosed a year later ,it was the onset of tremors starting in my right hand that caused my other symptoms to be recognized as Parkinson's.. I am now 59. With the new herbal medicine for Parkinson i purchase from  Multivitamincare . org  was my only way to get rid of my PD,the herbal formula effectively reverse my condition and alleviate all my symptoms, people are suffering from this Parkinson disease due to lack of information.

it"s obvious some patients with Herpes Virus are being enslaved to the antiviral and other supplementary Orthodox medicine just to help suppress the virus and not a cure. I have been with the virus since 2015 until I was introduced by a blogger who also narrated her story online on how she was cured of HPV after using Dr ALUDA Herbal Medicine. This is a year and 2 weeks since I was delivered from Herpes VIRUS. All thanks to God for using this Great herbalist to heal me. I have promised to keep telling good things about Dr ALUDA. Please feel free to share Your problems with him and don’t forget to tell him I did refer you to Him. Thanks. Write him on whatsapp +2348145636867 or mail him Draludaharbalhome @gmail. com He deals with Alzheimer virus, Cancer, HIV, Herpes, Genital, warts, ALS, HBV, UTI, Virginal infection, Genital, Wart, HPV, Hepatitis A/B, Good luck, HSV, Cold Sores, Diabetes 1 & 2, Pregnancy, Ex back.

Good day to you all am very happy to write this testimony to the whole world to see the great work of the great man named DR.ehiaguna I was down over since 1year but thank god am here to give this testimony for you all to see the great powers that is hiding on this earth I was once an HSV 2, but thanks to him that help me I was going through internet looking for cure when I see this man name ehiaguna  I quickly email him If I can get help to grateful surprise to me he really do according to the post I see on internet this man ask me to provide some necessary things which he should be able to use for my cure, I did what he say and after everything, this man told me that after two weeks I will be cured, after that ending of the weeks i should go for test I did and I was very happy when I see my result but i don’t know how he did it but thank God for bring this man to me am very happy to see myself am HSV negative you can order now and get your cure on email: [email protected]  just call him for quick answer on his number +2348073908953, also contact him on this 1. HIV / AIDS 2. COPD 3. CANCER 4. ALS (Lou Gehrig's disease) 5. Hepatitis B6. HPV 

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I'm Thomas Williams from united state , I want to appreciate Herbalist Dr sakura for helping me to enlarge my penis with his herbs, after a lot of humiliation from my wife. Now I can satisfy my wife with the help of Herbalist Dr sakura herbs. You can also contact him on [email protected] call/WhatsApp +2348110114739. he also has the herbal cream to enlarge your ass and breast, get in contact him to avoid humiliation. You can also contact me for more information [email protected]

Thank God, I was cured from Herpes by the herbal medication I received from him. I never thought that Herpes can be cured, from the bottom of my heart I'm truly grateful, i pray you have long life so you can help many more people on earth with your herbal medical support, You can Email him via email [email protected] or for easy and fast communication you can also call or add him on whats-app with this mobile number +2348105074556, one thing I love most about Dr Destiny is honestly, and he is very polite with his patience, everything he told me was what he did, and his herbal medicine are very affordable, Communication with facebook page: https://web.facebook.com/Doctor-Destiny-106008014979860 ,,,

how i got cure from a bad disease called herpes by Dr solutions i have spent so much money to cure this disease but all was in vain when i was browsing online one day i saw a lady testifying how this Dr solutions save her home from separation, and she also added that this Dr cure disease too, that was when i decided to give a try by contacting the Dr for help behold after receiving the remedy from Dr solutions which i drank for 7 days all the pain began to reduce and the herpes symptoms disappear this is why i decided to come out here with boldness to testy the good things Dr solutions did for me...you can also give him a try i believe he can also heal you from every pain you are facing in life, you can reach him VIA Email ( [email protected] ) High blood pressure, love spell, ex back, Herpes, Alzheimer's disease, carcinoma. Asthma, Allergic diseases. Parkinson's , Epilepsy, Cancer, Fibromyalgia, HIV, Hepatitis, diabetes, Coeliac disease, Infertility, Fibroid, Impotence, remedy to get Pregnant, Blood Cancer, cure insanity.

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- [ ] I'm here to testify about the great work Dr Osebor did for me. I have been suffering from (HERPES) disease for the past 5 years and had constant pain, especially in my knees. During the first year,I had faith in God that i would be healed someday.This disease started circulating all over my body and i have been taking treatment from my doctor, few weeks ago I came across a testimony of one lady on the internet testifying about a Man called Dr Osebor on how he cured her from HIV Virus. And she also gave the email address of this man and advise anybody to contact Dr Osebor for help for any kind of sickness that he would be of help, so I emailed him on ( [email protected] ) telling him about my (HERPES Virus) he told me not to worry that i was going to be cured!! Well i never believed it,, well after all the procedures and remedy given to me by this man few weeks later i started experiencing changes all over me as Dr Osebor assured me that i will be cured,after some time i went to my doctor to confirmed if i have be finally healed behold it was TRUE, So  - [ ] friends my advise is if you have such sickness or any other at all you can contact Dr Osebor via email. { [email protected] }or call or what sapp him on( +2348073245515 ) - [ ] DR osebor CAN AS WELL CURE THE FOLLOWING DISEASE:- - [ ]  HIV/AIDS - [ ]  HERPES - [ ] CANCER - [ ] ALS - [ ] cancer  - [ ] Diabetes eye problem etc.

I purchased herpes herbal medicine and received it within 7 days and used it as prescribed, I tested negative within 3 weeks use, do not loose hope to contact him early If you need help meet him on his email address [email protected] or Whatsapp number +2348119508814

Hello everyone , I want to write a little testimony about the good work of doctor Abolo who cured me from Hsv 1 and 2 for just 2 weeks with his herbal medicine, I never believe I can be normal again and have a good life like others I always regretted the day I got diagnose with the virus, I was lost of hope when my doctor told me there is no cure for it but I keep thinking and thinking about my future, if I can have kids of my own well I am so grateful for my helper who get me cured with his herbal medicine, I go online in search of anything that can help me because I can’t deal with it forever so I found this dr Abolo email on a blog of someone who was cured by him I quickly contact him for help and explain all my pain to him, he told me not to worry about it there is cure for real, I never believe until he send me the herbal medicine when I order for it and I have it within 4 days that is how I took the medicine for 2 week and the following week I go for test just to confirm I was 100% cured from this sickness what a miracle in my life I am so happy right now, you can also get in contact with him if you have such sickness through email address [email protected] or text him on what's app, phone number +2347044725611 and he has remedy to others disease like COLD SORES,HIV/AIDS,DIABETES.CANCER,HIGH BLOOD PRESSURE.HEPATITS.E.T.C I BEG everyone to contact this powerful herba list Dr Abolo and be free from suffering

Hello everyone. Dr. Ehimare. Herbs is a good remedy for herpes Virus , I was a carrier of herpes virus and I saw a testimony on how Dr. Ehimare. cure Herpes Virus, I decided to contact him, I contacted him and he guided me. I asked him for solutions and he started the remedies for my health. After he finish he sent me the herbs which i took for 2 weeks before asking me to go for a check up and getting there i could not believe that i was confirm HSV 2 Negative after the test, Today i am so happy because i'm free from herpes disease with the help of Dr. Ehimare. Thank God now everything is fine, I'm cured by Dr. Ehimare herbal medicine, I'm very thankful to God for making it possible. you can reach him on his email, i strongly recommend him to any one out here looking for a cure.Contact Dr Ehimare via email: [email protected] call or whatsApp him on+1 (267) 691-1087

HOW I GOT CURED FROM LUPUS DISEASE, I'm here to testify about what Dr.Ovie did for me. I have been suffering from (LUPUS DISEASE) for the past 4 years and had constant pain,especially inside my body. During the first year,I had faith in God that I would be healed someday. This disease started circulating all over my body and I have been taking treatment from my doctor, few weeks ago. I came across a testimony of a lady on the internet testifying about a Herbalist Dr called Dr.Ovie on how he cured her from LUPUS DISEASE. And she also gave the email address of this man and advise anybody to contact him for help for any kind of sickness that he would be of help.so I emailed him telling him about my (LUPUS DISEASE) he told me not to worry that i was going to be cured!! Well i never believed it,, well after all the procedures and remedy given to me by this Dr. Ovie a few weeks later i started experiencing changes all over me as Dr. Ovie assured me that I will be cured,after some time. i went to my doctor to confirm if i have been finally healed behold it was TRUE,the test came out negative. So friends my advice is if you have such sickness or any other at all you can contact Dr. Ovie for help.You can contact him on email> [email protected] or contact Dr Ovie on yahoo email> [email protected] Call or WhatsApp Dr on +2349056393169 Dr Ovie is specialized in curing the following, DIABETES HEPATITIS CANCER HIV/AIDS UNABLE TO GET PREGNANT LUPUS STROKE HSV 1&2 HPV PARKINSON DISEASE.

months ago I felt some pains and I went to the hospital my doc told me I had Herpes about 1 year ago and I need to start the treatment early, he gave me some medicine to be taking and I told him no I’ll not, because I hated taking medicine when I won’t not see cure for the purpose. After I got home I started getting worried searching for strong advice and I found valid natural treatment online a lot of people says they got herpes cure from DR ODUDU and I contacted DR ODUDU that same day I purchase his cure online, after three weeks of taking the herbal treatment i got cured totally. i tested negative all thank to DR ODUDU you can reach out to him through his email: [[email protected] ] or message him on WhatsApp +2348101571054 stay safe and bless you

I got diagnose of herpes virus last year, and i was taking some drugs prescribed for me by my family doc the drugs could not work and the herpes in my system was very terrifying that i was so depressed the good news is that i never gave up in searching for natural cure for herpes virus ,cause i believe so much in herbal medication.. One faithful morning i read a comment from a lady called Destiny Hudson on how she was cured with natural herbs made by DR.OYAGU from somewhere is West Africa, i immediately copied out his contact email via [email protected] and explain all my herpes problem to him via his email. the big truth is that it took just two week for his herbal medication to cure me completely without side affect. Till date am herpes virus free and all thanks to Dr OYAGU for his good deeds for me, Once again am very happy to share this great testimony of DR OYAGU cure hurry up now and contact him via his email address ([email protected] Call & WhatsApp him on (+2348101755322 ) and see what he can do

! I'm Very Much Excited To Let Ya Know You're A God Sent To My Life.  After Living With HSV - 2 For The Past eight years.  I'm Finally Cured After Using Your Herbal Medicine And The Native Soap.  First Week The Cold Sores In My Genital Area Dried Up And After 3weeks I Got Tested And It Was Absolutely True.  My leg Number Is Now 0.70.1 Just want to Say Thank You Very Much For Restoring Back My Health.  I Promise To Share Your GreatWork To The Whole World That You Are The Best.  Thank You So Much Dr Agbonhale Im Gonna Publish Your Medicine To Blog Because It's The Real Deal. Thank You Very Much Herbalist Agbonhale you can contact him via WhatsApp +2349073130326 or email [email protected].

(NO MEMBERSHIP FEE TO JOIN ILLUMINATI), I am giving a testimony on how i became rich and famous today… i was deeply strangled up by poverty and i had no body to help me, and also i searched for help from different corners but to no avail… I see people around me getting rich but to me i was so ashamed of my self so i met a man on my way he was very rich and he was a doctor so he told me something and i thought over it through out the day so the next day i looked up and i keep repeating what he said to me.” if you want to get rich quick and be famous” you need to cross your heart and do what is in your mind so i tried all i could in other for me to do as he said so later on i told my fellow friend about this same thing then my friend was interested in my suggestions so i decided to look in the internet and i found an email of an agent Jackson [email protected] and we decided to contact them and fortunately we did as they instructed us to do and later, they told us to get some requirements and all the rest… so this initiation took us just a week and later on the great Illuminati gave us $7,000,000.00 to start up our lives…. and now am testifying that if in any case you want to join any great Illuminati all you need to do is for you to contact him on whats-app +1(409)2993890.

I am really happy that i have been cured from (HERPES SIMPLEX VIRUS) with the herbal medicine of dr.chala, i have been suffering from this disease for the past 2 years and 7 mouth without solution until i came across the blog of this doctor who have cure so many people with his herbal medicine, i also choose to give him a chance to help me 👍, he told me what to do and i kindly did it, and he gave us his herbal medicine and direct me on how to use it, i also follow his instructions for use and he ask us to go for a check up after a week and some days which i did, to my greatest surprise our result came out as negative, and ever since then, we have had no more outbreak and we are healthy, we are really happy that there is someone like this doctor who is ready to help anytime any day. he also render cure to the following diseases below .DIABETES .CANCER .HEPATITIS .HIV/AIDS .P COS4 contact him via what's app +2348165102815 or email [email protected]

What a great miracle I have ever seen, my breast cancer stage 4 has just been cured after using a herbal detox from herbalist morata. I was diagnosed with breast cancer in 2018. It has really been a problem for me and my family. I have been to many hospitals and spent 10,000 dollars all to know avail. On my research on the internet I came across a testimony of a lady called Monica Harris, she was testifying about Dr Morata healing medicine curing her cancer the email and WhatsApp contact of the doctor was also there. I made contact with him by mail, and we had a little conversation. He asked for a few of my details which I sent to him, i made an order from him to cure my breast cancer as well. three days of making order , i receive the medication from FedEx, i was very happy because i believe i will be cured with this herbal medicine sent from dr morata, i used the medicine the same way dr morata instructed. Few weeks later of using the medicine my cancer was gone, i was surprise and even went to my dr for proper checkup which was confirm negative. you can also contact him on behalf of your illness that hospitals couldn't cure dr morata can help. contact him [email protected] WhatsApp +2349028574982 or mail me for more information [email protected]

Life is always beautiful when you are in good health. For almost 4 years I have been with herpes and I was lonely and sad. Fortunately I turned to a good and great doctor. to help me get back to health. completely cured my herpes.Today I am herpes free and very healthy. Many thanks. Dr ubarlo For returning my health. I will always be grateful. Dr ubarlo If you are reading this testimong and you have some kind of illness.(1) hepatitis.(2)cancer.(3) HIV.(4)herpes.(5) fibroids.6) ) (7) Cancer diabetes, you can also contact him on his email address [email protected] or Whatsapp +2348119508814

Before people said there is no cure for herpes virus but today many people have now believe that there is a cure,herpes virus can be cured through Africans roots and herbs, dr.ubarlo he is the one of the great herbal doctor in Africa and he has the cure on this virus last month he share his herbal medicine in some medical hospital and now he is well recognize as one of the best in Africa, you don’t have to be sad any more or share your tears any more on this virus when the cure have already be find by dr.ubarlo email him on [email protected] or Whatsapp number +2348119508814

For any kind of disease or virus you should contact Dr Aboda for natural healing treatment i am a living weakness thank you so much Dr for helping me get rid of this HSV completely via email: [email protected] call/WhatsApp +2349012479806 https://dr-aboda-solution-home.jimdosite.com/ Facebook Page: https://www.facebook.com/Drabodasolutionhome

I thank God for dr Moses Buba for helping me with pills for penis enlargement and cure my friends diabetes, he has been putting smile on my face, and on the faces of my loved ones, I got his email address via facebook platform on a penis size forum on facebook so I decided to contact him directly on his email address, and my encounter with this herbal doctor is a lifetime mind blowing testimony, so to all the other men out there about little penis , and other people that are sick of all other deadly diseases such as kidney problems, diabetes, leukemia, herpes and those that needs pills or creams for erectile dysfunction, premature ejaculation, kindly contact him directly on his email address via: [email protected] or WhatsApp him on +2349060529305 He is the best herbal doctor I have ever came across during my search for a cure, Good luck to all the sick people out there, I love you all

I got diagnosed with Herpes since 2010 i have be dealing with this mess ever since. On till i got review online about natural cure people testifies how they got cured with  Dr ehi natural treatment. And i order the treatment, after taking it for 4 weeks i totally got cured with herbal treatment. I'm recommending you diagnosis with Herpes should get this treatment via whats App:+2348143566693 or email [email protected]

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Free from Herpes just in 2 weeks. The best herbal remedy (( robinsonbucler@ )) gmail com____________________

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