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NCP

The document describes a nursing care plan for a client with a leg lesion at risk for infection. It includes the nursing diagnosis of risk for infection due to broken skin. The goal is for the client to learn infection prevention interventions after a teaching session. Interventions include hand hygiene and monitoring for signs of infection. The client was able to identify preventions after the teaching.

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Luiji Amor Tiamzon
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348 views2 pages

NCP

The document describes a nursing care plan for a client with a leg lesion at risk for infection. It includes the nursing diagnosis of risk for infection due to broken skin. The goal is for the client to learn infection prevention interventions after a teaching session. Interventions include hand hygiene and monitoring for signs of infection. The client was able to identify preventions after the teaching.

Uploaded by

Luiji Amor Tiamzon
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Cues/Needs Subjective Data: matagal gumaling pag nagkakasuga t ako Objective data: Has lesion on the left leg.

Nursing Diagnosis Risk for infection r/t inadequat e primary defenses eg. Broken skin.

Rationale At increased risk for being invaded by pathogeni c organisms.

Goals and Objectives After 10 minutes of health teachings . the client will be able to identify interventions to prevent/reduc e risk of infection.

Interventions Independent: >Stress proper hand hygiene by all caregivers between therapies/clients . >Observe and report any signs of infection such as redness, warmth, and discharge.

Rationale > a first-line defense against healthcare associated infections.

Evaluation After 10 minutes of health teachings. The client was able to identify intervention s to prevent/red uce risk of infection

>Prospective surveillance study for nosocomial infection on hematology

Cues/Needs Nursing Diagnosis Subjective Fatigue Data: hindi related to ako physiological satisfied sa factors. pagtulog ko, kahit bagong gising ako wala parin akong lakas Objective data: >Lack of energy

Rationale

Goals and Objectives An After 3 days overwhelming of nursing sustained intervention sense of the client exhaustion will be able and to verbalize decreased having capacity for sufficient physical and energy mental work to complete at usual level desired activities.

Interventions >Assess characteristics of fatigue: -severity -changes in severity overtime. -aggregating factors -alleviating factors >assess the patient s nutritional intake

Rationale >using a quantitative rating scale such as 1 to 10 can help the patient described the amount of the fatigue experienced. It is important to determine if the clients level of fatigue is constant or if it varies over time. >fatigue may be a symptom of improper nutritional intake.

Evaluation After 3 days of nursing intervention the client was able to verbalize having sufficient energy to complete desired activities.

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