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    NCP Appendicitis

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    mike_steven12
    1) The patient had undergone an appendectomy and had surgical incisions on the lower right abdominal area, putting them at risk for infection and impaired skin integrity. 2) Nursing interventions included monitoring the surgical site for signs of infection, providing wound care, encouraging participation in passive range of motion exercises, and instructing the patient and caregivers on proper wound care. 3) The goal was to promote healing and prevent infection by ensuring the surgical site remained clean, dry and intact.

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    NCP Appendicitis

    Uploaded by

    mike_steven12
    6K views5 pages
    1) The patient had undergone an appendectomy and had surgical incisions on the lower right abdominal area, putting them at risk for infection and impaired skin integrity. 2) Nursing interventions included monitoring the surgical site for signs of infection, providing wound care, encouraging participation in passive range of motion exercises, and instructing the patient and caregivers on proper wound care. 3) The goal was to promote healing and prevent infection by ensuring the surgical site remained clean, dry and intact.

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    1) The patient had undergone an appendectomy and had surgical incisions on the lower right abdominal area, putting them at risk for infection and impaired skin integrity. 2) Nursing interventions included monitoring the surgical site for signs of infection, providing wound care, encouraging participation in passive range of motion exercises, and instructing the patient and caregivers on proper wound care. 3) The goal was to promote healing and prevent infection by ensuring the surgical site remained clean, dry and intact.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    6K views5 pages

    NCP Appendicitis

    Uploaded by

    mike_steven12
    1) The patient had undergone an appendectomy and had surgical incisions on the lower right abdominal area, putting them at risk for infection and impaired skin integrity. 2) Nursing interventions included monitoring the surgical site for signs of infection, providing wound care, encouraging participation in passive range of motion exercises, and instructing the patient and caregivers on proper wound care. 3) The goal was to promote healing and prevent infection by ensuring the surgical site remained clean, dry and intact.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
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    The document discusses the nursing care plan for a patient post-appendectomy, including assessments, interventions, and goals.

    Nursing interventions mentioned include monitoring vital signs, providing wound care, encouraging early ambulation, administering antibiotics, and changing linens.

    The goal of the nursing interventions is for the surgical site to heal properly with an intact dressing, no signs of infection, and the patient able to do passive exercises.

    ASSESSM ANALYSIS RATIONALE PLANNIN INTERVENTION RATIONALE EVALUATI

    ENT G ON

    S> “ Hindi Impaired Due to the After the 8 >Assess operative >to check skin After the
    pa Skin surgical hours site for integrity, monitor series
    masyado Integrity procedure of nursing redness, swelling, progress of healing of nursing
    magaling related to (appendecto interventio loose and identify need interventio
    ang skin/tissue my) as n the sutures, or soaked for further n the goal
    sugat ko” trauma as management client will dressing has been
    as evidenced to acute be able > Serve as baseline met as
    verbalized by the appendicitis, to data manifested
    by surgical an incision at manifest by the
    the patient incision at right lower the >Monitor Vital Signs >to promote following:
    right lower abdominal following: circulation to the a.) intact
    O> S/P abdominal area is made a.) intact surgical site for sutures
    Appendect area due to causing the sutures >Assist in passive timely healing b.) dry and
    o appendecto disruption of b.) dry and movements(while intact
    my my skin surface intact 8hrs. flat wound
    >with and its wound on bed) such as bed dressing
    surgical integrity. dressing turning c.)
    incision at c.) and passive ROM participatio
    right lower participati exercise n
    abdominal on and active exercise in passive
    area in passive thereafter ROM
    ROM movements such as >to allow exercises
    exercises bed continuous
    position, sitting, monitoring and
    standing, assessment of pt.
    walking condition

    >Encourage pt to
    verbalized
    his for any untoward
    feelings >to promote
    especially pain, circulation to the
    discomfort as surgical site for
    well as changes timely healing
    noted on
    operative site >to promote
    circulation to the
    >Encourage pt to surgical site for
    engage timely healing
    early ambulation and
    have >for immediate
    SO’s assist him in replacement to
    such prevent skin
    activities breakdown and
    contamination of
    >Instruct pt and SO’s operative site
    to
    immediately report >to avoid
    when accumulation of
    dressing are soaked moisture at the
    operative site
    which may lead to
    >Instruct pt and SO’s skin breakdown
    to
    refrain from >to prevent
    touching/scratching bacteria harbor in
    operative operative site
    site

    >Provide regular
    dressing
    care

    >Administer
    antibiotic therapy as
    ordered
    ASSESSM ANALYS RATIONALE PLANNING INTERVENTION RATIONALE EVALUATION
    ENT IS

    S>”Hindi Risk for Due to the After the 8 >Monitor v/s and >Elevation in rates After the series
    namn infection surgical hours of record may of
    ako related procedure nursing signal infection nursing
    nilalagnat” to (appendectom intervention >assess operative intervention the
    verbalized tissue y) as the client site for signs of >to provide goal has been
    by trauma management will be able infection baseline data met
    the patient to acute verbalize for comparison and as evidenced by:
    appendicitis, ways in identify need for >maintain stable
    O> v/s an incision at preventing further v/s
    taken as right lower infection/ >change linens as management >good skin
    follow: abdominal contaminatio necessary integrity
    area is made n specifically >to prevent growth >absence of
    causing the proper hand of swelling redness
    disruption of washing, and >Provide regular microorganisms on and pain on
    skin surface proper wound dressing care linens and beds operative site
    making it at care
    risk for being as evidenced > to prevent
    invaded by by: unnecessary
    pathologic >maintain exposure and
    organism stable >Instruct pt and contamination of
    v/s SO’s to refrain operative site which
    >good skin from touching/ may delay wound
    integrity scratching healing
    >absence of operative
    swelling site >for immediate
    redness and replacement to
    pain on prevent skin
    operative site >Encourage pt to breakdown and
    verbalized any contamination of
    changes operative site
    >to allow
    continuous
    monitoring and
    assessment of pt.
    condition

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