infection ncp
Post on 10-Apr-2015
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Cues/Needs Nursing Diagnosis
Goals and Objectives
Interventions Rationale Evaluation
Subjective:“Kagagaling lang nga anak ko sa sakit, tapos ngayon ngakasakit nanaman.” As verbalized by the patient’s mother
Objective:_Weakness_Pale looking_Clammy Skin_Sunken eyebags_Presence of illness
V/S P: 132 R:48 T: 37
Risk for infection After 6 hours of nursing intervention, the patient’s support familywill identify interventions to prevent/ reduce risk of infection as evidenced by positive feedbacks.
_Assess signs and symptoms of infection especially temperature
_Stress proper hand hygiene by all caregivers between therapies/clients
_Recommend routine body shower/scrubs when indicated
_Emphasize necessity of taking antivirals/antibiotics as directed
_Discuss importance of not taking antibiotics/using “leftover” drugs unless specifically instructed by healthcare provider
_Encourage patient and patient’s support family to consume nutirous foods and refrain from sedentary lifestyle
_Fever may indicate infection
_A first line defense against health care-associated infections
_To reduce bacterial colonization
_Premature dicontinuation of treatment when client begins to fell well may result in return of infection and potentiate drug-resistant strains
_Unappropriate use can lead to development of drug-resistant strains/secondary infections
_To boost immune system
After 6 hour of nursing intervention, the patient ‘s support familily identified intervetnions to prevent/reduce risk of infection as evidenced by poritive feedbacks. The mother stated that she would ensure to provide nutirous foods for the patient.
Goal Met
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