NCP risk for infection

Problem

Open wound

Nursing Diagnosis High risk for  infection d/t inadequate  primary defense as manifested by  broken skin

Background Knowledge

Goal and Objectives

Trauma on skin After 2 hours of  at left anterior  nursing intervention the  patient will gain knowledge in Broken skin infection control as evidenced by discussing the wound care. Open wound

Risk for  infection

Nursing Intervention

Independent 1. Esta Establ blis ish h rappoirt

2. Teach each pati patien entt to wash hands often, especially  before toileting,  before meals and before and after  administering self-care 3. Discuss to  patients the following signs of infection -

Rationale

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redness, swelling, increased pain, or purulent drainage on the site and fever 

4.

Demonstrate and allow

➢

Evaluation

After 2 hours of  To gain trust nursing intervention and the patient will be cooperation able to gain of the knowledge in  patient infection control as Hand evidenced by his washing discussion in wound reduces the care. Therefore, the risks for  goal was met infection

To impart to the patient when the wound  become infected and when to sought medical care To know if 

return demonstration of wound care

the patient really understand the principle of proper  wound care