NCP-Risk for Infection

Nursing Care Plan Name of the Name the Pati Patien entt Medi Me dica call Dia Diagn gnos osis is Nursing Nurs ing Diag Diagnosis nosis Short-Te Shor t-Term rm Goal Goal Long Lo ng-T -Ter erm m Go Goal al Cues Subjective: “Kaninang umaga lang ako naoperahan”; naoperah an”; as verbalized by the patient.

Objective: 

 T36.3°C  Weak in appearance  Clean and intact abdominal dressing

: : : :

GC Postt CS Pos CS Risk for infec infection tion rela related ted to post post surg surgical ical incis incision ion Within the shif Within shift, t, patien patientt will will be able to ident identify ify ways ways to red reduce uce risk for infec infection tion.. : At At the the en end d of ho hosp spit ital aliz izat atio ion, n, pa pati tien entt wil willl not not ma mani nife fest st an any y si sign gns s and and sy symp mpto toms ms of in infe fect ctio ion. n. Problem

Scientific Reason

Nursing Intervention

Rationale

Risk for infection

Wounds involving injury to soft tissue can vary from minor tears to severe crushing injuries. The decision to suture a wound depends on the nature of the wound the time since the injury was sustained the degree of  contamination.

 Assess signs and

 Fever may

symptoms of  infection especially temperature.

indicate infection.

Reference: Brunner & Suddarth’s  Textbook of  Medical-Surgical Nursing 11th edition by Smeltzer, Bare, Hinkle, Cheever

It serves as a first line of defense against infection. 

 Emphasize the

importance of  handwashing technique.

Evaluation Goal met: Patient was free from any signs and symptoms of  infections as manifested by absence of fever.

Regular wound dressing promotes fast healing and drying of wounds. 

Maintain aseptic technique when changing dressing/caring wound. 

Keep area around wound clean and dry. 

Emphasized necessity of taking antibiotics antibiotic s as ordered. 

Wet area can be lodge area of  bacteria 

Premature discontinuation of  discontinuation treatment when client begins to feel well may result in return of infection. 

Submitted by: Ray Francis C. Bravo Submitted to: Mrs. Altavano

Submitted by: Ray Francis C. Bravo Submitted to: Mrs. Altavano