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Nursing Care Plan for ESRD
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Asses sessme sment: nt:
Subjective Cues: None Objective cues:
NURSING ING DIAGNOSIS Risk for infection related to open wound.
Planning
Short term: After 8 hours of nursing intervention the patient is less risk for infection.
Nursing Intervention •
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Long term: After 3 days the patient is able to do own wound care, knows more when it comes to preventive measures to infection and manifesting good/better wound healing.
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Perform daily wound care. Note risk factors of occurrenc e of infection Observe for localized signs of infection at wounds Give daily meds.
Let the client/ client’s friends or relative to observe and participate in doing wound care. Brief the client more about how to prevent further infection. (E.g. good hygiene, clean environme nt & etc.).
Rationale
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To clean the wound and to avoid infection. To evaluate the presence of infection.
To evaluate the presence of infection
To improve condition and wound healing. For the patient to be able to continue wound care at home.
For the patient to avoid and to do certain things to avoid infection and to promote fast/good/be tter wound healing.
Evaluation
After 8 hours of nursing intervention the client is less at risk for infection and more knowledgeable in wound care and more aware when it comes to infection.