Nursing Care Plan
Name of the Patient : GC
Medical Diagnosis : Post CS
Nursing Diagnosis : Risk for infection related to post surgical incision
Short-Term Goal : Within the shift, patient will be able to identify ways to reduce risk for infection.
Long-Term Goal : At the end of hospitalization, patient will not manifest any signs and symptoms of infection.
Cues Problem Scientific Reason Nursing Intervention Rationale Evaluation
Subjective: Risk for Wounds involving Assess signs and Fever may Goal met:
“Kaninang umaga infection injury to soft tissue symptoms of indicate infection.
lang ako can vary from infection especially Patient was free
naoperahan”; as minor tears to temperature. from any signs
verbalized by the severe crushing and symptoms of
patient. injuries. The It serves as a infections as
decision to suture a first line of defense manifested by
wound depends on
Emphasize the absence of fever.
importance of against infection.
Objective: the nature of the
handwashing
wound the time
technique.
T- since the injury
Regular wound
36.3°C was sustained the
Maintain aseptic dressing promotes
Weak in degree of
technique when fast healing and
appearance contamination.
changing drying of wounds.
Clean and dressing/caring
Reference:
intact wound. Wet area can be
Brunner &
abdominal lodge area of
Suddarth’s
dressing Keep area bacteria
Textbook of
Medical-Surgical around wound clean
Nursing 11th edition and dry. Premature
by Smeltzer, Bare, discontinuation of
Hinkle, Cheever Emphasized treatment when
necessity of taking client begins to feel
antibiotics as well may result in
ordered. return of infection.
Submitted by: Ray Francis C. Bravo
Submitted to: Mrs. Altavano
Submitted by: Ray Francis C. Bravo
Submitted to: Mrs. Altavano