NCP Sa CP

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DATE CUES NEEDS NSG.

OBJECTIVE INTERVENTION EVALUATION


/TIME DIAGNOSIS OF CARE
1. Established rapport. Goal met:
S Subjective: Health Risk for Within 8º span ®To gain cooperation and Patient remains
E None Perception- infection r/t of care the reduce anxiety. free of
P Health Invasive patient remains infection, as
T Objective: Managemen procedure free from any 2. Monitored the following evidenced by
E -post Exlap t pattern secondary to signs and for signs of infection: the absence of
M -T- Exploratory symptoms of Redness, swelling, rubor ,calor,
B -P- Laparotomy infection such increased pain, or dulor, tumor
E -R- as: purulent drainage at and loss of
R -BP- Scientific Basis: -Rubor incisions.® this could function.
-Pain during -Calor be the signs that the
1, standing noted: Persons at risk -Dulor patient is developing
with a pain for infection -Tumor
infection.
2010 scale of 5/10. are those -Loss of
whose natural function
3. Washed hands and
/ defense taught other caregivers
mechanisms to wash hands before
7-3 are inadequate contact with patient and
to protect between procedures
them from the with patient. ®
inevitable Washing between
injuries and procedures reduces the
exposures that risk of transmitting
occur pathogens from one
throughout the area of the body to
course of another.
living. Open
wounds, 4. Limited visitors. ® This
traumatic or reduces the number of
surgical, can organisms in patient’s
be sites for environment and
infection; soft restricts visitation by
tissues (cells, individuals with any
fat, muscle) type of infection to
and organs reduce the transmission
(kidneys, of pathogens to the
lungs) can also patient at risk for
be sites for infection.
infection either
after trauma, 5. Encouraged intake of
invasive protein- and calorie-rich
procedures, or foods. ® This maintains
by invasion of optimal nutritional
pathogens status.
carried
through the 6. Teach patient and
bloodstream or caregiver the signs and
lymphatic symptoms of infection,
system. and when to report
these to the physician
or nurse. ®To give
immediate action.

Dependent:
1. Administer antibiotic
as prescribed.
® To kill/inhibit the
pathogens by its own
mechanism of action.

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