Scribd Logo
Upload

Welcome to Scribd!

  • 47 views

    Urdaneta City University College of Nursing

    Uploaded by

    Chris Tine Caccam
    This nursing care plan summarizes the care for a patient who had an accident that resulted in an open fracture of the right distal fibula. The patient is at high risk for infection due to the broken skin. The nursing diagnosis is high risk for infection. The plan is for the nurse to establish rapport, teach hand washing and wound care, and provide emotional support to reduce anxiety. The nurse will also ensure proper medication administration and refer to other providers as needed. The goal is for the patient to gain knowledge in infection control after 2 hours of nursing intervention.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Urdaneta City University College of Nursing

    Uploaded by

    Chris Tine Caccam
    47 views3 pages
    This nursing care plan summarizes the care for a patient who had an accident that resulted in an open fracture of the right distal fibula. The patient is at high risk for infection due to the broken skin. The nursing diagnosis is high risk for infection. The plan is for the nurse to establish rapport, teach hand washing and wound care, and provide emotional support to reduce anxiety. The nurse will also ensure proper medication administration and refer to other providers as needed. The goal is for the patient to gain knowledge in infection control after 2 hours of nursing intervention.

    Original Description:

    nursing care plan

    Original Title

    GHINE NCP 2

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This nursing care plan summarizes the care for a patient who had an accident that resulted in an open fracture of the right distal fibula. The patient is at high risk for infection due to the broken skin. The nursing diagnosis is high risk for infection. The plan is for the nurse to establish rapport, teach hand washing and wound care, and provide emotional support to reduce anxiety. The nurse will also ensure proper medication administration and refer to other providers as needed. The goal is for the patient to gain knowledge in infection control after 2 hours of nursing intervention.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    47 views3 pages

    Urdaneta City University College of Nursing

    Uploaded by

    Chris Tine Caccam
    This nursing care plan summarizes the care for a patient who had an accident that resulted in an open fracture of the right distal fibula. The patient is at high risk for infection due to the broken skin. The nursing diagnosis is high risk for infection. The plan is for the nurse to establish rapport, teach hand washing and wound care, and provide emotional support to reduce anxiety. The nurse will also ensure proper medication administration and refer to other providers as needed. The goal is for the patient to gain knowledge in infection control after 2 hours of nursing intervention.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    You are on page 1of 3

    URDANETA CITY UNIVERSITY

    COLLEGE OF NURSING

    NURSING CARE PLAN


    MONTH/YEAR OF EXPOSURE: JULY 08 - JULY 19, 2019
    AFFILIATING AGENCY/AREA: MANILA AFFILIATION-PHILIPPINE ORTHOPEDIC CENTER
    ASSESSMENT NURSING PLANNING INTERVENTION RATIONALE EVALUATION
    DIAGNOSIS
    Subjective: High risk for infection After 2 hrs of nursing Independent:
    “inoperahan yung due to inadequate intervention the pt will  Establish rapport  To gain trust and After 2hrs of nursing
    kanang paa nya dahil sa primary defense as gain knowledge in cooperation of intervention the pt. will
    aksidente ” as verbalized manifested by broken infection control as the patient. be able to gain
    by Grandmother skin evidenced by discussing  Teach pt to wash  Hand washing knowledge in infection
    the wound care. hands often reduces the risk control as evidenced by
    Objective : Scientific Explanation: especially before for infection. his discussion in wound
    (+) swelling toileting ,before care. Therefore,the
    (+) tenderness Trauma on skin @ right and after goal was met.
    (+) wound discharge leg distal , fibula administering
    (+) limitation of ROM self-care
    In right leg
    Broken skin  Discuss to pt the  To impart to the
    following sighs of pt when the
    V/S: infection wound become
    Temp: 36.5 Open wound redness, swelling infected and
    PR: 83 increased pain, when sought
    RR: 21 or purulent medical care
    BP: 110/70 mmhg Risk for infection drainage on the
    site and fever
    Medical Diagnosis:
    URDANETA CITY UNIVERSITY
    COLLEGE OF NURSING

    Fracture open 3b  Provide  To lessen anxiety


    complete displaced emotional
    distal ,fibula (R) support

    Dependent:
     Administer
    proper
    medication as
    prescribed by
    the physician.

    Collaborative:
     Refer to the
    physician or
    physiotherapist.
    URDANETA CITY UNIVERSITY
    COLLEGE OF NURSING

    Prepared by: Submitted to:

    Espiritu Efrain S. Mr. Rodney E. Salagubang, PTRP., RN., MAN.


    Name of Student Clinical Instructor
    BSN III July 08, 2019- July 19 2019

    You might also like