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    NCP Fdar

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    Jhaymee Pineda
    The patient has a risk for infection related to impaired skin integrity and poor personal hygiene. The nursing care plan aims to provide health teachings on proper hand hygiene, instruct the patient to use alcohol-based hand rubs, and monitor for signs of infection over 3 days of nursing intervention. The expected outcomes are that the patient will understand the importance of hygiene and no longer be at risk of infection. Nursing notes document the patient's status, including a healing episiotomy site and understanding of teachings provided.

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    NCP Fdar

    Uploaded by

    Jhaymee Pineda
    2K views11 pages
    The patient has a risk for infection related to impaired skin integrity and poor personal hygiene. The nursing care plan aims to provide health teachings on proper hand hygiene, instruct the patient to use alcohol-based hand rubs, and monitor for signs of infection over 3 days of nursing intervention. The expected outcomes are that the patient will understand the importance of hygiene and no longer be at risk of infection. Nursing notes document the patient's status, including a healing episiotomy site and understanding of teachings provided.

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    NCP NSD PATIENT

    Original Title

    NCP-FDAR (1)

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    The patient has a risk for infection related to impaired skin integrity and poor personal hygiene. The nursing care plan aims to provide health teachings on proper hand hygiene, instruct the patient to use alcohol-based hand rubs, and monitor for signs of infection over 3 days of nursing intervention. The expected outcomes are that the patient will understand the importance of hygiene and no longer be at risk of infection. Nursing notes document the patient's status, including a healing episiotomy site and understanding of teachings provided.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    2K views11 pages

    NCP Fdar

    Uploaded by

    Jhaymee Pineda
    The patient has a risk for infection related to impaired skin integrity and poor personal hygiene. The nursing care plan aims to provide health teachings on proper hand hygiene, instruct the patient to use alcohol-based hand rubs, and monitor for signs of infection over 3 days of nursing intervention. The expected outcomes are that the patient will understand the importance of hygiene and no longer be at risk of infection. Nursing notes document the patient's status, including a healing episiotomy site and understanding of teachings provided.

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    NURSING CARE PLAN 1: (paki-specify nalang dito yung nursing diagnosis)

    ASSESSMENT NURSING SCIENTIFIC OBJECTIVES NURSING RATIONALE EXPECTED


    DIAGNOSIS EXPLANATION INTERVENTIONS OUTCOME
    Short term: Independent: Short term:
    Subjective data: Risk for infection Wounds/ cut >after 2 hours of >provided health >to provide >after 2 hours of
    >“’di pa ako related to involving injury to nursing teachings about information nursing
    naliligo magmula impaired skin soft tissue can intervention proper hand about the intervention
    kahapon.” As integrity and vary from minor patient will hygiene to the benefits of patient shall
    verbalized by the poor personal tears to severe verbalize patient and patient proper hand verbalize
    patient. hygiene crushing injuries importance of SO(s) hygiene. importance of
    which can be proper hygiene. proper hygiene.
    Objective data: contaminated >instructed patient >to help the be
    >incision site with pathogens Long term: to use alcohol- free from the risk Long term:
    manifested signs that can cause >after 3 days of based hand rubs if of getting >after 3 days of
    of inflammation infection on nursing she is not able to infection nursing
    > with vital signs incision site. intervention stand up intervention
    as follows patient will no patient will no
    BP:110/70 longer be at risk Dependent: longer be at risk
    T: 35 of infection. >provided >to provide of infection.
    PR: 75 medications as per protection
    RR: 18 the physician’s against infectious
    order agents
    NURSING CARE PLAN 2: (paki-specify nalang dito yung nursing diagnosis)

    ASSESSMENT NURSING SCIENTIFIC OBJECTIVES NURSING RATIONALE EXPECTED


    DIAGNOSIS EXPLANATION INTERVENTIONS OUTCOME
    NURSING CARE PLAN 3: (paki-specify nalang dito yung nursing diagnosis)

    ASSESSMENT NURSING SCIENTIFIC OBJECTIVES NURSING RATIONALE EXPECTED


    DIAGNOSIS EXPLANATION INTERVENTIONS OUTCOME
    NURSING CARE PLAN 4: (paki-specify nalang dito yung nursing diagnosis)

    ASSESSMENT NURSING SCIENTIFIC OBJECTIVES NURSING RATIONALE EXPECTED


    DIAGNOSIS EXPLANATION INTERVENTIONS OUTCOME
    NURSING CARE PLAN 5: (paki-specify nalang dito yung nursing diagnosis)

    ASSESSMENT NURSING SCIENTIFIC OBJECTIVES NURSING RATIONALE EXPECTED


    DIAGNOSIS EXPLANATION INTERVENTIONS OUTCOME
    FDAR 1: (paki-specify nalang dito yung nursing diagnosis)

    DATE TIME FOCUS NURSING PROGRESS NOTES


    6-2
    07/22/19 8AM General Survey D> received patient on bed. Awake, alert and
    coherent to time, place, and people. Breast lactating
    properly, still tender and firm, uterus still palpable,
    urinated once, defecated once; firm stool, with
    minimal vaginal bleeding; lochia rubra, with
    episiotomy: impaired skin integrity, negative result of
    homan’s sign, with no pain in lower extremities, with
    stable emotional status and categorized response of
    the patient as positive after her delivery.

    >practiced early ambulation

    >with vital signs as follows


    BP:110/70
    T: 35
    PR: 75
    RR: 18

    A>established therapeutic relationship


    >provided health teachings
    >assessed patient’s incision site
    >assisted patient in ambulation
    >monitored vital signs

    R>patient verbalized understanding of health


    teachings provided
    >manifested no signs and symptoms of infection on
    the site of incision
    >ambulated without any problem
    >manifested normal vital signs
    FDAR 2: (paki-specify nalang dito yung nursing diagnosis)
    DATE TIME FOCUS NURSING PROGRESS NOTES

    FDAR 3: (paki-specify nalang dito yung nursing diagnosis)


    DATE TIME FOCUS NURSING PROGRESS NOTES

    FDAR 4: (paki-specify nalang dito yung nursing diagnosis)


    DATE TIME FOCUS NURSING PROGRESS NOTES

    FDAR 5: (paki-specify nalang dito yung nursing diagnosis)


    DATE TIME FOCUS NURSING PROGRESS NOTES

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