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    Dhan Chan NCP

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    Dhaneanne Marie Chan
    The patient reported pain after a natural childbirth and surgical incision. The nurse assessed the patient and identified risks of infection due to the incision. Short term goals were for the patient to identify infection symptoms and reduce infection risks. Interventions included monitoring vitals, teaching infection prevention, and wound care. Long term goals were for the patient to heal without infection through proper care and nutrition. After interventions, the patient's wound was healing and she knew how to prevent infection.

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    Dhan Chan NCP

    Uploaded by

    Dhaneanne Marie Chan
    130 views3 pages
    The patient reported pain after a natural childbirth and surgical incision. The nurse assessed the patient and identified risks of infection due to the incision. Short term goals were for the patient to identify infection symptoms and reduce infection risks. Interventions included monitoring vitals, teaching infection prevention, and wound care. Long term goals were for the patient to heal without infection through proper care and nutrition. After interventions, the patient's wound was healing and she knew how to prevent infection.

    Original Description:

    It is a nursing care plan for postpartum mother

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    The patient reported pain after a natural childbirth and surgical incision. The nurse assessed the patient and identified risks of infection due to the incision. Short term goals were for the patient to identify infection symptoms and reduce infection risks. Interventions included monitoring vitals, teaching infection prevention, and wound care. Long term goals were for the patient to heal without infection through proper care and nutrition. After interventions, the patient's wound was healing and she knew how to prevent infection.

    Copyright:

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

    Dhan Chan NCP

    Uploaded by

    Dhaneanne Marie Chan
    The patient reported pain after a natural childbirth and surgical incision. The nurse assessed the patient and identified risks of infection due to the incision. Short term goals were for the patient to identify infection symptoms and reduce infection risks. Interventions included monitoring vitals, teaching infection prevention, and wound care. Long term goals were for the patient to heal without infection through proper care and nutrition. After interventions, the patient's wound was healing and she knew how to prevent infection.

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    CUES NURSING OBJECTIVES INTERVENTION RATIONALE EVALUATION

    DIAGNOSIS
    S: “medyo Risk for infection Short term goal:  Monitored vital  Alteration from Goals met. At the
    gangutngot ang related to At the end of 2 hours signs and assess normal values end of 2 hours, the
    akng tahi dre sa inadequate of nursing symptoms of indicate signs patient was able to:
    ubos ug tukar tukar primary defenses interventions, the infection of infection
    pod ang kasakit,” as secondary to post patient will be able especially especially  “ang
    verbalized by the surgical incision at to: temperature temperature gapamatuod na
    patient the perineum naay inpeksyon
     state some  Conducted a  Aseptic and akong tahi
    O: Patient reported symptoms of health teaching technique kay ang
    pain scale of 5 out infection regarding the decreases the pagpanghupong,
    of 10; surgical  identify ways to symptoms and changes of naay gagawas
    incision at the reduce risks for ways to reduce transmitting or na tubig-tubig,
    perineum due to infection risks of spreading gapanginit ang
    natural  demonstrate infection. pathogens to panit palibot sa
    spontaneous appropriate Maintained or the patient. akong samad,”
    vaginal delivery; perineal care teach asepsis Interrupting as verbalized by
    weak in for dressing the the patient
    appearance Long term goal: changes and transmission of  identified ways
    At the end of 1 week wound care. infection along to reduce risk
    of nursing the chain of for infection
    interventions, the infection is an such as using
    patient will be able effective way aseptic
    to: to prevent technique when
    infection. changing wound
     remain free of dressings; intake
    infection  Emphasized the  To promote of protein-rich
     exhibit evidence importance of cleanliness to and calorie-rich
    of progressive proper perineal the perineal foods;
    care (wash area increasing

    DHANEANNE MARIE L. CHAN


    healing as hands before intake of fluid,
    demonstrated starting and etc.
    by clean, dry, perineal care,  demonstrated
    absent edema, use warm water properly how to
    and intact and clean do the perineal
    episiotomy site washcloth care
    moving from
    front to back) At the end of 1 week,
    the patient was able
     Encouraged  Helps support to:
    intake of the immune
    protein-rich system  remained free
    (such as lean responsiveness. of infection
    meat, eggs, throughout
    chicken breast) shift, without
    and calorie-rich any signs and
    (such as symptoms of
    avocado, dark infections
    chocolate, eggs)  exhibited
    foods. evidence of
    progressive
     Encouraged  Fluids promote healing as
    fluid intake of diluted urine demonstrated
    2,000 to 3,000 and frequent by clean, dry,
    mL of water per emptying of absent edema,
    day. bladder – and intact
    reducing the episiotomy site
    stasis of urine,
    in turn, reduces
    risk for bladder
    infection or

    DHANEANNE MARIE L. CHAN


    urinary tract
    infection.

     Emphasized  To prevent
    necessity of drug resistance
    taking
    antibiotics as
    ordered.

    DHANEANNE MARIE L. CHAN

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