Assessment Subjective: Kaninang umaga lang ako naoperahan; as verbalized by the patient.

Diagnosis Risk for infection related to post operative incision Inference:

Interventions Nursing Care Plan STG: After 2-4 hours of nursing intervention, the patient will be able to: Identify ways to reduce risk for infection. Have partial understanding about infection control LTG: After 2-3 days of nursing intervention, the patient was able to : Clients full knowledge in identifying the risk factors of the infection Be free from any signs and symptoms of related to infection
5. Discuss importance of not taking antibiotics unless specifically instructed by healthcare provider. 4. Monitor vital signs. 3. Advice to have enough rest and sleep. 1. Promote good hand washing by patient and staff. 2. Encourage to eat foods that are rich in protein and Vitamin C.

Rationale

Evaluation After 2-4 hours of nursing intervention, the patient was able to identify ways to reduce risk for infection and had partial understanding about infection control. The goal was fully met.

Reduces risk of crosscontamination

Objective: T-36.3C Weak in Clean and

Wounds involving injury to soft tissue can vary from minor tears to severe crushing injuries. The decision to suture a wound depends on the nature of the wound the time since the injury was sustained the degree of contamination.
Reference: Brunner & Suddarths Textbook of MedicalSurgical Nursing 11 edition by Smeltzer, Bare, Hinkle, Cheever
th

Vitamin C is known to prevent infection;. Protein is needed for tissue repair regeneration; meat products, nuts & legumes are rich sources of which. This promotes healing by reducing basal metabolic rate & allowing oxygen & nutrients to be utilized for tissue growth, healing & regeneration. Fever with increased pulse and respirations is typical of increased metabolic rate resulting from inflammatory process, although sepsis can occur without a febrile response.

appearance dressing intact abdominal

After 2-3 days of nursing intervention, the patient was able to have full knowledge in identifying the risk factors of the infection and became free in any signs and symptoms related to infection. The goal was fully met.

Inappropriate use can lead to development of drugresistant strains/secondary infections.

6. Provide meticulous skin, oral and perianal care.

Reduces the risk of skin/tissue breakdown and infection. Most antibiotics work best

Submitted by: Maria Karmela Louise T. Vinco

BSN IV-D

QMMC WTH 5:00 -10:00 pm , Surgery Ward

Clinical Instructor: Mrs. Lilian Gaerlan