Assessment Nursing Scientific Planning Intervention Rationale Evaluation

Diagnosis Explanation

Subjective Cues: Risk for infection bacteria Goal: Independent: Goal was
related to increase After nursing achieved.
“Lagi po ako in environmental interventions,the -instruct in daily -at high risk for After nursing
naglalaro sa labas” exposure to poor sanitary client will be able mouth care nosocomial / health interventions, the
as verbalized by pathogens hygiene to be free from care associated client was able to
the client. pathogens. infections be free from
-recommend -to reduce bacterial pathogens
Objective Cues: entrance of Short-Term routine body colonization
bacteria Objective: showers -for mobilization of After nursing
-always playing After the nursing -Encourage deep respiratory interventions, the
outside the house intervention, the breathing secretions client was able to:
-dirty playground distruction of 1st client will be able -Stress proper -it is the first line
-poor sanitary line of defense to: hand washing defense against -gain knowledge
hygiene -gain knowledge infection and could give 3
-sweaty hair and could give 3 -instruct client in -skin is the first line out of 5 ways to
-sweaty skin spreading of the out of 5 ways to techniques to defense for prevent infection
-dirty house microorganisms prevent infection protect integrity of microorganism -demonstrate good
-demonstrate good skin care for sanitary hygiene
sanitary hygiene leasions such as taking a
such as taking a bath everyday and
infection occur bath everyday and brushing of teeth
brushing of teeth after meals
after meals