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ST.

PAUL UNIVERSITY SYSTEM


COLLEGE OF NURSING
NURSING CARE PLAN FORM

Subjective Objective Nursing Diagnosis Scientific Analysis Planning Interventions Rationale Expected Outcomes
-none -Vaginal Risk for Vaginal Short term: Independent: Short term
bleeing infection bleeding may -Assess the -This are the goal:
-Anemia related to indicate an -After 4 hours skin for any most common After 6 hours
uterine infection of of duty, the signs of signs of of duty the
bleeding as your patient will selling infection patient will
evidence by reproductive verbalized purulent be able to:
excessive organs. understanding discharge or
blood loss Having anemia and follow presence of -to reduce -the patient

 means you have prescribed pain. bacterial will be able

 Definition: low in iron as regimen colonization to verbalize

 Risk for low in iron -Recommend understanding

 alteration in affects the Long term: routine or of individual

 intergration body’s natural preoperative -A first line causative/risk

 and modulation defense -After 4 days body shower or defense factors and

 of the system. of scrubs against demonstrate

 physiological intervention, healthcare technique/s

 and behavioral References: the patient -Stress proper associated that will

 systems of Feb12, 2019 by will be free hand hygiene infections promote the

 functioning. Gil Wayne. of signs and by all decrease in

 Risk for symptoms of caregivers risk for

 References: Infection infection between -minimize infection.

 Doenges, M.E., Nurse Labs therapies and nosocomial

 Moorhouse, clients infection Long term

 M.F,& Murr, goal:

 A.C (2010) -Maintain After 6 days
Nurse’s pocket sterile of nursing
guide: technique for interventions,
Diagnosis, all invasive the patient
prioritized, procedures will be able
interventions to:
and
rationales. -remain free
F.A. Davis from signs of
Philadelphia any infection.

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ST. PAUL UNIVERSITY SYSTEM
COLLEGE OF NURSING
NURSING CARE PLAN FORM

Subjective Objective Nursing Diagnosis Scientific Analysis Planning Interventions Rationale Expected Outcomes
-Assess and -Patients with -know more
monitor poor nutrition about
nutritional may be unable preventative
status, to muster measures
history of cellular against
weight loss. immune infection and
response to manifesting
pathogens better wound
making them healing
susceptible to
pathogens
-Review -To assess if
Environmental there is a
factors need of
avoidance or
modification
of environment
to reduce
incidence of
infection.

-Discuss the -Inappropriate


importance of use can lead
not taking to development
antibiotics or of drug
using “left resistant
over” drugs trains
unless
instructed by
health care
provider
Dependent:

44
ST. PAUL UNIVERSITY SYSTEM
COLLEGE OF NURSING
NURSING CARE PLAN FORM

Subjective Objective Nursing Diagnosis Scientific Analysis Planning Interventions Rationale Expected Outcomes
-Administer -helps boost
prophylactic immune system
antibiotics agains
and pathogens
immunizations

-Emphasize -Premature
necessity of discontinuatio
taking n of treatment
antivirals or when client
antibiotics as begins to feel
indicated well may
result in
return of
infection and
potentiation
of drug
resistant
Collaborative: strains

-Monitor white -Very low WBC


blood cell count may
count indicate
severe risk
for infection.

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