Ut In Omnibus Glorificetur Deus

SAN BEDA UNIVERSITY

COLLEGE OF NURSING

NURSING CARE PLAN

Name of Patient: ___De Luna, Maribel_______________ Agency/ Area: Rooming In ward___________

Diagnosis: _ G2P2 (2002) Pregnancy Uterine 40 weeks and 1/7,___ Rating: _________________

ASSESSMENT
SUBJECTIVE OBJECTIVE

“Medyo matagal maghilom sugat ko medyo masakit Fasting Blood Glucose of 127 mg/dL
ang sugat ko” Weak in appearance
(+) redness in the incision site

NURSING DIAGNOSIS
Risk for Infection related to high glucose level

SCIENTIFIC EXPLANATION

Diabetic patients are tend to be susceptible to infection due to the high level of glucose in the blood. High
blood glucose can attract bacteria and one of the food of it is sugar. It can also alter the blood circulation
that can cause poor wound healing.

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 PLANNING
LONG TERM SHORT TERM

The incision will be dry and free from infection and After 8 hrs of nursing intervention, the redness is
complication. lessen and the

NURSING ACTIONS
INTERVENTIONS RATIONALE

Assess signs and symptoms of infection especially Fever may indicate infection.
temperature.

Emphasize the importance of handwashing It serves as a first line of defense against infection.
technique.

Maintain aseptic technique when changing Regular wound dressing promotes fast healing and
dressing/caring wound. drying of wounds.

Keep area around wound clean and dry. Wet area can be lodge area of bacteria

Emphasized necessity of taking antibiotics as Premature discontinuation of treatment when client

ordered. begins to feel well may result in return of infection.

Advice patient to reduce sugary and starch food.

Take food with low glycemic Index. Controlling the blood glucose level will help the
healing of the wound faster

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 EXPECTED OUTCOME/ EVALUATION

Goal met. The blood glucose level of the patient is within the normal range and the incision site is dry and
free from infection.

Prepared by: Evaluated by:

Student Nurse’s Signature over Printed Name Clinical Instructor’s Signature over Printed Name

DATE: _______________ DATE: _______________

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