ASSESSMENT DIAGNOSIS SCIENTIFIC PLANNING IMPLEMENTATION RATIONALE EVALUATION

EXPLANATION

-discuss to the client -this would give LONG TERM:

SUBJECTIVE: Risk for infection Insufficient LONG TERM: how pathogens work the client
related to knowledge to avoid necessary After 1 week of nursing
No subjective insufficient exposure After 1 week of -describe the sign and information to intervention the client
cues knowledge to nursing intervention symptom of infection avoid infection had been able to:
avoid exposure to ↓ the client will be able
pathogens as to: -show proper technique -early detection of c.) demonstrate two
evidence by dirty Complete with new in hand washing infection would techniques,
nails. cells for oxygen and a.) demonstrate and lessen damage. lifestyle changes
nutrition two techniques, -instruct the client to to promote
OBJECTIVE: lifestyle notify the health care -the most effective safety
↓ changes to provider way to avoid environment
-dirty nails promote safety infection d.) achieve timely
By products of environment -keep wound dry wound healing;
organisms b.) achieve timely -necessary be free of
wound healing; -change dressing as intervention could purulent
↓ be free of needed be done drainage or
purulent erythema.
Presence of drainage or -keep the area around -moist encourages
contamination erythema. the wound clean using bacterial growth
antibacterial solutions
↓ during changing of -if not it SHORT TERM:
dressing as needed. encourages the
Risk for SHORT TERM: bacterial growth After 3days of nursing
contamination -administer antibiotics intervention the client
After 3days of nursing 250mg – 500mg q 8hrs. -destroys pathogen had been able to::
 ↓ intervention the client on the surrounding
will be able to: -cooperate to the a.) verbalize
Infection family to use proper -to prevent understandin
a.) verbalize soap to clean and to infection g of
understanding dress the wound. individual
-Fundamentals of of individual -to prevent causative/ris
Nursing, Kozier, causative/risk pathogens. k factors
page 116 factors b.) identify
b.) identify intervention
intervention to to
prevent/reduce prevent/redu
risk for ce risk for
infection infection