Nicole Beatrice P. Manos CUES Objective: - Rashes around the vagina - Open Wound PR:160 RR: 47 TEMP: 36.

9 NURSING DIAGNOSIS Risk for Infection INFERENCE GOAL AND OBJECTIVE Cell injury > After 2 hours pathogen > Blood of nursing Stream > intervention Hypothalamus > TSH the patient > Thyroid > T3 & T4 > will gain BMR > Increase knowledge in Temp > Fever > Temp infection 38.5 (bad temp) > control as Protein Coagulation > evidenced by Cell Death discussing the wound care NURSING INTERVENTION Independent 1. Establish rapport RATIONALE EVALUATION After 2 hours of nursing intervention the patient will be able to gain knowledge in infection control as evidenced by his discussion in wound care. Therefore, the goal was met

To gain trust and cooperation of the patient Hand washing reduces the risks for infection

2. Teach patient to wash hand soften, especially before toileting, before meals and before and after administering selfcare 3. Discuss to patients the following signs of infection redness, swelling, increased pain, or purulent drainage on the site and fever 4. Demonstrate and allow return demonstration of wound care

To impart to the patient when the wound become infected and when to sought medical care

To know if the patient really understand the principle of proper wound care

Reference: NANDA-Nursing Diagnoses: Definitions and Classifications 2009-2011 Fundamentals of Nursing: Concepts, Process, and Practice Eighth Edition by Kozier & Erb