Scribd
Upload
1K views2 pages

Nursing Care Plan: Assessment Diagnosis Inference Planning Intervention Rationale Evaluation

Martino, Collins, Kanouse, Elliott, and Berry (2005) explained how Cultural influences serve as behavioral models for young people: Social-cognitive theory contends that people observe important role models, make inferences

Uploaded by

Jamie Haravata
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
1K views2 pages

Nursing Care Plan: Assessment Diagnosis Inference Planning Intervention Rationale Evaluation

Martino, Collins, Kanouse, Elliott, and Berry (2005) explained how Cultural influences serve as behavioral models for young people: Social-cognitive theory contends that people observe important role models, make inferences

Uploaded by

Jamie Haravata
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

NURSING CARE PLAN

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION


Independent:
Subjective:  Risk for  After 8 hours  Observe for signs  Patient may be  After 8 hours
of infection and admitted with
“Hindi gumagaling infection related Type 2 diabetes of nursing inflammation. infection, which of nursing
ang sugat ko” (My to high glucose mellitus occurs interventions, could have intervention
wounds are not levels, when the pancreas the patient will precipitated the s, the patient
healing) as decreased produces identify ketoacidotic was able to
verbalized by the leukocyte insufficient amounts interventions state, or may identify
patient. function. of the hormone to prevent or develop a intervention
insulin and/or the reduce risk of nosocomial s to prevent
Objective: body's tissues infection. infection. or reduce
become resistant to risk of
 Flushed  Promote good  Reduces the
normal or even high infection.
appearance. handwashing by risk of cross-
levels of insulin.
This causes high nurse and patient. contamination
 Wound
drainage. blood glucose  Maintain aseptic  High glucose in
(sugar) levels, technique for IV the blood
 V/S taken as which can lead to a insertion creates an
follows: number of procedure, excellent
complications if administration of medium for
T:37.4 untreated. medications, and bacterial
P:87 providing growth.
R:19 maintenance and
BP: 120/90 site care. Rotate
IV sites as
indicated.
 Provide catheter  Minimizes the
or perineal care. risk for
Teach the female infection.
patient to clean
from front to back
after elimination.
 Provide  Peripheral
conscientious circulation may
skin care, gently be impaired,
massage bony placing patient at
areas. Keep the increased risk for
skin dry, linens skin irritation or
dry and wrinkle breakdown and
free. infection.

 Place in semi –  Facilitates lung


fowler’s position. expansion and
reduces risk of
aspiration.

 Encourage  Decrease
adequate dietary susceptibility to
and fluid intake of infection.
3000 ml per day.
Collaborative:
 Obtain specimen  Identifies
for culture and organisms so
sensitivities as that most
indicated. appropriate
drug therapy
can be
instituted.

You might also like