Ncp Risk For Infection

Problem

Open wound

Nursing Diagnosis High risk for infection d/t inadequate primary defense as manifested by broken skin

Background Knowledge

Goal and Objectives

Trauma on skin After 2 hours of at left anterior nursing intervention the patient will gain knowledge in Broken skin infection control as evidenced by discussing the wound care. Open wound

Risk for infection

Nursing Intervention

Independent 1. Establish rappoirt

2. Teach patient to wash hands often, especially before toileting, before meals and before and after administering self-care 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

Rationale

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

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

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

return demonstration of wound care

the patient really understand the principle of proper wound care