ASSESSMENT Subjective: ____ Objective: ___
NURSING DIAGNOSIS
PLANNING
INTERVENTION
RATIONALE
EVALUATION
Risk for infection related to tissue destruction; invasive procedures.
Short term: After 30 minutes of nursing intervention, the patient will verbalize understanding of and willingness to follow up prescribed regimen.
1. Note risk factors for occurrence of infection.
- to evaluate presence/ character of infection.
2.observed for localized sign of infection at insertion sites of invasive lines, surgical incisions or wounds.
- to evaluate presence/ character of infection.
- After 3 days of nursing intervention, all the interventions were met which was made evident by the absence of sign and symptom related to infection.
3. administer and instruct precautions regarding medication regimen and note clients response.
-to determine effectiveness of therapy and if there is a presence of side effect.
Long term: After 3 days of nursing intervention, the patient will be free of sign and symptom r/t infection
4. emphasize necessity of taking antibiotics , as directed. 5.Review environmental factors.
- to inform the client the risk of discontinuation of treatment. -to assess if there is a need of avoidance or modification of environment to reduce incidence of infection.