Nursing Care Plan

Name of the Patient : GC

Medical Diagnosis : Post CS
Nursing Diagnosis : Risk for infection related to post surgical incision
Short-Term Goal : Within the shift, patient will be able to identify ways to reduce risk for infection.
Long-Term Goal : At the end of hospitalization, patient will not manifest any signs and symptoms of infection.

Cues Problem Scientific Reason Nursing Intervention Rationale Evaluation

Subjective: Risk for Wounds involving  Assess signs and  Fever may Goal met:
“Kaninang umaga infection injury to soft tissue symptoms of indicate infection.
lang ako can vary from infection especially Patient was free
naoperahan”; as minor tears to temperature. from any signs
verbalized by the severe crushing and symptoms of
patient. injuries. The  It serves as a infections as
decision to suture a first line of defense manifested by
wound depends on
 Emphasize the absence of fever.
importance of against infection.
Objective: the nature of the
handwashing
wound the time
technique.
 T- since the injury
 Regular wound
36.3°C was sustained the
 Maintain aseptic dressing promotes
 Weak in degree of
technique when fast healing and
appearance contamination.
changing drying of wounds.
 Clean and dressing/caring
Reference:
intact wound.  Wet area can be
Brunner &
abdominal lodge area of
Suddarth’s
dressing  Keep area bacteria
Textbook of
Medical-Surgical around wound clean
Nursing 11th edition and dry.  Premature
by Smeltzer, Bare, discontinuation of
Hinkle, Cheever  Emphasized treatment when
necessity of taking client begins to feel
antibiotics as well may result in
ordered. return of infection.

Submitted by: Ray Francis C. Bravo

Submitted to: Mrs. Altavano
Submitted by: Ray Francis C. Bravo
Submitted to: Mrs. Altavano