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    NCP - Villahermosa - Risk For Infection

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    Jv Jore Villahermosa
    The nursing care plan addresses the risk of infection in a 72-year-old female patient with cirrhosis, ascites, and edema. The plan includes interventions such as establishing rapport, encouraging increased fluid intake, ensuring proper disinfection and sterilization, performing hand hygiene, assisting with skin and oral hygiene, providing analgesia, maintaining asepsis during IV therapy, and encouraging a balanced diet in order to reduce the risk of infection and promote normal vital signs and absence of infection symptoms within 8 hours.

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    NCP - Villahermosa - Risk For Infection

    Uploaded by

    Jv Jore Villahermosa
    31 views5 pages
    The nursing care plan addresses the risk of infection in a 72-year-old female patient with cirrhosis, ascites, and edema. The plan includes interventions such as establishing rapport, encouraging increased fluid intake, ensuring proper disinfection and sterilization, performing hand hygiene, assisting with skin and oral hygiene, providing analgesia, maintaining asepsis during IV therapy, and encouraging a balanced diet in order to reduce the risk of infection and promote normal vital signs and absence of infection symptoms within 8 hours.

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    NCP_VILLAHERMOSA_RISK FOR INFECTION

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    The nursing care plan addresses the risk of infection in a 72-year-old female patient with cirrhosis, ascites, and edema. The plan includes interventions such as establishing rapport, encouraging increased fluid intake, ensuring proper disinfection and sterilization, performing hand hygiene, assisting with skin and oral hygiene, providing analgesia, maintaining asepsis during IV therapy, and encouraging a balanced diet in order to reduce the risk of infection and promote normal vital signs and absence of infection symptoms within 8 hours.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    31 views5 pages

    NCP - Villahermosa - Risk For Infection

    Uploaded by

    Jv Jore Villahermosa
    The nursing care plan addresses the risk of infection in a 72-year-old female patient with cirrhosis, ascites, and edema. The plan includes interventions such as establishing rapport, encouraging increased fluid intake, ensuring proper disinfection and sterilization, performing hand hygiene, assisting with skin and oral hygiene, providing analgesia, maintaining asepsis during IV therapy, and encouraging a balanced diet in order to reduce the risk of infection and promote normal vital signs and absence of infection symptoms within 8 hours.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 5

    A Nursing Care Plan on

    TETRALOGY OF FALLOT

    In Partial Fulfillment to the

    Requirements in NCM 216 – RLE

    OXYGENATION ROTATION

    Submitted to:

    SARAH JANE PAMALOAN, RN

    Clinical Instructor

    Submitted by:

    JV J. VILLAHERMOSA

    BSN 3L – Group 1

    September 03, 2021


    Name of Patient: X Age/Sex: 72/Female Room/Bed #: 321

    Chief Complaint: Physician:

    Diagnosis:

    Date/ Cues Need Nursing Diagnosis Patient Outcome Nursing Intervention Impleme Evaluation
    Time ntation
    A Subjective: Risk for infection as Within 8 hours of nursing  Establish rapport to the 1
    P - Pain Scale of 4 H evidenced by ascites interventions, client must client
    R out of 5 E and edema be able to: R: This is to promote trust and
    I A - Remain free of participation to your patient.
    L L Rationale: infection.
    Objective: T Cirrhosis reduces the 3
    And specifically, be able  Encourage increased fluid
    18, - Abdominal Pain H normal flow of blood to: intake
    - Distended P through the liver, raising - Present normal vital R: Fluids help promote diluted
    2 Abdomen E pressure in the vein that signs urine, frequent emptying of the
    0 - Ascites R carries blood from the - Demonstrate bladder, and reducing the stasis
    2 - Edema C intestines and spleen to absence of signs of urine. This ultimately reduces
    2 - Temperature: P the liver. Legs and and symptoms of the risk of bladder infection
    37.9°C T abdomen are swollen. infection or urinary tract infection.
    @ - WBC: 10.06X I Fluid can build in the Increased fluid intake also helps
    7 109/L O legs (edema) and the replace fluid lost during fever and
    A N belly (ascites) due to helps thin secretions. 7
    M increased pressure in  Ensure that any items are
    the portal vein. properly disinfected and
    sterilized before use
    Reference: R: Reduces or eliminate germs
    4
    Cirrhosis - Symptoms
     Perform hand hygiene
    and causes.
    before having contact with
    (2021). Mayo the patient
    Clinic; R: Microorganisms are
    https://www.mayocl effectively removed from hands

    inic.org/diseases- using friction and running water.


    Between procedures, washing
    conditions/cirrhosis
    minimizes the chance of
    /symptoms-
    infections spreading from one
    causes/syc- 6
    part of the body to another.
    20351487

    ‌  Assist clients in carrying


    out appropriate skin and
    oral hygiene.
    R: This could be a measure in
    2
    order to break the chain of
    infection and prevent infection
     Provide analgesic
    R: In order to relieve pain before 5
    it becomes severe

     Maintain strict asepsis


    during intravenous
    therapy.
    R: Aseptic method reduces the
    risk of pathogens being
    8
    transmitted to or spread between
    patients.

     Encourage intake of
    protein-rich and calorie-
    rich foods and encourage
    a balanced diet.
    R: Nutritional support and a well-
    balanced diet improve the
    immune system's reactivity and
    the health of all bodily tissues.

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