NCP J1
NCP J1
NCP J1
MacArthur Highway, Brgy. Kiagot, Digos City, Davao del Sur, Philippines 8002
Date/ Cues Needs Nursing Scientific Basis Goals/Objectives Nursing Interventions Rationale Evaluation
Time Diagnosis /Criteria
2/21/2 Subj: Physiolo Risk for Diabetes At 2hrs span of Independent GOAL MET
3 “Ga ngol-ngol ang gical Infection presents a care pt. will Observe for signs of -Early diagnosis and treatment of At 2hrs span of care
samad sakong tiil needs r/t poor significant risk identify infection and inflammation. infections can control their severity pt. was able to
maam” as verbalized wound factor for all interventions to Instruct pt to emphasize and decreases complications. identify interventins
by the patient. healing kinds of reduce risk of proper hand hygiene. -Hand hygiene is the most effective to reduce risk of
Obj: secondary infections. It has infection aeb: way to prevent the transmission of infection aeb:
VS: T-36.5, RR-20, to been well Good proper diseases. Pt demonstrates
BP-120/90, PR-70 decreased described to hygiene Encourage pt to facilitate -An impairment or ineffective good proper
-Redness around the wbc count increase rates of Pt will frequent position changes peripheral circulation can place the hygiene – hand
site noted outpatient remain patient at risk for increased skin washing.
-Limited range of infection as well afebrile. breakdown and the development of Pt. remained
motion noted as the incidence infection afebrile T-36.3
-Pain around on DM of infections Encourage pt to promote a -To decrease the risk of spreading
toe requiring clean environment and acquiring microorganisms
hospitalization. Educate pt on the -This provides knowledge and
(Keren Zhou, importance of adherence to prevents antibiotic resistance.
MD, 2021) medications.
Dependent
Administer antibiotics as - Early treatment may help
prescribed. prevent sepsis as patients with
diabetes are more prone to serious
infectious diseases.