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Cues Diagnosis Analysis GOALS and Objectives Nursing Intervention Rationale Evaluation

The document discusses a nursing diagnosis and plan of care for a client at risk for infection due to a lack of knowledge about proper wound care. The goals are to teach the client skills in proper wound care and provide health teaching on wound care and infection prevention. Objectives include the client demonstrating proper wound care techniques and discussing wound care and infection on their own after a one hour nursing intervention. The intervention involves demonstrating proper wound care and providing health teaching. The evaluation will assess if the client can perform wound care and discuss the topics.

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Ernest John Diego
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61 views2 pages

Cues Diagnosis Analysis GOALS and Objectives Nursing Intervention Rationale Evaluation

The document discusses a nursing diagnosis and plan of care for a client at risk for infection due to a lack of knowledge about proper wound care. The goals are to teach the client skills in proper wound care and provide health teaching on wound care and infection prevention. Objectives include the client demonstrating proper wound care techniques and discussing wound care and infection on their own after a one hour nursing intervention. The intervention involves demonstrating proper wound care and providing health teaching. The evaluation will assess if the client can perform wound care and discuss the topics.

Uploaded by

Ernest John Diego
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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DIEGO, ERNEST JOHN S.

BSN405

Prof. Paul Christopher Pineda Clinical Instructor

CUES

DIAGNOSIS

ANALYSIS An infection is an invasion of body tissue by microorganisms and their growth there. Bacteria are by far the most common infectioncausing microorganisms. Several hundred species can cause disease in humans and can live and be transported through air, water, food, soil, body tissues and fluids. An infection may be local or systematic. A local infection is limited to the specific part of the body where the

SUBJECTIVE: Risk for infection Ano ba dapat to wound related gawin sa sugat? to lack of knowledge about OBJECTIVE: proper wound care. Frequent request for information Agitated response when asked about wound care

GOALS and NURSING RATIONALE OBJECTIVES INTERVENTION GOAL: After the Perform a To teach the nursing client the skills demonstration on intervention, in proper proper wound eliminate or wound care. care. minimize the risk for infection to the Perform health To provide the wound. client with teaching to client sufficient regarding wound OBJECTIVES: knowledge care and about wound After 1 hour of infections. care and nursing infection. intervention, the client will be able to perform return demonstration on proper wound care. After 1 hour of nursing intervention, he client will be able to discuss about wound care and infection on her own words.

EVALUATION Was the client able to perform proper wound care? Yes No Was the client able to discuss about wound care and infection? Yes No

microorganisms remain. If the microorganisms spread and damage different parts of the body, it is a systematic infection. Certain medications increase susceptibility to infection. Some diagnostic procedures dispose client to an infection especially when the skin is broken or sterile body cavities are penetrated during procedure. (Reference: Kozier and Erb; Fundamentals of Nursing; Volume 1; 8th Edition; p.669675)

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