NURSING CARE PLAN

Risk for Infection

CUES NURSING PLANNING / INTERVENTION RATIONALE EVALUATION
DIAGNOSIS GOAL
SHORT TERM DEPENDENT
Subjective
Data: Risk for Infection After 2 hours of Promote proper Serves as first
• “masakit related to nursing handwashing by line of defense
at compromised intervention, all care givers against infection
kumikirot body defense patient will before and after
yung tahi understand the patient interaction
ko” as risk factors of - To minimize the
verbalize INFERENCE: infection as - Maintain sterility rate of pathogens
d by the Body defenses if evidenced by: when cleaning the introduced to the
client. compromised site site; to prevent
• “iritado leads to an - Verbalizing cross
ako kasi increased risk for understanding of contamination
masakit infection that may individual between patients
talaga” result from causative/ risk
pathogens factors of infection
Objective invading the body
Data: system that will - Identify -To promote body
disrupt interventions to - Emphasize the wellness
• irritable homeostasis, prevent or reduce importance of
giving way to risk for developing self-care in
Undergone infections arising an infection reducing risk for
locally and infection -To assess for
cesarean eventually, localized signs of
section incision systemically. - Listing down - Monitor for signs infection
one day prior to ways on how to of infection
assessment promote safe
environment

-To help reduce

LONG TERM - Change dressing risk for infection
as needed and minimize the
After 1 week of exposure to
nursing pathogens
intervention, the
patient will
maintain a free- - Teach about risk -To promote
infection state of factors of wellness and
health as infection and awareness
evidenced by: common
prevention
No drainage or pus
present in the
surgical site INDEPENDENT
Reduces the risk
No localized - Administer for infection
infection prophylaxis as
developed ordered

No systemic
infections arise
from localized
infection