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The patient had recently undergone a D&C procedure and complained of vaginal discharge. She was assessed as being at risk for infection due to tissue damage from the procedure leaving her with fresh wounds and reduced primary defenses. The nurse's interventions were to educate the patient on signs of infection, demonstrate proper perineal washing, monitor her vital signs and white blood cell count, and advise avoiding intercourse until fully healed. The goals were for the patient to identify signs of infection, properly wash the perineal area, and be free from infection within 2 days.
The patient had recently undergone a D&C procedure and complained of vaginal discharge. She was assessed as being at risk for infection due to tissue damage from the procedure leaving her with fresh wounds and reduced primary defenses. The nurse's interventions were to educate the patient on signs of infection, demonstrate proper perineal washing, monitor her vital signs and white blood cell count, and advise avoiding intercourse until fully healed. The goals were for the patient to identify signs of infection, properly wash the perineal area, and be free from infection within 2 days.
The patient had recently undergone a D&C procedure and complained of vaginal discharge. She was assessed as being at risk for infection due to tissue damage from the procedure leaving her with fresh wounds and reduced primary defenses. The nurse's interventions were to educate the patient on signs of infection, demonstrate proper perineal washing, monitor her vital signs and white blood cell count, and advise avoiding intercourse until fully healed. The goals were for the patient to identify signs of infection, properly wash the perineal area, and be free from infection within 2 days.
SIGNS and NURSING SCIENTIFIC OBJECTIVES INTERVENTIONS RATIONALE EVALUATION
SYMPTOMS DIAGNOSIS EXPLANATION SUBJECTIVE: Risk for infection Because of the SHORT TERM: 1. Teach the patient the 1. To reduce risk of SHORT TERM: “Ni-raspa ako dahil related to patient’s condition, After an 8 hour proper way of perineal ascending urinary tract After an 8 hour nalalag yung baby inadequate primary which is newly shift, the patient will care infection shift, the patient ko.” as verbalized by defenses as subjected under the D be able to: 2. Monitor the patient’s 2. Elevated temperature, is a was able to: the patient evidence by tissue & C procedure, the 1) Identify the vital signs especially classic sign of infection. 1) Identify the damage due to patient has still fresh signs and the temperature 3. An increasing WBC count signs and OBJECTIVE: complete curettage wound, therefore has symptoms of 3. Monitor white blood cell (> 11,000) indicates the symptoms of - Weak in infection count body’s efforts to combat infection procedure high risk for being appearance 2) Demonstrate 4. Advise the patient that pathogens. A very low 2) Demonstrate invaded by - Post D & C proper perineal intercourse should be WBC count may indicate a proper perineal pathogenic agents, washing avoided until after post- severe risk for infection. washing which will be harmful operative check-up and (< 4,500) for the patient LONG TERM: after vaginal discharge 4. This precaution reduces LONG TERM: After 2 days, the has ceased the risk of infection After 2 days, the patient will be free 5. Teach the patient and 5. Friction and running water patient was free from infection. the family to wash effectively removes from infection. hands before contact microorganisms from the with each other hands which reduces risk for infection as well