Nursing problems Analysis Goal and Objectives Nursing Rationale Evaluation

cues Intervention
Subjective: “ unang High risk for Goal: Independent: After two hours of
pagbubuntis ko pa infection related to After two hours of -establish rapport -to gain trust and nursing
lang at inadequate primary nursing cooperation of the intervention, the
kapapanganak ko pa defenses manifested intervention, the patient client was able to
lang kahapon.” by broken skin. client will gain gained knowledge
knowledge in -teach patient to -to prevent cross- in infection control
Objective: infection control as wash hands often. contamination and was able to
-noticeable body evidence by before and after demonstrate the
weakness discussing the meals, before proper wound care
-Wound because of wound care. toileting and technique.
episioraphy especially before
Objectives: and after
After the nursing administering self
interventions, the care.
client will:
-able to gain -Teach the patient to -To provide a clean
knowledge in have daily perineal area in and around
infection control as hygiene and the wound for faster
evidenced by her perineal care using a wound healing.
discussion in wound feminine wash from
care. the upper part of the
-able to demonstrate perineum up to the
the proper wound anus.
care.
-discuss to patient -to impart to patient
the following signs when the wound
of infection. become infected
Redness, swelling, and when to sought
increased pain or medical care
purulent drainage
on the site and fever
-demonstrate and -to know if patient
allow return really understand
demonstration of the principle of
wound care wound care