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NURSING CARE PLAN
ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION
Subjective:“Hindi gumagalingang sugat ko”
(My wounds are not healing)
asverbalized by thepatient.Objective:
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Flushedappearance.
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Wounddrainage.
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V/S taken asfollows:T:37.4P:87R:19BP: 120/90
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Risk forinfectionrelated to highglucose levels,decreasedleukocytefunction.Type 2 diabetesmellitus
 
occurswhen thepancreasproducesinsufficientamounts of thehormone insulinand/or the body'stissues becomeresistant to normalor even highlevels of insulin.This causes highblood glucose(sugar) levels,which can lead toa number ofcomplications ifuntreated.
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After 8 hoursof nursinginterventions,the patientwill identifyinterventionsto prevent orreduce riskof infection.
Independent: 
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Observe for signsof infection andinflammation.
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Promote goodhandwashing bynurse and patient.
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Maintain aseptictechnique for IVinsertionprocedure,administration ofmedications, andprovidingmaintenance andsite care. RotateIV sites asindicated.
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Provide catheteror perineal care.Teach the femalepatient to cleanfrom front to backafter elimination.
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Provideconscientiousskin care, gently
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Patient may beadmitted withinfection, whichcould haveprecipitated theketoacidoticstate, or maydevelop anosocomialinfection.
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Reduces therisk of cross-contamination
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High glucose inthe bloodcreates anexcellentmedium forbacterialgrowth.
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Minimizes therisk forinfection.
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Peripheralcirculation maybe impaired,
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After 8hours ofnursinginterventions, thepatient wasable toidentifyinterventions to preventor reducerisk ofinfection.
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