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Risk for Infection Related to Presence of Surgical Wounds as Evidenced by MER 2nd Degree

Risk for Infection Related to Presence of Surgical Wounds as Evidenced by MER 2nd Degree

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Published by Senyorita KHaye

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Published by: Senyorita KHaye on Jan 30, 2011
Copyright:Attribution Non-commercial

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08/16/2013

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NURSING CARE PLANASSESSMENT DIAGNOSIS SCIENTIFICEXPLANATIONPLANNING INTERVENTION RATIONALE EVALUATION
SUBJECTIVE: No VerbalizationOBJECTIVE:
Presence of  perineal woundsdue toepisiotomysecond degree
 Not practicingfrequentchanging of  padsRisk for infectionrelated to presence of surgical wounds asevidenced by MER 2
nd
degreeContamination of awound surface withmicroorganism thusthese colonizationhas a complete newcells for oxygen andnutrition and becausetheir by-products caninterfere with ahealthy surfacecondition that leadsto infection-Fundamentals of  Nursing by Kozier  page 910Long Term:After two days of interventions theclient will be able tofree from infection.Short Term:After two hours of interventions theclient will be able to:
VerbalizeHealthTeachings
Demonstrateat least 3 wayson how to preventinfection.Independent:
Change perineal padsfrequently.
Perform perineal care
Warmcompressed may be applied to thegenital areaCollaborative:
Sitz bath may be ordered
To preventvaginalcontamination or infection.
To promotecleanliness to the perineal area
To avoid edema
To aid healing of the perineumthoroughapplication of moist heatLong Term:After two days of interventions theclient was able tofree from infection.Short Term:After two hours of interventions theclient was able to:
VerbalizeHealthTeachings
Demonstrateat least 3 wayson how to preventinfection.

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