Delos Santos, Sherrie Ann B.
Nu - 201
NCP # 3
ASSESSMENT DIAGNOSIS SCIENTFIC
EXPLANATION
INFERENCE/ANALYSI
S
OBJECTIVE: Risk for infection Dilatation and curettage,
related to invasive also called as D&C, is a
>Incomplete abortion procedure of dilation common surgical
and curettage and procedure done on women
>Procedure: Completion tissue trauma during to scrape and collect the
curettage. the procedure. tissue from inside the
uterus. The cervical
passage in a women leads
to the uterus. ‘Dilatation’
is a widening of the
cervical passage. This is
done using smoothly
conical and tapered,
graduated metal rods of
various sizes and these are
appropriately called the
dilators. The gradually
large metal dilators lead to
widening of the tight
cervical passage slowly.
PLANNING INTERVENTION
After 6 hours of nursing 1. Obtain preoperative vital signs
intervention, the patient of client.
will be free from  
infection and will 2. Conduct health education on
demonstrate knowledge the following topics:
on what to look for as Signs and symptoms of infection
signs of impending like increasing body temperature,
infection. foul smelling discharges from the
perineum, moderate to severe
abdominal cramps.
Advise that should any sign of
infection occurs, it must be
reported immediately to the
nurse on duty for validation and
evaluation:
a. Good perineal hygiene
b. Use of tampons is
contraindicated, use perineal
pads or diaper instead
c. No sexual intercourse until
vaginal discharge stops
3. Monitor for signs and
symptoms of infection inclusive
of vital signs and post D & C
CBC count.
RATIONALE EVALUATION
Goal met.
1. This will serve as the
baseline data and a basis for After 6 hours of nursing
comparison postoperatively. interventions, the patient
  was free from infection
2. Instructing clients on the and demonstrated
signs and symptoms of understanding on the
impending infection gives them possible signs and
the idea of what to look for so symptoms of impending
immediate action and infection.
intervention can be sought.
a. Minimizes the entry of
harmful microorganisms.
b. Tampons increases risk for
infection and delays tissue
healing.
c. To allow tissue healing.
3.  Prompt recognition and
intervention of manifestations
of infection prevents
progression into a worse septic
condition.