NURSING CARE PLAN

Name of the Patient: MR. X Age: 62 y/o Sex: MALE Name of Student: PENGSON,ANGELA N.
Civil Status: Single Religion: ______________ Rm/Bed No. _________________ Area: __________________________ Level/ Block: III-B
Address : _________________________________________________________________ Date Submitted: October 15, 2022
Date of Admission: _____________________ Diagnosis: ____________________________ Rating: ___________________________________________________

Risk Factor Nursing Diagnosis Nursing Objectives Nursing Interventions Rationale Expected Outcomes

 Patient has Risk for infection After 2 hours of Nursing INDEPENDENT: INDEPENDENT: After 2 hours of Nursing
recently related to post operative Intervention, the patient Intervention, the patient
incision site and significant others 1. Establish 1. To gain trust and and significant others
undergone an
will be able to rapport. cooperation of was able to:
invasive surgery (
2. Observed for patient.
coronary artery
 Identify the risk localized sign 2. To evaluate if  Identify the risk
bypass graft ) Scientific Explanation:
factors that are of infection at there’s infection factors that are
 Diabetic patient
Risk for infection is a present and have surgical and give present and have
(on-insulin-
nursing diagnosis that understanding incisions or immediate care to understanding
dependent
involves the alteration or about infection wounds. manage the about infection
diabetes mellitus )
disturbance in the body’s control procedure. 3. Note the risk infection. control procedure.
 Overweight
inflammatory response, factor for 3. To help the
(weight was 90 kg LONG TERM GOAL:
which allows occurrence of patient and The long term goal was
and height was
microorganisms to invade Client will be free from infection in significant others not yet met since it
174 cm)
the body and cause any signs and symptoms the incision to identify the requires more
 Prolong hospital
infection. It is a common of related to infection site. present risk factor interventions and time to
stay due to post
problem in people with 4. Teach patient that may add up to meet.
operative surgery
low immune system. and
complications significant infection.
others to wash 4. Hand washing
REFERENCE:
hands often, reduces the risk
NANDA International & especially for infection.
Herdman, T. H. (2012). after toileting, 5. To impart to the
NANDA International before meals, patient and
Nursing diagnoses: and before significant others
Definitions and and after when the wound
classification 2012-14.
administering become infected
self-care. and when to
5. Discuss to sought medical
patient and care.
significant 6. To reduce the risk
others the of infection and
following encourage the
signs of healing process.
infection such 7. To help the patient
as: redness, and significant
swelling, others to modify,
increased change, avoid
pain, purulent some of the
drainage on environmental
the site, and factors present
fever. which could
6. Demonstrate reduce the
proper wound incidence of
care. infection.
7. Make health
teachings
especially in
identification
of
environmental
risk factors
that could add
up to
infection.