St.

Paul College of Ilocos Sur

(Member, St. Paul University System)
St. Paul Avenue 2727, Bantay, Ilocos Sur

SKIN
ASSESSMENT NURSING DIAGNOSIS PLANNING INTERVENTION Rationale EVALUATION

S- “ nagbudo ty kudil Risk Infection as Short Term - After 4-6 Independent:

ko ” as verbalized by evidence by impaired days of Nursing After the planning and
the patient skin integrity Intervention the Monitor and Record To be able to know if the intervention, goal
patient’s itching will for Vital Signs such as there are any changes is met. The client’s
O- be lessen and will be Temperature, or improvement of the does no longer feel
 Runny Nose able to maintain intact Respiratory Rate, and client’s Vital Signs itchy and maintain
 Watery Eyes skin integrity Pulse Rate intact kin integrity
 Chills
 Temperature 38 Long Term - After 1 Assess for Signs and To minimize further Patient Understood
degree Celsius week of nursing symptoms of infections. the purpose of
 Respiratory Rate intervention the infection. isolation, cooperate
15 patients condition and free of infections.
 PR 110 client will remain free Suggest client to In order for the patient
of infection as isolate and take a bed to take a rest
evidenced by normal rest
temperature, no more
chills, watery eyes, Dependent:
and runny nose
Prepare medications To prevent risk
as prescribed by infections or spread
doctor or health care of infections.
professional

Interdependent:

After administering To determine whether the

the medication, inform medication that is given is
the health care effective and has helped
provider if there is any the client prevent the
unexpected reaction infection
after giving the
medication.