Nursing Care Plan

Assessment Diagnosis Planning Intervention Rationale Evaluation

S- “ habang naliligo ako Risk for Within the 8hrs Independent: Goal Partially
kinakapa ko lagi infection of nursing met
suso ko at may related to intervention, the 1. Note risk factors for 1. To help the
nakapa ako nabukol post patient will: occurrence of patient identify After 8 hours of
sa kanan na suso ko operative infection in the the present risk nursing
“ as verbalized by incision. Short Term: incision. factors that may intervention,
the patient. add up to the the client was
• Identify infection. able to meet
O- the risk the goals with
• Muscle factors 2. Observed for an evidence of
weakness that are localized sign of 2. To evaluate if the the absence of
• Incision at the present. infection at character, the signs and
right breast • Have a insertion sites of presence and symptoms
• Presence of partial invasive lines, condition of the related to
wound dressing understan surgical incisions or present infection. infection.
• Fatigability ding about wounds.
infection 3. Make health
control. teachings 3. To help the client
Diagnosis: Breast mass especially in modify/change/a
Long Term: identification of void some of the
environmental risk environmental
• Client’s full factors that could factors present
knowledge add up on infection. which would
in reduce the
identifying incidence of
the risk infection.
factors of
the
infection.

• Be free Dependent:
from any
signs and 1. Administer antibiotics as 1. Antibiotics will
symptoms ordered by the physician. help kill and stop
of related the proliferation
to infection and growth of
the bacteria
which could
cause infection.

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