*Nursing Care Plan

Cues Nursing Analysis Objective Interventio Rationale Evaluatio

Diagnosis n n
O> Presence Risk for Risk for After 15 Wholly The nurse The client’s
of infection infection is minutes of compensated accomplishes tracheal
tracheostom related to the likelihood wound system of client’s opening is
y present of acquiring dressing as intervention therapeutic free from
condition infection that a morning self-care to infection
is related to care, the compensates since every
external client’s for patient’s morning her
factors such tracheal inability to tracheostomy
as unclean opening will engage in is being
environment have a low self-care and dressed
and also possibility for supports and aseptically.
internal risk for protects the
factor which infection patient.
is the
capability of
an
individual’s
immunity to
resist
infection.

Reference:
Burton’s
Microbiology
and
parasitology,
page 125.
*SUGUE, ALVIN KENNETH S.
*Nursing Care Plan
Cues Nursing Analysis Objective Interventio Rationale Evaluatio
Diagnosis n n
O> when ask Impaired Impaired Turn the client Facilitative The nurse The client did
by the doctor physical physical at least once needs help in not have bed
to raise hand, mobility mobility is the every hour to turning the sore because
the client related to partial or prevent bed client because she was
cannot raise neuromuscula complete sore and to the client has turned every
her hand. r impairment difficulty of promote blood many tube hour.
secondary to moving parts circulation. connected in
>there is seizures. of the body her body.
neuromuscula that is caused There must be
r impairment by health someone who
because of condition. will support
CVA that she the tubes
experienced. Reference: while the
Kozier p.657 nurse is
>can move turning the
only the head client to avoid
but with a accident.
slow range of
motion

*TANDANG, MARJERIE S.