Problem S/O: Open wound

Scientific Basis Risk of infection is

Nursing Intervention Goals After 8 hours Independent:

Rationale To gain

Evaluation After 8 hours span patient was

a span of nursing Establish rapport

trust of nursing care, able to:

nursing diagnosis care, the patient which is defined will be able to: A: Risk for as "the state in an Short term: is at an or A. risk Identify the factors Discuss to infection related which

and cooperation the to the patient. the To impart to the patient the signs and symptoms of infectionredness, swelling, increase pain, or purulent drainage on the site and fever.

patient when the Short term: wound become infected and when to sought medical care. A. Identify the risk client condition. B. Client understanding about infection and its risk factors. factors present in the

to open wound individual s/p tracheostomy by

risk to be invaded opportunistic (virus, bacteria, protozoa, or other parasite) endogenous exogenous sources". Although anyone can become from or

present in the client condition. B. Client partial understanding

pathogenic agent fungus,

about infection Demonstrate and To know if the and its risk patient really allow return factors. understand the demonstration of wound care. Long term: A. Effective prevention principle proper care. of

wound Long term: A. Infection was currently

of Assess the client To identify and

infected pathogen,

by

infection to the client. B. Client to the full risk of understanding factors infection.

perception, level of understanding and needs.

assess intervention be done.

the to

prevented. B. Client understanding to the risk of factors infection.

different nursing

patients with this diagnosis are at an elevated risk and should considered. extra be infection controls