Skip to main content

NCP Anemia - Risk for Infection

Nursing Diagnosis for Anema : Risk for Infection related to decreased immunity, invasive procedures
Goal:
  • There are no risk factors for infection
Expected outcomes:
  • free of symptoms of infection,
  • normal leukocyte numbers (4-11000)
  • vital signs within normal limits.
Nursing Interventions:
Control of infection:
  • Clean up the environment after use for other patients.
  • Limit visitor when necessary and recommended for adequate rest.
  • Instruct patient’s family to wash their hands before and after contact with the client.
  • Use anti-microbe soap for hand washing.
  • Make hand washing before and after nursing actions.
  • Use clothes and gloves as a protective device.
  • Maintain aseptic environment during the installation of equipment.
  • Perform wound care, and dresing infusion, catheter every day if any.
  • Increase intake of nutrients, and adequate fluid.
  • Give antibiotics according to the program.
Protection of infection:
  • Monitor signs and symptoms of systemic and local infections.
  • Monitor granulocytes and WBC count.
  • Monitor susceptibility to infection.
  • Maintain aseptic technique for each action.
  • Inspection of the skin and mucous mebran redness, heat.
  • Monitor changes in energy levels.
  • Encourage clients to improve mobility and exercise.
  • Instruct the client to take antibiotics according to the program.
  • Teach family / client about the signs and symptoms of infection and report suspected infection.

Read More : http://nandanursing.com/risk-for-infection-nursing-care-plan-for-anemia.html
Labels:

Popular posts from this blog

NANDA Ineffective Health Maintenance

NANDA Definition: The inability to identify, manage, or seek out help to maintain health Defining Characteristics: History of lack of health-seeking behavior;  reported or observed lack of equipment, financial, and/or other resources;  reported or observed impairment of personal support systems;  expressed interest in improving health behaviors;  demonstrated lack of knowledge regarding basic health practices;  demonstrated lack of adaptive behaviors to internal and external environmental changes;  reported or observed inability to take responsibility for meeting basic health practices in any or all functional pattern areas Related Factors: Disabled family coping, perceptual-cognitive impairment (complete or partial lack of gross or fine motor skills);  lack of or significant alteration in communication skills (written, verbal, or gestural);  unachieved developmental tasks;  lack of material resources;  dysfunctional grieving;  disabling spiritual distress;  inabi
Read more

Sleep Pattern Disturbance

Sleep Pattern Disturbance Related To Impaired oxygen transport Impaired elimination Impaired metabolism Immobility Medication Hospitalization Lack of exercise Anxiety response Life-style disruptions As evidenced by Major : Difficulty falling or remaining a sleep Minor : Fatigue on awakening or during the day Dozing during the day Agitation Mood alterations Outcome : The patient will: Demonstrate an optimal balance of rest and activity A.E.B. ___ hours of uninterrupted sleep at night. Remain awake during the day. Nursing Interventions Explore with patient potential contributing factors. Maintain bedtime routine per patient preference. Takes sleeping pill as ordered by a physician. Provide comfort measures to induce sleep: Void before retiring. Coordinate treatment/meds to limit interruptions during sleep period. Limit the amount and length of daytime sleeping Increase daytime activity
Read more

Ineffective Breastfeeding NANDA Definition

NANDA Definition: Dissatisfaction or difficulty a mother, infant, or child experiences with the breastfeeding process Defining Characteristics: Unsatisfactory breastfeeding process;  nonsustained suckling at the breast;  resisting latching on;  unresponsive to comfort measures;  persistence of sore nipples beyond first week of breastfeeding;  observable signs of inadequate infant intake; insufficient emptying of each breast per feeding;  infant inability to latch on to maternal breast correctly;  infant arching and crying at the breast; infant exhibiting fussiness and crying within the first hour after breastfeeding;  actual or perceived inadequate milk supply;  no observable signs of oxytocin release;  insufficient opportunity for suckling at the breast Related Factors: Nonsupportive partner/family;  previous breast surgery;  infant receiving supplemental feedings with artificial nipple;  prematurity;  previous history of breastfeeding failure;  poor infant
Read more