ASSESSMENT

NSG. DIAGNOSIS Risk for Infection r/t possible invasion of pathogenic organisms secondary to post invasive procedure (salphigectomy)

ANALYSIS

GOALS AND OBJECTIVES

NSG. INTERVENTIONS perform proper handwashing

RATIONALE

EVALUATION

S No subjective or objective findings O > presence of incision (post salphingectomy) >

STG. After 3 hours of nursing intervention the client able to listen attentively on how to A break in skin due perform proper wound to surgical incision care such as proper (good medium for hand washing before bacteria and other performing the invasive organisms) procedure, changing dressing frequently, using aseptic technique when Risk for Infection cleaning it and using proper cleaning technique from inner to outer portion. LTG. After 6 hours of nursing intervention the patient able to verbalize and perform the proper wound care such as proper hand washing before performing the procedure, changing dressing frequently, using aseptic

Post salphingectomy

to prevent Goal was met contamination of the wound by invasion of microorganism

cleanse the to prevent incision daily with infection povidone iodine or other appropriate solutions clean the wound to avoid from inner to outer spreading of microorganism change dressing as indicated and needed encourage early ambulation, deep breathing, coughing, and position change discuss importance of not taking antibiotics/using to avoid further growth of microorganism for mobilization of respiratory secretions and to prevent complicationns inappropriate use can lead to development of drug-resistant

technique when cleaning it and using proper cleaning technique from inner to outer portion.

leftover drugs unless specifically instructed by health provider. promote adequate rest and sleep

strains / secondary infxn

this promote healing by reducing basal metabolic rate and allowing oxygen and nutrients to be utilized for tissue growth, healing and regeneration to boost immune system and to gain strength

encourage to eat foods rich in protein and vit. C

provide well for easy ventilated and recovery of the clean environment patient
e