NURSING CARE PLAN

NURSING IMPLEMENTIO
ASSESSMENT PLANNING EVALUATION
DIAGNOSIS N

Subjective: Risk for infection Within 2 hours of Independent: After 2 hours of

“May sugat ako related to nursing • Teach patient or nursing
malapit sa mata” inadequate primary intervention the caregiver to intervention the
as verbalized by defenses client will be able to wash hands client was able to
the patient. specifically broken identify often, especially identify
skin as evidenced interventions to after toileting, interventions to
Objective: by Presence of 3cm prevent/reduce risk before meals, prevent/reduce risk
• Presence of 3cm lacerated wound of infection. and before and of infection.
lacerated wound located at the left after
located at the zygomatic area. administering Goals met…
left zygomatic self-care.
area. Patients and
caregivers can
spread infection
from one part of
the body to
another, as well
as pick up
surface
pathogens; hand
washing reduces
these risks.

• Teach patient
the importance
of avoiding
contact with
 those who have
infections or
colds.

• Teach patient to
take antibiotics
as prescribed.
Most antibiotics
work best when
a constant blood
level is
maintained; a
constant blood
level is
maintained
when
medications are
taken as
prescribed. The
absorption of
some antibiotics
is hindered by
certain foods;
patient should
be instructed
accordingly.

• Teach patient
and caregiver
the signs and
symptoms of
infection, and
when to report
these to the
physician or
nurse.