VII.

NCP PROPER GOAL: After nursing interventions, the patient will not be able to manifest any signs and symptoms of infection. NURSING DIAGNOSIS A. Risk for infection related to susceptibility for NURSING INTERVENTIONS Dx Assess causative or contributing factors for occurrence of infection such as current illness Inspect all skin surfaces for cleanliness, odor, dryness, inflammation, and other lesions Monitor clients caregivers for respiratory illnesses Monitor childs vital signs Tx Provide rest and comfort such as a quiet, clean environment Promote safety and

illness secondary to compromised immune system

S Lagi siyang nagkakaroon ng ubo at sipon. Kaya pinagvivitamins ko na siya As claimed by the mother. O T = 35.8C, PR = 78bpm, RR = 19cpm diagnosed with Down Syndrome With ongoing colds Secretions characterized as non viscous and clear,

no crackles audible. Seen putting her toys inside her mouth Mouth is open most of the time. Cannot maintain neatness and cleanliness: unable to use handkerchief or tissue when blowing nose, Seen beneficiary crawling on the floor. Some excoriations seen on knees and elbows. Skin is generally moist and tan.

security : remove hazards from the environment Provide physical therapy Assist the child in her needs and activities: such as those involving hygiene Edx Encourage proper nutrition such as eating healthy food: fruits and vegetables, also foods rich in vitamin c Stress the importance of proper hand hygiene Instruct the significant others to protect the integrity of skin Instruct the importance of adequate fluid intake Reiterate the importance of good

personal hygiene to the significant others such as brushing, bathing an other hygienic activities Encourage to keep away from children with transferable illnesses

REFERENCES: Kozier, Barbara. Et al. Fundamentals of Nursing. Seventh Edition. Pearson Education Inc. 2004. p 679-716 Doenges, Marilynn.et al. Nurses Pocket Guide. Edition 11. F.A. Davis Company. 2008. p 409-413