Patient FOCUS Risk for Infection DATA “I’m very sad and frustrated at time”, feeling tired after doing simple ADL; V/S taken as follows: T: 35’C P: 50 R: 13 BP: 130/90
ACTION Keep accurate records of vital signs,
weight, fluid intake, urine output, and caloric intake; Provided an atmosphere of respect, openness, trust, and collaboration; Observe for the signs of infection and inflammation: fever, flushed appearance, wound drainage, purulent sputum, cloudy urine. Teach and promote good hand hygiene. Encouraged the patient to enlist in a support group; Administer medication as prescribed; Paced the instruction and keep session short. RESPONSE Patient verbalized understanding of the importance of taking medication.