SAINT PAUL UNIVERSITY DUMAGUETE

COLLEGE OF NURSING

NURSING CARE PLAN FORM

Patient’s Name (Initials):_ _R. A. C._______ Diagnosis/Medical________________________________
Diagnosis/CC:_____________________________
Age:_________________
SUBJECTIVE OBJECTIVE NURSING DIAGNOSIS SCIENTIFIC PLANNING INTERVENTIONS RATIONALE EXPECTED
ANALYSIS OUTCOME

Objective: The patient will Risk for infection Risk for infection  Patient will  Assess for  To determine Patient remains
avoid getting related to invasive can be heightened remain free indicators of possible signs infection free
Post infection on the surgical procedure. by anything that from infections by that can cause postopertively.
Phacoemulcification surgical site. (Phacoemulcification interferes with the infection checking infection
with posterior with posterior body’s ability to  Patient temperature
capsule intraocular capsule intraocular fight off verbalize every 3-4
lens implantation. lens implantation) pathogenic measures to hours
invasions. One key decrease  Notify  Above 38C is a
risk factor is the infection Physician if sign of
Definition: breakdown of the temperature infection EVALUATION
Vulnerable to body’s physical is greater
invasion and defense than 38oC
multiplication of mechanisms. This  Tell the  To protect the
pathogenic type of breakdown patient to eyes from dirt,
organism, which can be broken skin maintain dust and
may comprimise due to injury, wearing Eye accidental
health. surgery, or other protective touching of
invasive gear the eyes.
procedures. It can  Educate the  Knowledge of
also take the form patient or the ways to
of altered SO of reduce or
peristalsis, swelling appropriate eliminate
or stasis of body cleaning germs reduces

Proposed By: Mrs. Sharry Mae G. Awayan, RN, MAN

 fluids, or damage the likelihood
to mucous of
membranes. transmission.

 Encourage  Adequate
sleep and rest sleep is an
essential
modulator of
immune
responses. A
lack of sleep
can weaken
Reference: Reference: immunity and
Aprn Bc, M. D. E., Doenges, Marilynn increased
Crrn, M. M. R. M. F., E., et al. Nursing susceptibility
& Bsn Rn, A. M. C. Diagnosis Manual: to infection.
(2019). Nurse’s Planning,
Pocket Guide: Individualizing,
Diagnoses, and Documenting
Prioritized Client Care. F.A.
Interventions and Davis, 2005.
Rationales
(Fifteenth). F.A.
Davis Company.

Proposed By: Mrs. Sharry Mae G. Awayan, RN, MAN