CENTRAL LUZON DOCTORS’ HOSPITAL – EDUCATIONAL INSTITUTION, INC

DEPARTMENT OF GENERAL EDUCATION

Client:
Care Plan by:
Date Initiated:

ASSESSMENT DIAGNOSIS OUTCOMES INTERVENTIONS RATIONALE EVALUATION

after the nursing
Subjective Risk for infection after one to two hours -observe at risk client -that could be sign of intervention the
-“Nagbago po yung related to open of nursing for changes in skin developing localized patient:
kulay ng skin sa wound as evidenced intervention the color and warmth at infection -verbalize
paligid nung tube” as by colostomy patient will: insertion sites. -that could indicate understanding of risk
verbalized by the -verbalize -observe for any onset of infection factors
patient understanding of risk changes in color and -first line defense -identified
Objective factors or order of secretions against healthcare interventions to
-bad odor and dry -Identify -brought this and associated infections prevent or did juice
skin surrounding the interventions to emphasize constant -to secure a clean risk of infection
tube are observed prevent or reduce risk and proper hand environment -demonstrated
-rashes are starting to of infection hygiene by all -prevent techniques and
be seen around the -Demonstrate significant others microorganisms to lifestyle changes to
tube. techniques and between therapist and spread promote safe
lifestyle changes to clients -to determine in environment
promote safe -provide clean, well prevent presence off -Achieved timely
environment ventilated bacteria wound healing be
-Achieve timely environment. free of drainage
wound healing be -maintain sterile
free of drainage technique for all
invasive procedure
-assist with medical
procedures as
indicated

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CENTRAL LUZON DOCTORS’ HOSPITAL – EDUCATIONAL INSTITUTION, INC

DEPARTMENT OF GENERAL EDUCATION

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