NURSING CARE PLAN-1

Patient Name: - Rab Dino S/O Mola Bux Age: 50Y Sex: Male Ward No: 12 Bed No: 12 Marital Status: Married
Medical Diagnoses: Diabetes mellitus (DM) 2 Address : SAKRAND OCCUPATION: Farmer Date: 19--03-2007

ASSESSMEN NURSING PLANNING INTERVENTION SCIENTIFIC RATIONALE EVALUATION

T DIAGNOSI
S
• Risk for After 8 hours 1. Observe for signs of 1. Patient may be admitted with • After 8 hours of
SUBJECTIVE: infection of nursing infection and inflammation. infection, which could have nursing
My wounds are related to interventions, precipitated the ketoacidotic interventions, the
not healing) as high the patient state, or may develop a patient was able
verbalized by glucose will identify nosocomial infection. to identify
the patient. levels, interventions 2. Promote good handwashing 2. Reduces the risk of cross- intervention s to
decreased to prevent or by nurse and patient. contamination prevent or reduce
leukocyte reduce risk 3. Maintain aseptic technique 3. High glucose in the blood risk of infection.
function. of infection. for IV insertion procedure, creates an excellent medium
administration of for bacterial growth.
medications, and providing
maintenance and site care.
OBJECTIVE: Rotate IV sites as indicated.
• Flushed 4. Provide catheter or perineal 4. Minimizes the risk for
appearance. care. Teach the female infection.
• Wound patient to clean from front to
drainage. back after elimination.
• V/S taken as 5. Provide conscientious skin 5. Peripheral circulation may be
follows: care, gently massage bony impaired, placing patient at
T:37.4 areas. Keep the skin dry, increased risk for skin
P:87 linens dry and wrinkle free. irritation or breakdown and
R:19 infection.
BP: 120/90 6. Place in semi – fowler’s 6. Facilitates lung expansion
position. and reduces risk of
aspiration.
7. Encourage adequate dietary 7. Decrease susceptibility to
and fluid intake of 3000 ml infection.
per day.

Reference:
Carpenito. L .J. (1995). Nursing Diagnosis (6th Ed.), New Jersey J.B.Lippincott Company.
Student name: Akbar Ali Arain Discipline B.Sc. N-1(2007-9)