OB care plan - risk for infection PDF

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Summary

Care plan for maternal risk of infection due to perineal tear...

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NURSING CARE PLAN NURSING DIAGNOSIS# Risk for infection related to inadequate primary defense (skin): perineal tear and stitches. ASSESSMENT Skin is torn due to birthing process; patient has 6 stitches on perineal area.

EXPECTED OUTCOMES Patient will remain afebrile throughout hospital stay.

INTERVENTIONS 1-Observe for localized signs of infection at the wound site.

Patient will verbalize understanding of importance of preventing infection to perineal area.

2-Encourage use of peri-bottle after using the bathroom.

Patient will heal in a timely manner.

3-Stress proper hand hygiene for both patient and caregivers/nurses. 4-Educate on and emphasize proper use of antibiotics where appropriate. 5-Maintain sterile technique for all invasive procedures, and clean technique f ll i i

SCIENTIFIC RATIONALE 1-Will establish presence of infection. 2-Cleaning the site of the wound after using the bathroom will help to prevent infections. 3-Hand hygiene is a first-line of defense against infections. 4-Proper use of antibiotics will combat infection, whereas improper use of antibiotics may lead to secondary infections or resistant strains. 5-Sterile and clean technique prevent the introduction of potentially pathogenic

EVALUATION Patient remained afebrile until discharge. She understands the proper use of the peri-bottle, handwashing, and antibiotics. Upon discharge, she still has the stiches, so healing cannot be evaluated at this time....