Precipitating Factor Contributing factor

Fork lift accident

(affected area: Left
foot) Inappropriate Infrequent wound
antibiotic therapy: No dressing and cleaning
result of previous
Break on the skin integrity wound GS/CS
resulting to an open wound
Provided moist
Bacterial resistance environment
Tissue injury
Producing enzyme that Harbor organisms
Portal of entry for microorganisms inactivate antibodies
Continuous
multiplication of
Penetration of pathogens to the Change in Alter metabolic Alter antibiotic microorganisms.
body surface easier filtration qualities pathways binding
of bacterial cell
wall
Invasion of microorganisms

Prevent access of
abtiibiotics to target site
with in the organisms

Further invasion
INFECTION Increase the number of microorganisms of
of
microorganisms the affected area(left foot)

The inflammatory response and healing Inadequate wound healing

cannot fully render its function. mechanism
 Unhealed wound on left Undergone wound Tissue injury
foot debridence and skin
grafting + wound on
left thigh skin (source Impaired skin
of skin graft) integrity

Patient is anxious on his Left foot cannot fully

present situation. Presence of portal of
render its function of entry for
supporting weight of microorganisms
the body

“Di naman makakaapekto sa Risk for infection

paglakad ko itong sugat di ba?”
“Makakapagtrabaho pa naman Difficulty in ambulating Patient cannot
ako diba?” “Paano na naman sa bear his weight
isang linggo babalik na naman
kami dito para sa check up.
Magkano na naman aabutin ng Patient cannot fully assume
taxi. Puro utang na kami.” his daily activities such as Cannot assume a
bathing, changing of clothes, standing position
going to bathroom

Anxiety Risk for falls

“Ang hirap maligo at magbihis mag-isa,
hindi ako makalipat ng pwesto ng walang
tulong, kailangan ko pa ang asawa ko
para tulungan ako.”

Self-care deficit
PATHOPYSIOLOGY