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Nursing Diagnosis Risk for infection r/t inadequat e primary defenses eg. Broken skin.
Goals and Objectives After 10 minutes of health teachings . the client will be able to identify interventions to prevent/reduc e risk of infection.
Interventions Independent: >Stress proper hand hygiene by all caregivers between therapies/clients . >Observe and report any signs of infection such as redness, warmth, and discharge.
Evaluation After 10 minutes of health teachings. The client was able to identify intervention s to prevent/red uce risk of infection
Cues/Needs Nursing Diagnosis Subjective Fatigue Data: hindi related to ako physiological satisfied sa factors. pagtulog ko, kahit bagong gising ako wala parin akong lakas Objective data: >Lack of energy
Rationale
Goals and Objectives An After 3 days overwhelming of nursing sustained intervention sense of the client exhaustion will be able and to verbalize decreased having capacity for sufficient physical and energy mental work to complete at usual level desired activities.
Interventions >Assess characteristics of fatigue: -severity -changes in severity overtime. -aggregating factors -alleviating factors >assess the patient s nutritional intake
Rationale >using a quantitative rating scale such as 1 to 10 can help the patient described the amount of the fatigue experienced. It is important to determine if the clients level of fatigue is constant or if it varies over time. >fatigue may be a symptom of improper nutritional intake.
Evaluation After 3 days of nursing intervention the client was able to verbalize having sufficient energy to complete desired activities.