NURSING CARE PLAN

Patient’s Initial: E. N. G Age: 67 Hospital Number: 26

Doctor: Diagnosis/ Impression: Date: March 6, 2020

ASSESSMENT NURSING SCIENTIFIC GOAL NURSING RATIONALE EVALUATION
DIAGNOSIS BASIS STATEMENT / INTERVENTION
Desired Outcome

Subjective: Risk for Type 2 After 8 hours of Independent: After 8

“My wounds infection related diabetes nursing hours of
are not to high glucose mellitus occurs interventions, the -Observe for -Patient may be nursing
healing" as levels, when the patient will identify signs of infection admitted with interventions,
verbalized by decreased pancreas interventions to and infection, which the
the patient leukocyte produces prevent or reduce inflammation. could have patient was
function insufficient risk of infection. precipitated the able to
amounts of the ketoacidotic identify
Objective: hormone state, or may interventions to
-Flushed insulin and/or develop prevent or
appearance. the body's anosocomial reduce risk of
tissues infection. infection
-Wound become
drainage resistant to -Reduces
normal or even therisk of cross-
high levels of contamination
Vital Signs: insulin. This -Stress and
T: 37.4°c causes model proper
P: 87 bpm highblood hand-washing
R: 19 bpm glucose (sugar) technique to -High glucose
BP: 120/90 levels, which client and inthe blood
mmHg can lead to a caregivers. creates an
number of excellent
complications -Maintain medium for
if untreated. aseptic bacterial
technique for IV growth
insertion
procedure,
administration
of medications,
and providing
maintenance
and site care. -Facilitates lung
Rotate IV sites expansion and
as indicated. reduces risk of
aspiration.
-Place in semi –
fowler’s -Decrease
position. susceptibility
toinfection.

-Encourage
adequate
dietary and fluid
intake of 3000
ml per day.
- Identifies
organisms so
Collaborative: that most
appropriate
- Obtain drug therapy
specimen for can be
culture and instituted
sensitivities and
indicated