Care Plan Assignment Discussion Paper

What precautions will you take to prevent this patient from obtaining a nosocomial infection?

As a nurse, I would first implement basic precautions in the patient’s care plan for healthcare providers and visitors. This will entail washing hands prior to entering or leaving the patient’s space (Fry, 2013). Another precaution would be to ensure that sterile procedures are used to clean the patient’s Penrose drain using the right procedure (Fry, 2013). Additionally, it would be necessary to raise the patient’s head of the bed in a semi-Fowler position to support her airway Care Plan Assignment Discussion Paper.

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Care Plan

Nursing Diagnosis:

Risk for damaged skin integrity

 Client Goals:  

  • Patient will protect the integrity of the skin around the stoma.
  • Patient will recognize potential risk factors.
  • Patient will convey habits or strategies to facilitate healing and inhibit skin irritation.

Nursing interventions:

  1. Assess the stoma and peristomal region of the skin with each change of pouch. Observe any rashes, bruises, and skin irritation- Assesses the curing process and the efficacy of equipment and recognizes areas of concern, necessity for additional assessment and action.
  2. Clean with warm water and smooth pat- Ensuring a clean dry surface prevents skin from getting damaged Care Plan Assignment Discussion Paper.

References

Doenges, M., Moorehouse, M., & Murr, A. (2014). Nursing care plans: Guidelines for 

             individualizing client care across the life span. Retrieved from

https://ebookcentral.proquest.com

Doenges, M. E., Murr, A. C., & Moorhouse, M. F. (2016). Nurse’s Pocket Guide : Diagnoses,

Fry, D. E. (2013). The prevention of surgical site infection in elective colon surgery. Scientifica, 2013.

Taylor, C., Lillis, C., Lynn, P., & LeMone, P. (2015). Fundamentals of nursing: The art and science of person-centered nursing care. Philadelphia, PA: Wolters Kluwer (LWW). ISBN: 9781451185614

Please do a care plan for this patient for this scenario…You are the nurse receiving report on your patient that was admitted as an emergency earlier in the day. A 64-year-old female underwent a right colectomy. The right side of her colon was removed due to cancer. She has a history of smoking & no other health problems. She is currently being transferred to you in PACU. She has a midline incision with a Penrose drain, a stab wound w/ a Jackson Pratt drain to incision. She also has a NG tube, attached to intermittent suction. She is alert, oriented and can move all 4 extremities. BP is 110/68, Respiratory rate is 14, O2 stats are at 93% w/ additional oxygen given via nasal cannula. All labs are normal. You are asked to change the dressings daily and document the drainage. What precautions will you take to prevent this patient from obtaining a nosocomial infection? Please answer the questions and develop a care plan for a patient that will be having an elective surgery. Please use the provided format for building your care plan. You will need to use your nursing reference materials as you build this care plan Care Plan Assignment Discussion Paper