Intervention Nursing Diagnosis for Risk for Infection
Risk for infection related to the invasion of microorganisms in the body
Goal: Infection does not occur
Expected outcomes:
Patients will show meticulous hand-washing techniques.
Patients will be free from the process of nosocomial infection during hospitalization.
Patients will demonstrate knowledge of the risk factors associated with infection and perform proper precautions to prevent infection.
Intervention:
1. Monitor for signs and symptoms of infection.
R /: To determine whether there is infection process.
2. Monitor lab results, monitor the patient's body temperature.
R /: Leukocyte increased, and the increase in body temperature that is not expected, is a sign of infection.
3. Use antiseptic technique when taking action to clients.
R /: Prevent cross-infection.
4. Emphasize the need to wash hands regularly / thoroughly before and when handling food, after toileting.
R /: Many viruses such as cytomegalovirus (CMV) can be excreted in the urine for more than 4 years after exposure and possibly transmitted through poor hygienic.
5. Provide an act of information about other hygiene measures, including wiping the vulva from front to back after urination and urination after coitus.
R /: Helps prevent E. coli contaminants rectal reach the vagina. Can help prevent the transmission of STIs, particularly CMV and non-gonococcal urethritis.
6. Encourage clients to drink 6 to 8 glasses of fluid every day. Discuss the role of acid residues in the diet and add cranberr or orange juice.
R /: Helps prevent urinary tract infections, can acidify the urine and help prevent UTIs.
7. Encourage clients to try Kegel exercises (tightening the perineum) during the day.
R /: Improved support for pelvic organs, strengthen and increase the elasticity of the muscle pubococcygeus, better control the urinal.
8. Encourage the use of cotton underwear and avoid using the bath tub when the client is entitled to the history of UTI.
R /: Static urinary and glycosuria can make a predisposing factor in the prenatal clients urinary tract infection, or UTI, especially when history include urinary problems / kidney.
9. Get a routine urine sample for microscopic examination, PH, presence of leukocyte cells, as well as culture and sensitivity, according to indications. Report the number of colonies greater than one hundred thousand per milliliter.
R /: This is to detect the presence of microorganisms in the body. High leukocyte cell count is an indicator of infection.
10. Instruct the patient to always clean up areas that are reddish.
R /: Prevent the introduction of other bacteria that can cause infection.
11. Collaboration with the medical team to give antibiotics.
R /: Antibiotics can help fight infection.
Source : https://ncp-blog.blogspot.com/2015/05/intervention-nursing-diagnosis-for-risk.html