4 Diabetes Mellitus Nursing Care Plans


4. Risk for Infection - Diabetes Mellitus Nursing Care Plans

Risks for infection is a increased probability of invasion of pathogenic organisms for a pt. with DM wound is possible in the furure. Clients with diabetes are susceptible to infections because of polymorphonuclear leukocyte function, diabetic neuropathies, and vascular insufficiency as a result is a poor glycemic control; thus making a wound to heal slowly because the damaged of the vascular system cannot carry sufficient oxygen, WBC, nutrients, and antibodies to the injured site. Thereby infections increase and enhance possibility of further complications.

Nursing Diagnosis: Risk for Infection

AssessmentPlanningNursing
Interventions
RationaleEvaluation
Subjective: (none)Objective:

  1. purulent discharge
  2. hyperthermia
  3. altered circulation
  4. immunological deficit
Short Term:

After 4 hours of NPI the risks factors of occurrence of infection will be reduce or control to a manageable level by a clean bed and maintain skin intact

Long Term:

After 1-2 weeks of NPI, pt will be free of purulent drainage or erythema and be afebrile

  1. Establish rapport
  2. Take and record vital signs
  3. Encourage expression of feelings and anxieties
  4.  Observe non – verbal cues
  5. Encourage client to look at/touch affected body part
  6. Encourage verbalization of and role play anticipated conflicts
  7. Encourage to increase fluid intake-increase Vit. C in the diet-increase CHON intake
  8. Change dressing
  9. Provide a safe and quiet environment
  10. Take Due meds on time
  1. to obtain patient’s trust and cooperation
  2. To obtain baseline data
  3. facilitates grieving the loss
  4. non – verbal cues is more accurate than verbal cues- to begin to incorporate changes into body image
  5. to enhance handling of potential problems
  6. to prevent dehydration
  7. to boost immune system and promote collagen formation-for tissue repair
  8. to promote healing and prevent contamination of the wound
  9. To promote pt’s comfort
  10. To met the body’s requirements
Short Term:The pt. shall have identified risks factors of occurrence of infection shall have reduced or controlled to a manageable level by a clean bed and skin intact.

 

Long Term:

The patient shall be free of purulent damage or erythema and be febrile

Navigation
  1. Deficient Fluid Volume
  2. Imbalanced Nutrition: Less Than Body Requirements
  3. Fatigue
  4. Risk for Infection
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