Nursing Care Plan. Risk for Secondary Infection Essay

Nursing Care Plan. Risk for Secondary Infection - Essay ExampleThis has been attributed to the added effects of aging and medications. The clients nutrition status is below the normal aim, compared with his healthy physique when the signs and symptoms of HIV infection and epileptic occurrences had non manifested yet. His serum cholesterol is higher than the normal boundary. No respiratory conditions can be traced from his recent medical check- up. Risk for secondary infection Assessment The forbearing was lying on his bed, conscious and coherent. However, he was not oriented to time, place, and person. Wounds and excoriations were noted on his lower extremities. No br chip inhing difficulties noted upon examination. Nutrition status was noted below the normal level. Increased cholesterol level was appreciated on laboratory results. His vital signs were recorded as Temperature 37.4 ?C, Respiratory rate 24 cpm, Pulse rate 92 bpm, Blood Pressure cxxx/ 110 mmHg. Nursing Diagnosis Ris k for secondary infection related to compromised immune system secondary to HIV infection Planning Within this shift, the long-suffering will not be able to develop infection, and would learn ways to prevent it. Intervention and rationale Assess the patient for signs of infection including fever, chills, and diaphoresis coughing shortness of breath oral pain or painful sw holding creamy-white patches in oral cavity urinary frequency, urgency, or dysuria redness, swelling, or drainage from wounds vesicular lesions on face, lips, or perianal area. Any sign of delayed wound healing may give clues that the patient is currently having an infectious process (Black & Hawks, 2005). Assess the patients cognition and mental status. In the elderly population, the signs of infection may appear initially as changes in the mental status and consciousness (Burke & Laramie, 2004). inculcate patient or caregiver about need to report possible infection. Prompt reporting of infection increases the c hances of faster recovery (Smeltzer & Bare, 2006). Do not allow any fresh flowers in the patients room. Fresh flowers carry microorganisms that could cause harm to the immune- compromised people (Burke & Laramie, 2004). Do not allow the patient to eat raw provenders, including fruits and vegetables. Raw foods contain considerably increased number of microorganisms that could potentially cause another infection (Smeltzer & Bare, 2006). Monitor for medication interactions, infections, electrolyte imbalance, and depression. Elderly patients may have other pathological conditions that could necessarily affect hydration status and predispose other medication side- effects (Black & Hawks, 2005). Encourage independence but assist if the patient cannot answer an activity. While it can be necessary to assist the patient in completing activities most of the time, providing opportunities of independence could increase his sense of well- being (Smeltzer & Bare, 2006). Monitor food and fluid i ntake. Nutrition status generally affects the rate of wound healing and recovery from infection (Black & Hawks, 2005). Teach the patient about the grandeur of hand-washing and appropriate healthy practices. These activities prevent the incidence of infection (Smeltzer & Bare, 2006). Evaluation At the end of the shift, the client did not develop any signs of secondary infection. In addition, the patient learned of the importance of hand- washing, hygienic practices, eating the right kinds of food, and maintaining a healthy lifestyle.