Risk for Infection - Nursing Care Plan for Ovarian Cysts

Nursing Diagnosis :  Risk for Infection

Ovarian cysts are small fluid-filled sacs that develop in a woman's ovaries.


Risk factors :

• Irregular menstrual cycles
• History of previous ovarian cysts
• Early menstruation (11 years or younger)
• Increased upper body fat distribution
• Infertility
• Hypothyroidism
• Infertility treatment with gonadotropin medications
• Tamoxifen (Soltamox) therapy for breast cancer
• Cigarette smoking also increases the risk of functional ovarian cysts.

Symptoms

• Lower abdominal or pelvic pain, which may start and stop and may be severe, sudden, and sharp.
• Feeling of lower abdominal or pelvic pressure or fullness.
• Irregular menstrual periods.
• Long-term pelvic pain during menstrual period that may also be felt in the lower back.
• Pain or pressure with urination or bowel movements.
• Pelvic pain after strenuous exercise.
• Nausea and vomiting.
• Infertility.

Nursing Diagnosis for Ovarian Cysts :

Risk for Infection related to a decrease in the primary defense


Goal (NOC)

expected infection control.

NOC :

• Immune Status.
• Knowledge : Infection control.
• Risk control.

Outcome :

• Free from signs and symptoms of infection.
• Describe the process of transmission of the disease, factors that influence the transmission and management.
• Demonstrated ability to prevent infection.
• The number of leukocytes within normal limits.
• Demonstrate healthy behavior.

Interventions (NIC)

Infection Control.

• Clean up the environment after use for other patients.
• Maintain isolation techniques.
• Limit visitors when necessary.
• Instruct visitors to wash their hands during a visit and after leaving the patient's visit.
• Use antimicrobial soap for hand washing.
• Wash hands before and after each nursing action.
• Use suit , gloves as protective gear.
• Maintain aseptic environment during the installation of equipment.
• Change the location of the peripheral IV and central line and dressing in accordance with the general instructions.
• Use intermittent catheters to decrease bladder infection.
• Tingktkan nutritional intake.
• Provide antibiotic therapy if necessary.

Infection Protection (protection against infection)

• Monitor signs and symptoms of systemic and local infections.
• Monitor granulocyte count, WBC.
• Monitor susceptibility to infection.
• Limit visitors.
• Filter visitors to infectious diseases.
• Keep aspesis technique in patients who are at risk.
• Maintain isolation techniques if necessary.
• Give skin care on epiderma area.
• Inspection of skin and mucous membranes of the redness, heat, drainage.
• Ispeksi condition of the wound / incision surgery.
• Push enter adequate nutrition.
• Encourage fluid intake.
• Suggest to break.
• Instructed to take antibiotics as prescribed.
• Teach the patient and family the signs and symptoms of infection.
• Teach how to avoid infection.
• Report suspicion of infection.
• Report positive cultures.