Sunday, September 14, 2014

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.

1 comment:

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