Purpose: risk for infection can be resolved
with outcomes as follows:
- the absence of infection and signs of redness after the stitches are removed.
- vital signs, especially temperature within normal limits.
Interventions:
- Assess vital signs.
- Assess the type of surgery.
- Perform wound care on the second day after surgery.
- Clean the wound at the time of any wound care.
- Cover the wound with sterile gauze.
- Provide health education to the patient's family and the patients how to correct wound care and sterile.
- Collaboration with physicians for the provision of anti-infective.
Rationale:
- The temperature can also increase if the patients have inflammation and infection.
- Identify progress or deviations from the expected goals.
- Wound care should not every day to lose contact with the wound in sterile conditions.
- Cleaning debridement can prevent contamination to the outside network.
- Closure thoroughly, can avoid contamination of objects or air.
- Provision of health education are better equipped to provide compliance information for the family.
- Collaborative action carried out with the aim of optimal treatment.
9 Nursing Diagnosis related to Crohn's Disease