#12

12. Strategies to prevent bacterial growth and infection.

ASSESS Recognize the client’s risk for infection
Age, heredity, stress, nutritional status, current med therapy and pre-existing disease
Recognize sign and symptoms of infection
Local - Swelling, redness, pain or tenderness with palpation or movement, heat, loss of function of body part, open wounds
Systemic - fever, increased p&r, malaise, anorexia, enlarged or tender lymph nodes
Lab Data – elevated leukocyte, ESR, - urine, blood, sputum, drainage cultures indicating pos for pathogenic m-orgs

DIAGNOSE Identify risk factors –
NANDA – Risk for Infection
Inadequate primary defense – broken skin, trauma, etc
Inadequate secondary defense – immunosuppression, leukopenia, etc.

PLAN Maintain or restore defenses
Consider appropriate client room location/room mate, diet, hygiene, etc

IMPLEMENT Strategies to prevent infection
use aseptic techniques, hand washing, gloves, no cross contamination, wound maintenance, maintain skin integrity.
Prevent nosocomial infections, Change soiled dressings, dispose of linens appropriately, etc

Kozier Fundamentals
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