Case Study: Infection
The client is a 22-year-old client diagnosed with “Sepsis with UTI”.She has no past medical history; she is awake alert and oriented x 4.Subjective:The patient states “I had yeast infections in the past and they usually go away but this time it didn’t”
The patient states “I don’t think the infection is that bad because I had yeast infections before and they’re like UTI’s; The infection should go away with antibiotics.”Objective:Fever of 99.2 FDysuria/flank pain.
Nursing Diagnosis: Risk for Infection related to UTIShort-term Goal: The client will demonstrate improved health status as evidenced by absence of signs and symptoms of infection (e.g. fever, chills, abdominal pain, dysuria) within 12 hours of initiating treatment.Long-term Goal: The client will demonstrate sustained improvement in health status with absence of signs and symptoms of infection for a minimum of 2 weeks following completion of treatment.
Short-term Goal Interventions:-Provide the client with knowledge regarding her diagnosis and treatment plan.
– Encourage the client to ask questions and share any concerns regarding her medical diagnosis and treatment plan.Rationale:
-Allow the client to discuss her feelings and experiences connected to her medical diagnosis and treatment plan.Long-term Goal Interventions:– Provide the client with resources and support to help her manage her medical condition.
-Encourage the client to practice relaxation techniques such as deep breathing and progressive muscle relaxation to lessen anxiety.
-Provide the client with a systematic plan for controlling her medical condition.
QUESTIONS
1) Evaluate the goals:If these goals were met what was the evidence for this evaluation?If these goals were not met, what was the evidence for this evaluation?
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