Nursing Care Plan. Risk for Secondary Infection Essay

Nursing Care Plan. Risk for Secondary Infection - Essay Example This has been attributed to the added effects of aging and medications. The client’s nutrition status is below the normal level, compared with his healthy physique when the signs and symptoms of HIV infection and epileptic occurrences had not manifested yet. His serum cholesterol is higher than the normal boundary. No respiratory conditions can be traced from his recent medical check- up. Risk for secondary infection Assessment The patient was lying on his bed, conscious and coherent. However, he was not oriented to time, place, and person. Wounds and excoriations were noted on his lower extremities. No breathing difficulties noted upon examination. Nutrition status was noted below the normal level. Increased cholesterol level was appreciated on laboratory results. His vital signs were recorded as: Temperature: 37.4 ?C, Respiratory rate: 24 cpm, Pulse rate: 92 bpm, Blood Pressure: 130/ 110 mmHg. Nursing Diagnosis Risk for secondary infection related to compromised immune syste m secondary to HIV infection Planning Within this shift, the patient will not be able to develop infection, and would learn ways to prevent it. Intervention and rationale Assess the patient for signs of infection including fever, chills, and diaphoresis; cough; shortness of breath; oral pain or painful swallowing; creamy-white patches in oral cavity; urinary frequency, urgency, or dysuria; redness, swelling, or drainage from wounds; vesicular lesions on face, lips, or perianal area. Any sign of delayed wound healing may give clues that the patient is currently having an infectious process (Black & Hawks, 2005). Assess the patient’s cognition and mental status. In the elderly population, the signs of infection may appear initially as changes in the mental status and consciousness (Burke & Laramie, 2004). Teach patient or caregiver about need to report possible infection. Prompt reporting of infection increases the chances of faster recovery (Smeltzer & Bare, 2006). Do not allo w any fresh flowers in the patient’s room. Fresh flowers carry microorganisms that could cause harm to the immune- compromised people (Burke & Laramie, 2004). Do not allow the patient to eat raw foods, including fruits and vegetables. Raw foods contain considerably increased number of microorganisms that could potentially cause another infection (Smeltzer & Bare, 2006). Monitor for medication interactions, infections, electrolyte imbalance, and depression. Elderly patients may have other pathological conditions that could necessarily affect hydration status and predispose other medication side- effects (Black & Hawks, 2005). Encourage independence but assist if the patient cannot perform an activity. While it can be necessary to assist the patient in completing activities most of the time, providing opportunities of independence could increase his sense of well- being (Smeltzer & Bare, 2006). Monitor food and fluid intake. Nutrition status generally affects the rate of wound healing and recovery from infection (Black & Hawks, 2005). Teach the patient about the importance of hand-washing and appropriate hygienic practices. These activities prevent the incidence of infection (Smeltzer & Bare, 2006). Evaluation At the end of the shift, the client did not develop any signs of secondary infection. In addition, the patient learned of the importance of hand- washing, hygienic practices, eating the right kinds of food, and maintaining a healthy lifestyle.

Technical writing Essay Example | Topics and Well Written Essays - 1250 words

Technical writing - Essay Example The purpose of this Request for Proposal is to solicit proposals in a bid to identify a candidate or organization, conduct a fair and extensive evaluation on the criteria listed thereafter and contract him/her to best represent the aspirations of Peter’s International schools as far as professional development of programs in the area of disproportionality is concerned. Literature Review Disproportionality may not be purely pegged on the individual talents by the students but also on the administrative aspect of the management of the school; the infrastructure and transformation of curriculum, and other extra-curriculum programs which in one way or the other helps in the personal development of the students which in turn promotes the academic achievement in a balanced manner (Wiggan, 12). Peter’s International Schools is a network of schools started in 1999 in New York with outlets in Canada, United Kingdom and Belarus, that specializes with â€Å"high school† lev el of education and learning admitting children of 7-17 years of age. As part of the initial research and implementation procedure, Peter’s International schools would recommend school-based focus group discussions as the immediate and appropriate resources to be used to help evaluate the causes and mitigation programs in areas of disproportionality in academic achievement. Purpose of the Project The current education programs used by Peter’s International Schools is based on 2002 curriculum revision and the management has determined they are not effective in providing unique high school education in terms of syllabus coverage and personal development of our students at all levels. Additionally the programs have not been reliable in incorporating science and technology/ innovations in the subjects tackled and they have been fruitless in integrating academic performance across the school’s network. By developing, designing, implementing and conducting professiona l development in the areas of disproportionality in academic achievement across our network of schools, will enable identification of areas that need attention in a bid to level academic achievement of our students, be at par with science and technology/innovations in our curriculum and have a competitive advantage in provision of learning services globally. Project Description Peter’s International Schools is seeking to adopt new and friendly programs that will promote incorporation of science and technology in the curriculum subjects; simple to apply and assimilate both locally and by the international students, programs that will necessitate easy transition to new programs in future without affecting the development of students, and those that will help in reducing the variation in academic achievement among the students in the school’s network. The design should be flexible to accommodate different ages accommodated in our schools and allow smooth implementation wi thin the next five years. In addition the design and development procedures should explicitly define the ways to deal with the disproportionality in academic achievements and give real figures of the expected results within the first five years of