Scribd Logo
Upload

Welcome to Scribd!

    • 296 views

    Nursing Care Plan: Nursing Diagnosis Nursing Goals Nursing Outcome

    Uploaded by

    merry
    The nursing care plan addresses the risk of umbilical cord infection in a newborn. The plan includes assessments of the cord, signs and symptoms of infection, and the theoretical basis that the cord provides access to the bloodstream. Goals are for the mother to understand proper cord care and demonstrate techniques to keep the cord clean and dry. Interventions include educating the mother on patting the cord dry, avoiding touching or covering it, and securing diapers below the cord level. The plan aims to prevent infection and promote continued breastfeeding for immunity.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Nursing Care Plan: Nursing Diagnosis Nursing Goals Nursing Outcome

    Uploaded by

    merry
    296 views3 pages
    The nursing care plan addresses the risk of umbilical cord infection in a newborn. The plan includes assessments of the cord, signs and symptoms of infection, and the theoretical basis that the cord provides access to the bloodstream. Goals are for the mother to understand proper cord care and demonstrate techniques to keep the cord clean and dry. Interventions include educating the mother on patting the cord dry, avoiding touching or covering it, and securing diapers below the cord level. The plan aims to prevent infection and promote continued breastfeeding for immunity.

    Original Title

    Nursing Care Plan (Day 2)

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The nursing care plan addresses the risk of umbilical cord infection in a newborn. The plan includes assessments of the cord, signs and symptoms of infection, and the theoretical basis that the cord provides access to the bloodstream. Goals are for the mother to understand proper cord care and demonstrate techniques to keep the cord clean and dry. Interventions include educating the mother on patting the cord dry, avoiding touching or covering it, and securing diapers below the cord level. The plan aims to prevent infection and promote continued breastfeeding for immunity.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    296 views3 pages

    Nursing Care Plan: Nursing Diagnosis Nursing Goals Nursing Outcome

    Uploaded by

    merry
    The nursing care plan addresses the risk of umbilical cord infection in a newborn. The plan includes assessments of the cord, signs and symptoms of infection, and the theoretical basis that the cord provides access to the bloodstream. Goals are for the mother to understand proper cord care and demonstrate techniques to keep the cord clean and dry. Interventions include educating the mother on patting the cord dry, avoiding touching or covering it, and securing diapers below the cord level. The plan aims to prevent infection and promote continued breastfeeding for immunity.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Theory-based (Betty Neuman)

    NURSING CARE PLAN


    Assessment 3 points Goals 2 points Interventions 4 points Bibliography
    Diagnosis 3 points Theoretical Basis 2 points Evaluation 1 point 15 points

    NURSING DIAGNOSIS NURSING GOALS NURSING OUTCOME


    Assessment Diagnosis Mutual Planning Interventions Actual Evaluation
    (Goal attainable within the shift) (with Rationale & Source)
    Subjective: Risk for infection related to After 4 hours of nursing PRIMARY INTERVENTIONS
    The primigravid mother shared parent’s lack of knowledge intervention: Promotive:
    that she is conscious about her concerning umbilical cord care -the mother will be able to
    baby’s umbilical cord as she verbalize understanding on the I: Monitor the newborn for signs of cord
    does not know how to properly importance of doing proper infections, such as redness at the base of the cord
    care for it. cord care. and presence of discharge from the cord site.
    -the mother will be able to R: Early detection of infections promotes
    identify ways to keep the cord preventions and early intervention (Doenges,
    Objective: clean and dry. Moorhouse, & Murr, 2019).
    Vital signs:
    T=36.9 °C After 24 hours of nursing I: Encourage the mother to continue
    HR= 148 bpm Theoretical basis: intervention: breastfeeding.
    RR= 48 cpm The umbilical stump is a -the mother will be able to R: Breast milk contains antibodies that can
    common means of entry for demonstrate proper cord care. protect babies against infections (McCarthy,
    -Upon assessment, the systemic infections as the -the newborn will still have no 2020).
    umbilical cord is free from umbilical vessels are still signs of cord infections.
    infection and still intact. patent for a few days Preventive:
    -The mother was observed to following birth, thus providing
    check the baby’s umbilical direct access to the I: Instruct the mother/ guardian to gently pat the
    cord stump dry with a clean, soft towel if ever it
    Cebu Normal University Document
    SDF-CON-NF-7002-034-00
    cord stump frequently. bloodstream. gets wet.
    Its devitalized tissue can also R: To avoid irritation and possible cord
    be a medium for bacterial infection (Christiano, 2019)
    growth, especially when it is
    kept moist and unclean. This is I: Educate the mother/ guardian to avoid
    why to reduce the newborn’s touching the cord and covering it with a binder
    susceptibility to infections, it or bandages.
    must be kept clean and dry R: To allow it to dry faster and reduce the risk
    (World Health Organization, of infection (Pilliteri, 2010).
    1998).
    I: Advice the mother/ guardian to secure the
    diaper and fold it below the level of the
    umbilical cord
    R: To avoid irritation and prevent the stool or
    urine to come in contact with the cord or the
    cord base (Ward & Hisley, 2015).

    SECONDARY INTERVENTIONS
    Curative

    TERTIARY INTERVENTIONS
    Rehabilitative

    Bibliography:
    Cebu Normal University Document
    SDF-CON-NF-7002-034-00
    Christiano, D. (2019). Identifying and Treating an Infected Umbilical Cord. Retrieved from https://www.healthline.com/health/baby/infected-
    umbilical-cord
    Doenges, M,, Moorhouse, M., Murr, A. (2013). Nursing Diagnosis Manual: planning, individualizing and documenting client care. (4th
    edition). Philadelphia, PA: F.A Davis Company
    Hockenberry, M., Wilson, D. & Rodgers, C. (2017). Wong’s Essentials of Pediatric Nursing. (10th edition). St. Louis, MO: Elsevier
    McCarthy, C. (2020). Breastfeeding Benefits Your Baby’s Immune System. Retrieved from
    https://www.healthychildren.org/English/ages-stages/baby/breastfeeding/Pages/Breastfeeding-Benefits-Your-Babys-Immune-
    System.aspx
    Neifert, M. (n.d). Cord Care. Retrieved from https://www.parenting.com/baby/cord-care/
    Pilliteri, A. (2010). Maternal & child health nursing: Care of the childbearing & childrearing family. Philadelphia, PA: Wolters Kluwer/Lippincott
    William & Wilkins
    World Health Organization. (1998). Care of the Umbilical Cord: A Review of the Evidence. Retrieved from
    http://bvsper.paho.org/videosdigitales/matedu/ICATT-AIEPI/Data/Care%20of%20the%20umbilical%20cord/fd38a9b4-bfa1-4735-9a9a-
    e7dbb0faa720.pdf

    Cebu Normal University Document


    SDF-CON-NF-7002-034-00

    You might also like