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Assesment Diagnosis Inference Objective Intervention Raionale Evaluation Subjective: Objective: Long Term Goal: Goal Met

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Assesment Diagnosis Inference Objective Intervention Raionale Evaluation

Subjective: Long term goal: Observe and signs of infection Goal met
The patient has a 1.   Client will report signs of such as After the patients
Objective: Risk for infection risk of infection remain infection such as warmness, hemo-dialysis,
because of the free from warmness, redness, there is no sign of
Location of wound access or AV symptoms redness, discharge, or any infection in
and possible fistula in his left of discharge, or increased body the access.
increase to arm. infection increased body temperature in
pathogens by the temperature need to be Goal met
The surgical time the
because careful monitored The client states
creation of an AV client
fistula provides a surveillance of because in can be the signs of
finish his
long-lasting site hemo- infection should altered in the infection such as
through which dialysis. be monitored and procedure and in warmness,
blood can be 2.   Client will increased body the patients redness,
removed and state the temperature of health. discharge, or
returned during signs and unknown origin is increased body
hemodialysis. The symptoms the most common temperature.
fistula, which of sign of infection
allows the person infection
to be connected to of which Teach the client to
a dialysis to be also recognize The client should Goal met
machine, must be aware by these signs as know the signs The client
prepared by a the time symptoms and symptoms of demonstrated the
surgeon weeks or of (redness, infection for he appropriate care
months before discharge. warmness, can report to his his access and
dialysis is started. Short term goal:
swelling, physician if he proper hygiene
When the vein and Short Term:
artery are joined, discharge, and sees any sign and measures.
1.   Client will
the vein gradually demonstra increased body symptoms of
becomes larger te temperature) infection.
and stronger, appropriat because once
creating the fistula e care of discharged, the
that provides infection client needs to
vascular access prone area know when to
years longer than by the end report back to the
other types of of the doctor for
access and with teaching possible infection
fewer session. Hand washing and
complications. 2.   Client will Teach client the disinfecting
demonstra appropriate hand bacteria will
te hygiene such as control the spread
appropriat by washing hands of bacteria and
e hygiene
thoroughly with prevent infection.
measures
soap and water or
such as
hand using an alcohol-
washing based hand rub
at end of because infection
the control precaution
teaching is required to
session prevent infection
by use of
particular
attention to hand
hygiene and
universal
precautions.

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