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Now, Try Some Big Leap.: Keep Going

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Now, try some big leap.

RLE Activity 2: Care Plan Critical Thinking Activities


Instructions:
1. All questions apply to this activity pertains to the concepts and theories discussed. Your
responses should be detailed and direct to the point. When asked to provide several
answers, list them in order of priority or significance.
2. Please submit on or before _______, 2020 thru MS Teams and or to the designated place
in your barangay, and to be collected by PNC personnel.
Keep going.

Case Scenario:

Dezeree Lee delivered a healthy female infant 2 days ago. She had a midline episiotomy. This is
her first pregnancy. She is admitted in the postpartum unit.
1. Make a care plan for this client.

Nursing Care Plan:


Fill in the appropriate elements of the care plan for this client.

PLANNING
ASSESSMENT NURSING GOAL / EXPECTED NURSING EVALUATION
DIAGNOSIS RATIONALE
OUTCOME INTERVENTIONS

Objective: Risk for -After 30 - Demonstrate -To prevent -After 30


Infection minutes the and maintain a cross minutes of
 Delivered due to patient will strict hand contaminatio nursing
a healthy midline verbalize washing policy n intervention,
female episiotomy understanding for staff and the patient
infant 2 of individual client. understood
days ago causative risk the
and it is factors. - Keep the are -Moistures importance of
her first clean and dry harbors caring the
pregnancy -Patient will microorganis incision site
initiate m and was able
 Had a behaviors to to manage
midline limit - Instruct patient -To decrease situation.
episiotomy the spread of to maintain risk for
infection, as clean and dry infection
appropriate, clothes
and reduce
the risk of - Instruct patient -Long and
complications. to clip nails rough nails
-Patient will regularly increases risk
achieve timely of further
healing, free of impaired skin
additional integrity
complications.
- Inform patient -To increase
the purpose of compliance
self-care
practices

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