Ma. Mercedita P.
Padua BSN IV - A Assessment Diagnosis
Subjective: Hindi naman sumasakit yung pigsa ko as verbalized by the client. Objective: Conscious, coherent and not in any form of distress On LSLF DM diet with distribution (+) boil on pubic area 2 mons pubis (-) tenderness on pubic area Ambulatory; voiding freely On CBG monitoring
Impaired skin integrity r/t staphyloco ccal infection secondary to boil.
University of Perpetual Help System DALTA Alabang Zapote Rd. Pamplona, Las Pinas City COLLEGE OF NURSING BSN III-A Batch 2010 2011 Patient M.G. 47 y.o. Folliculitis Pubic Area DM II, HPN II Scientific Planning Selected Implemented explanatio interventions interventions n Goal: The Independent Independent These are Nursing Nursing client will be called shu Interventions: Interventions: jie (summer able to be Establish Established eruption) in free from nurse nurse the classics complications client client and are Expected relationship relationship believed to Outcomes: Instruct client Instructed be caused on NPO 2 client on by invasion After 8 hours of nursing hours prior to NPO 2 of CBG hours prior pathogenic interventions, the client will monitoring to CBG summer be able to monitoring heat. They identify are often atleast 3 present as appropriate acute, Encourage suppurative interventions Encourage to achieve client to d client to infection of timely wound report report the hair healing (e.g. presence of presence follicles or warm pain in pubic of pain in the compress on area pubic area connective Provided tissue of the affected area, Provide proper diet & conducive conducive hair
Doctors Wing Rationale Evaluation
GOAL MET After 8 hours of nursing interventions To the client establish was able to rapport identify To prevent appropriate alterations interventions to achieve and false timely wound positive healing as results evidenced by during diagnostic verbalization procedure of important ways on how To identify to prevent complication presence of signs of through proper diet, local compliance infection to treatment To provide regimen and applying a stress-
Afebrile; T= 36.6 C/ Axilla with BP= 1220/80 mmHg CBG result as of 04/15/11 5:30 PM : 182 mg/dl
follicles. compliance to Boils or skin treatment abscesses regimen) are inflamed and pusfilled areas of skin that look like oversized pimples. A boil generally starts as a reddened, tender area that becomes firm and hard over time. Eventually, the center of the boil softens and becomes filled with pus that finally erupts and drains out through the skin. Also
environment
environme nt Involved supporting others in planning of activities Monitored pts vital signs. I/O and IVF
Involve supporting others in planning of activities Monitor pts vital signs. I/O and IVF
free environme nt To hastens clients recovery
warm compress on pubic area.
Measure clients CBG
Encourage clients compliance to treatment regimen Provide warm compress on pubic area
To prevent complicati ons like hyperther mia, hypervole mia and hypovole mia Measured To monitor clients clients CBG blood sugar levels Encourage To d clients hastens compliance clients to recovery treatment and regimen achieve Provided timely warm wound compress healing on pubic area
known as furuncles, boils are painful and can develop anywhere on the body, but often in areas like armpits, breasts, buttocks, face, genitals, and neck.
Monitor for any untoward signs and symptoms
Monitored for any untoward signs and symptoms
To prevent occurrenc e of infection and complicati ons
Dependent Nursing Interventions: Give Rifampicin 300mg as prescribed
Administer 7 units of Humulin R subcutaneou sly as per doctors order
Dependent Nursing Interventions Rifampicin Used as 300mg was antibiotic given as to treat prescribed staphyloco ccal infections Administer To maintain ed 7 units blood of Humulin glucose R level subcutaneo within usly as per normal doctors values. Used to order treat both Type I and Type II DM.
