Sima Saeed
Mohammed Sunday
20 years 4/12/2021 _ 29/4/1443
Male
Care plan tonsillectomy
February 3, 2009 7:00 pm risk for infection Independent
Intact skin and mucous After 8 hours of nursing
related to decrease in
membrane are the body’s intervention, GOAL WAS
e ectiveness of the Minimize patient’s risk
first line of defense MET. The patient
body’s physical of infection by:
Subjective:
against microorganisms. remained free from signs
barriers associated
Bacteria can penetrate and symptoms of
with an open wound _Washing hands before
can cause the infection infection as evidenced
and bilateral removal and after providing care.
when the skin becomes by:
of tonsils
crack and broken (e.g.
Wearing gloves to
surgery) furthermore the 1. 37°C
maintain asepsis when
Objective:
tonsils act as part of the
providing direct care
immune system to help 2. Absence of signs of
Temp: 37°C s/
protect against infection.
Monitor temperature at
infection like swelling,
p tonsillectomy
increased pain or
least every 4 hours and
purulent drainage.
record. Report elevation
immediately.
In particular, they are Factors that increases
believe to be involves in risk of infection
helping ght o - Crowded places
pharyngeal and upper - Eating raw foods
respiratory tract
infections that is why
removal of tonsils Dependent:
decreases the power of
immune system and Administer antibiotics
allows the person to be
more susceptible to as ordered by the
infection. physician each patient
about
Instruct patient will take
Fundamentals of Nursing Augmentin 625 mg per
by Kozhier and Erb’s cap T.I.D as prescribed
volume 1 8 th edition by the physician
Goals & objectives
After 8 hours of nursing
intervention the patient
will be able to remain
free from signs and
symptoms of infection as
evidenced by:
1. patient’s temperature
within normal range
2. Absence of signs of
infection like swelling,
increased pain or
purulent drainage.
Dr :Eman Elsayed