Cellulitis Nursing Care Plan
Question
I need the care plan same as you did for me last time, I submitted 2 papers one is the patient and the other is the last care plan you did , I need this in landscaping format and numbered nicely, also when you do everything go buy the reason for admission. I do not need a title or the description.


Solution
Cellulitis Nursing Care
Plan
ASSESSMENT
DATA |
NURSING
DIAGNOSES |
PLANNING |
INTERVENTION |
EVALUATION |
OBJECTIVE
DATA Dry
and flaky skin Excoriations Warmth Tenderness
on the infection site. SUBJECTIVE
DATA The
patient verbalizes itching around the site
|
1.
Infection-related alteration of the body’s inflammatory response as evidenced
by dry and flaky skin, excoriations, warmth, and tenderness on the infection
site. |
1.
Patient will remain free of secondary infection. 2.
The patient will participate appropriately in the treatment program to
counter infection. 3.
Patient will restore healthy skin free from any lesions and scarring. 4.
Health care workers will observe strict asepsis techniques. 5.
Patient will be free from complications arising from cellulitis.
|
1.
Assess the skin for the extent of severity and compromised integrity since
the skin is the first-line defense. Therefore, disruption of skin integrity
increases the risk of infection and scarring. 2.
Assess the patient for any signs of infection such as fever since patients
with cellulitis are at high risk for developing other diseases. 3.
Apply topical antibiotics such as ammonium lactate 12% topical lotion and
diphenhydramine 2% topical cream. Other antibiotics are ceftriaxone 1gram,
enoxaparin 40mg, and vancomycin. They help treat infection and prevent the
occurrence of further complications. 4.
Determine aggravating factors such as allergy to penicillin, take them down,
and ensure that all nurses and healthcare workers know the patient’s allergic
reaction through detailed documentation. 5.
Observe strict asepsis techniques for wound dressing changes, intravenous
therapy, wound care, and other invasive procedures on the patient to limit
the chances of spreading the infection, thereby preventing further
complications. |
SHORT
TERM GOALS After
2-3 hours of nursing interventions, the patients cooperate in the treatment
plan. LONG
TERM GOALS After
three days, the patient shows improvement to promote disease management,
prevent complications, and prevent secondary infection.
|
2.
OBJECTIVE DATA Edema Blisters Excoriations Erosions SUBJECTIVE
DATA The
patient verbalizes how his skin is damaged. |
Impaired
skin integrity is related to altered skin defense mechanisms as evidenced by edema,
blisters, excoriations, and erosions at the site of infection. |
1.
The patient will achieve an intact skin structure and integrity with a
healthy function. 2.
The client will demonstrate prompt wound healing, intact skin, and restore
excellent skin integrity. 3.
The patient will adhere to the treatment plan and preventive measures to
prevent further skin complications. 4.
The patient will verbalize an improved skin structure. 5.
The patient will practice proper skin hygiene and cleanliness, especially in
the affected areas. |
1.
Assess the client’s skin to identify the severity and affected areas that may
require wound dressing and other special care. 2.
Obtain a culture of the cellulitis wound to know the exact pathogen causing
the infection for antibiotic treatment selection. 3.
Apply warm compressors to the site of infection to soothe and promote
adequate circulation. 4.
Educate the client on proper skin hygiene by maintaining cleanliness in the
areas affected. 5.
Apply topical ointments and steroid creams since they help in reducing skin
inflammation and promote healing. They are applied twice with avoidance of
occlusive dressing since it will promote systemic absorption of the steroid. |
SHORT
TERM GOALS After
4 hours, the patient demonstrates adherence to the treatment plan and
preventive measures such as proper hygiene and cleanliness. LONG
TERM GOALS After
four days, the client demonstrates prompt wound healing to restore intact
skin and excellent skin integrity. After
seven days, the patient shows an intact skin structure and integrity to
restore healthy skin. After
seven days, the patient verbalizes an improved skin structure. |
OBJECTIVE
DATA Unsteady
gait Altered
mental status Maladaptive
behavior SUBJECTIVE
DATA The
patient has a history of falling within the past four months.
|
Risk
for falls related to altered mobility secondary to cellulitis and anemia as
evidenced by the patient’s history of falling within the past four months,
unsteady gait, maladaptive behavior, and altered mental status. |
1.
Client will be free from falls during his period of hospitalization. 2.
Healthcare workers and caregivers will install protective measures necessary
to prevent falls and injuries. 3.
Client will be able to relate the use of safety measures in preventing falls. 4.
Client will identify his selective measures to prevent falls. 5.
Nurses will implement appropriate strategies to ensure the client’s safety. |
1.
Assess risk for falls since this is a standard tool that helps identify
contributing factors and the use of mobility devices. 2.
Ensure that you provide an identification alert regarding the high risk for
falls to help other health care workers and caregivers recognize the need to
be cautious when dealing with the patient. 3.
Ensure the bed is at the lowest as they help reduce the possibility of sustaining
severe injuries. 4.
Sustain a neutral behavior by administering fluoxetine to reduce maladaptive
behavior and place the patient’s items within his reach to minimize the
occurrence of unnecessary falls. 5.
Ensure that mobility assistive devices are provided and placed within the
patient’s reach to avoid accidental falls. |
SHORT
TERM GOALS After
2 hours, the client can relate the use of appropriate safety measures and
also identify his selective measures to prevent accidental falls. After
2-3 hours, nurses will be able to implement the necessary strategies that
will ensure the safety of the client. LONG
TERM GOALS After
four days, the client will be free from falls throughout the hospitalization
period.
|




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