I need a nursing Dx for C-section in PACU...

[cindib]

I can't use Risk for Infection because it is too soon. It has to be while in PACU. She had an epidural and was in NO pain. Lower transverse abdominal incision with scant bleeding on the peripad, however, she did lose 650ml of blood during surgery. What would you guys pick as your #1 Dx? My instructor is very anal about these caremaps and I want it to be good. Thanks for looking.

Cindi

[Lisa CCU RN, RN]

CRNASOMEDAY25. . .my understanding of the OPs question was that she had to work within the parameters of the patient being in the post anesthesia recovery room, which is the very immediate post surgical period. Patients in PACU are primarily being assessed for shock, hemorrhage and complications from the anesthesia.

Gotcha.

[bhsthrower6634]

So I also have a c-section pt. and am having trouble with my goals and interventions. My diagnosis is Risk for infection. All I can think of for the goal is incision heals without infection within 6 to 8 weeks of c-section. Does anyone else have any ideas? Thanks

[Daytonite, BSN, RN]

so i also have a c-section pt. and am having trouble with my goals and interventions. my diagnosis is risk for infection. all i can think of for the goal is incision heals without infection within 6 to 8 weeks of c-section. does anyone else have any ideas? thanks

see https://allnurses.com/forums/2751313-post8.html. the goal of any "risk for" diagnosis is that the patient doesn't develop the problem that they are at risk for.

you are using risk for infection with the goal that the patient doesn't develop a postpartum infection. your interventions will be things you will do to prevent that from happening. the goal is what you predict will happen as a result of your interventions: no signs or symptoms of postpartum infection. that can be stated a number of different ways. wound healing has absolutely nothing to do with infection. it has to do with skin integrity and that is not what risk for infection is about.

[moongirl]

goals- pt will verbalize understanding of proper wound care. pt will demonstrate wound care. pt will remain infection free throughout their hospital stay. Pt will verbalize understanding of s/s of infection and when to call MD.

interventions- teach pt wound care, proper handwashing, teach pt s/s and when to report to MD