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Im Stuck.. Any guidance??

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by angelica280 angelica280 (New Member) New Member

750 Profile Views; 7 Posts

Hey everybody... Is my first time on the website and the first time im having so much trouble with a care plan but i really dont know where to start and any help i can get i'd really Really appreciate it!!!!

i need to do two nursing care plans... i have a 27 days old male admitted for impetigo.. he had oral trush but you cant even see it now is almost gone.. the same withthe impetigo... his nares swab came back MRSA positive... His mom is always at his side she takes good care of him... all the body systems are normal... Vitals normal ...his Hmgb and HCt are low but not too much and he is + for a UTI with E. Fecalis..

i was thinking infection but R/T what the MRSA?? maybe risk for infection (as i said the impetigo and trush are almost invisible, he has had no fever and his WBC are normal)... then i thought impaired oral mucosa but the trush is almost gone and he has really good appetite so IDK... WHAT DO I DO?? any thoughts?:up:

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Sarcolemma specializes in LTC, ICU, ER, Anesthesia.

69 Posts; 2,723 Profile Views

he probably has the candida from antibiotics treating the mrsa or the uti

also, just because his wbc is normal doesn't mean his immune system isn't compromised

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7 Posts; 750 Profile Views

Thank you so much for replying ... he is not getting any antibiotics for the UTI yet the results just came back...

i came up with one... i think Risk for infection R/T positive culture for MRSA as manifested by skin breakdown on buttocks and impetigo on left groin.

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pinkiepie_RN specializes in General adult inpatient psychiatry.

998 Posts; 14,393 Profile Views

Just a note, if it's a risk dx, it's just that. There is no AEB or it would be an actual diagnosis. There's a "related to" part, but no AEB. Does that make sense?

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Daytonite has 40 years experience as a BSN, RN and specializes in med/surg, telemetry, IV therapy, mgmt.

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a nursing care plan is a listing of the patient's problems (nursing diagnoses) that require nursing care. if this baby needed no nursing care then he shouldn't be there and should be sent home. so, what are you not seeing that is being done for this baby and what problem name (nursing diagnosis) can we attach to these things. think of the baby head to toe (assessment). think of all the adls because a baby cannot take care of himself and depends on others. is his skin ok? any reddened, open or scabbed areas (it takes broken skin at least 7 days to completely heal over)? impaired skin integrity. is cord care still being done or has his cord fallen off? any local infection is in danger of going systemic and becoming septic and we call that risk for infection and the interventions for that are to monitor and prevent sepsis. with impetigo, the mother needs education. impetigo is highly infectious. do we know how this child got the impetigo so reinfection can be prevented? you can read about impetigo on the kids health website: http://kidshealth.org/parent/infections/skin/impetigo.html

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