Ok I have to do 5 nursing care plans for my patient for my nursing class and so far I have 3 done. I need help with two more. The next one i wanted to do is a nursing care plan for my patient who has a urinary tract infection. Can anyone help me??Im not even sure where to start with this one. I already have risk for injury since my patients left leg is amputated, and risk for skin integrity as well as self care deficit. How can i start my care plan for her UTI?
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http://www.scribd.com/doc/11935739/NursingCribcom-Nursing-Care-Plan-Urinary-Tract-Infection-UTI
http://nursingcrib.com/wp-content/uploads/2007/10/ncp/NURSING%20CARE%20PLAN%20-%20UTI.pdf
You need to look at the pathophysiology of sepsis as well as urinary tract infection. Sepsis is a serious and potentially life-threatening condition. While UTI’s are one cause of sepsis, they are not the only cause. The article I’ve listed below gives a huge laundry list of infections that can lead to sepsis. Any pre-existing infection in the body can become septic, not just UTI’s.
I myself, spent 11 days in the hospital recently on IV antibiotics for a post-surgical septic infection following bowel surgery and I would not consider myself to be elderly nor the surgeon incompetent. It just happened. I woke up one morning feeling terrible, had a fever of 102 and the doctor found I had a WBC count of 30,000 which is what landed my butt in the hospital! This was 30 days after my surgery and up to that point I had been feeling great. It took them five days to find the source of the infection. My elderly mother was hospitalized twice with urosepsis. Each time she had no evidence of the UTI before it had gone septic. Her only symptoms were an elevated fever and she became obtunded (very diminished level of consciousness). The sepsis was treated first when her white count was found elevated. The docs then started hunting down possible sources of an infection: blood cultures were taken, urine was cultured, x-ray of the lungs was done, stool cultures were ordered and then the UTI found incidentally.
People die of infections that have gone septic. I believe that this is what happened with Christopher Reeve and Gene Roddenberry. It has to do with the bacteria getting into the general circulation and the immune system not being able to cope.
http://www.emedicine.com/med/topic3163.htm – Bacterial Sepsis
Well, your goal is for the UTI to be resolved. I usually give this 2wks. Your approaches are going to be 1. Give abt as ordered, 2. Encourage increased fluid intake, 3. Observe vs qshift, including temp, 4. Observe for s/sx of adverse affects to abt 5. Report any changes/px’s to MD, and 6. Repeat UA after abt course completed.
If you need to do another cp on this pt, you could do alteration in comfort r/t her amputation, or an altered self image cp for the same reason (nursing instructors love those!) Good Luck!! Hope it helps!