NURSING CARE PLAN FOR OSTEOMYELITIS
Care Plan | Diagnosis | Interventions | Rationale | Goals | Patient Education | Evaluation |
Physiological management | · Inflammation related pain around the affected region
· Infection related hyperthermia · fluid volume deficiency due to excessive fluid loss and Impaired mobility around the affected region |
Medication | To reduce the pain and fight the infection | Short Term Goals
· Pain alleviation · Avoiding possible complications Long Term Goals · Wound Drainage · Assessing and helping with mobility
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· How to take care of the wound to prevent re-infection
· Medication adherence · Seeking medical care when experiencing a fever, increased fatigue, pain, swelling or drainage around the affected region. |
The patient maintained satisfactory pain management levels, decreased infection, reduced swelling and inflammation, improved motion and ability to implement treatment regime at home
The patient has also maintained coping mechanisms to deal with stressful situations. |
Elevation of the affected extremities | To reduce inflammation | |||||
Immobilization of the affected area using a splint | To reduce the pain | |||||
Wound drainage | To reduce abscess | |||||
Rest | Since fatigue impairs healing | |||||
Psycho-social management | · Checking for depressive attitude
· Losing control during acute pain · Alcohol and medication abuse |
Counseling | For the patient to understand the psychological impact of the treatment | Short Term Goals
· Enabling the patient accept and understand their situation LongTerm Goals · Helping the patient develop coping mechanisms and achieve self-recognition · Getting the patient required psychological help for better mental health. |
· The importance of having proper coping mechanisms to deal with stress that would deteriorate the healing process.
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Developing appropriate coping mechanisms | To help the patient live a meaningful life | |||||
Encouraging them to share their fears and concerns | To ensure comfortable hospitalization process | |||||
Involving them in decision making | To avoid the patient being prone to depression |
References
Kuşdemir, Ş. Ç. (2015). Osteomyelitis and Nursing Management. In O. Ozdemir, Pediatric Nursing, Psychiatric and Surgical Issues (p. 176). Istanbul: Books on Demand,.
Lewis S. I., B. L. (2017). Medical-Surgical Nursing: Assessment and Management of Clinical Problems. (10th Ed). Elsevier.