Search results
Oct 11, 2021 · Care Plan #1 Diagnostic statement: Impaired skin integrity related to immobility as evidenced by stage 2 pressure ulcer to the sacrum. Expected outcomes: Patient will experience improvement of pressure ulcer from stage 3 to stage 2 within 1 month of nursing interventions.
Jun 11, 2023 · Nursing Diagnosis: Impaired skin integrity related to edema formation secondary to Kawasaki disease as evidenced by bilateral swelling of the legs and feet and small cut on left ankle. Desired outcome: Patient will have healed left ankle wound and further skin damage will be prevented.
- Skin and Wound Assessment. Based on observed signs, symptoms, and/or results of diagnostic tests, a medical diagnosis can be made, which guides the treatment strategy.
- Providing Effective Skin and Wound Care. There are much more opportunities to protect and enhance skin integrity from the outside. The most important intervention is the prevention of hazards.
- Proper Suture and Staple Removal. Sutures are tiny threads, wire, or other materials used to sew body tissue and skin together. They may be absorbent (dissolvable) or non-absorbent (must be removed).
- Drain Management. Drain management systems are commonly used during post-operative surgical management to remove drainage, prevent infection, and enhance wound healing.
Nursing Interventions for Impaired Skin Integrity. Inspect the affected site at least once per day. Note changes such as color changes, redness, swelling, temperature, and pain. Pay attention if the patient notices changes in sensation and pain.
Objective: disruption of skin surface (epidermis), disruption of skin layers (dermis), invasion of body structures. Outcomes/Evaluation. - Display timely healing of skin lesions, wounds, pressure sores w/o complications. - Maintain optimal nutrition and well being.
Nursing care plan for impaired skin integrity (including diagnosis): The nursing care plan template below includes the following conditions: Impaired Skin Integrity, Risk for Skin Breakdown, Altered Skin Integrity, and Risk for Pressure Ulcers.
People also ask
How can nursing interventions help a patient with impaired skin integrity?
What are nursing care planning goals & expected outcomes for impaired skin integrity?
What are some common Nursing Diagnoses Related to impaired skin integrity?
What happens if a patient has impaired skin integrity?
Apr 8, 2023 · Here we will provide an in-depth guide on nursing care plans for impaired skin integrity, including nursing diagnoses, interventions, patient education, collaborative care, and evaluation and monitoring strategies.
