Ncp impaired skin integrity free download as word doc doc docx pdf file pdf text file txt or read online for free. Impaired skin integrity risk for skin breakdown altered skin integrity and risk for pressure ulcers.
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Nursing care plan impaired skin integrity free download as word doc doc pdf file pdf text file txt or view presentation slides online.
Ncp impaired skin integrity. Skin integrity may also be broken as a result of shearing or friction injury. It demands to be repeated on a regular basis to ascertain whether any alterations in skin condition have transpired. Nursing care plan for impaired skin integrity including diagnosis.
Patient will have healed left ankle wound and further skin damage will be prevented. 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. Nursing care plan for impaired skin integrity.
What are nursing care plans. These include friction moisture poor nutrition anemia infection fever peripheral circulation disorders obesity cachexia and age. The epidermis is not intact and layers below the skin like the dermis and bone may be visible.
The nursing care plan template below includes the following conditions. Breakdown in skin primarily due to impaired blood supply as a result of prolonged pressure on the tissue. Mechanical factors cut depressed due to restrain.
Nursing diagnosis risk for impaired skin integrity nursing care plan for guillain barre syndrome guillain barre syndrome is a serious disorder that occurs when the body s defense immune system mistakenly attacks part of the nervous system. Assess characteristics of wound including color size length width depth drainage and odor. Nurses should have the skills and knowledge in dealing with patients at risk for impaired skin integrity because overall skin assessment is not a one time event confined to admission.
Altered epidermis and or dermis. A nursing care plan i developed for a patient with pediculosis. Internal somatic fluid status changes.
Scribd is the world s largest social reading and publishing site. Redness swelling pain burning and itching are indication of inflammation and the body s immune system response to localized tissue trauma or impaired tissue integrity. This leads to nerve inflammation that causes muscle weakness and other symptoms.
Impaired skin integrity related factors external environmental chemicals. Nanda i definition for impaired skin integrity. The main factor that causes impaired skin integrity in the form of decubitus is pressure but there are additional factors that can increase the risk of developing decubitus further on the client.
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