Nursing Care Plan Nursing Diagnosis Risk For Impaired Skin The first step of nursing care is the nursing assessment, during which the nurse will gather physical, psychosocial, emotional, and diagnostic data. in the following section, we will cover subjective and objective data related to impaired skin integrity. 1. conduct a thorough skin assessment. Nanda international defines "risk for impaired skin integrity" as "an individual at risk for alteration in the skin or (mucous) membranes related to potentially damaging factors." as stated in the definition, nursing diagnosis of this sort is typically focused on identifying factors which promote skin and mucous membrane damage.
Risk Of Impaired Skin Integrity Nursing Diagnosis Notes Etsy Nursing interventions and actions. therapeutic interventions and nursing actions for clients with impaired skin integrity include: 1. 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. Kawasaki disease. 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. Suspected deep tissue injury: – skin is intact; appears purple or maroon. – blood filled tissue due to underlying tissue damage. – affected area may have felt firm, boggy, mushy, warmer, or cooler to touch. stage 1. – skin is intact but red and non blanchable. – area is usually over a bony prominence. stage 2. Nursing care plan for: impaired skin integrity, risk for skin breakdown, altered skin integrity, and risk for pressure ulcers. if you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. otherwise, scroll down to view this completed care plan.
Ncp Risk For Impaired Skin Integrity Pdf Clinical Medicine Suspected deep tissue injury: – skin is intact; appears purple or maroon. – blood filled tissue due to underlying tissue damage. – affected area may have felt firm, boggy, mushy, warmer, or cooler to touch. stage 1. – skin is intact but red and non blanchable. – area is usually over a bony prominence. stage 2. Nursing care plan for: impaired skin integrity, risk for skin breakdown, altered skin integrity, and risk for pressure ulcers. if you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. otherwise, scroll down to view this completed care plan. Nursing diagnosis is a form of medical diagnosis specifically applied to nursing. its basic function is to identify a challenge, disorder, or abnormality that interferes with or impedes normal functioning. in this case, the nursing diagnosis of impaired skin integrity is used when the skin and soft tissue of a patient are compromised, making. Impaired skin and tissue integrity. skin integrity is a medical term that refers to skin health. impaired skin integrity is a nanda i nursing diagnosis defined as, “altered epidermis or dermis.” [6] however, when deeper layers of the skin or integumentary structures are damaged, it is referred to as impaired tissue integrity.
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