Patient Teaching for Impaired Skin Integrity

Coping Family Patient is easily agitated and can be non- conversive and noncompliant at times. Massage reddened skin gently al least 3 or 4 times daily.


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Skin Integrity Promotion Strategies.

. Son has been taking care of patient ineffectively leading to impaired skin integrity and excoriation. In the respiratory system. Radiated skin becomes thin and friable may have less blood supply and is at higher risk for breakdown.

Skin stretched tautly over edematous tissue is at risk for impairment. Nursing Care Plans for Impaired Skin Integrity. The skin is unable to breathe and trapped moisture and heat help.

An albumin level greater than 25 g100 ml is a grave sign indicating severe protein depletion. Alteration in comfort and impaired skin integrity can be treated with the help of timely procedures and appropriate control. Immobility and being bedridden are two factors that subject tissues to ulcers and wounds.

Nursing Care Plan for. Impaired skin integrity secondary to decreased mobility. Moisturize dry skin to maximize lipid barriers.

After applying a skin barrier apply either a split - drain or a foam dressing. Early recognition and inter-vention are keys to long-term management of potential impaired skin integrity. 2 Apply cold packs to areas of concern 3 Administer pain medication as needed 4 Perform a head to toe assessmentusing a complete head-to-toe assessment.

Altered skin integrity increases the chance of infection impaired mobility and decreased function and may result in the loss of limb or sometimes life. The following are strategies to promote and maintain skin integrity. Both teaching and nursing plans imply care only at home since the patient experiences painful sensations in the open air.

Wash clothes or pillow cases between skin folds to pick up moisture and prevent skin to skin contact. SN instructed patient about tracheotomy care dressing changes promote skin integrity and help prevent infection at the stoma site and. This will increase dry cracked skin.

If you want to view a video tutorial on how to construct a care plan in nursing school please view the video below. Impaired Skin Integrity Risk for Skin Breakdown Altered Skin Integrity and Risk for Pressure Ulcers. What Are Some of Your Nursing Interventions For Impaired Skin Integrity.

Pressure ulcers Bedsores. Diminish in size of the wound and increased granulation. Sliding or slouching in the bed or wheelchair Fragile skin integrity.

There is nothing wrong with light treatments letting fresh air or sunlight sunlamps to help ameliorate skin integrity issues though its not often used in America. The patient should be instructed at least once per shift apply a new dressing to the stoma site to absorb secretions and insulate the skin. Moisturize at minimum twice daily.

Assess for history of radiation therapy. The pa-tient teaching plan includes instruction on strategies to reduce the risk for development of pressure ulcers and methods to detect in-spect and minimize pressure areas. Also in fail elderly clients who are bedridden even if they are terminal should also be repositioned regularly.

Son has fired previous hospice care so patient is in between hospice. Prevent shearing or friction forces Possible risk factors that could lead to shear and friction forces. Skin is affected by both intrinsic and extrinsic factors.

Keep the skin clean and dry and after use a protective ointment or spray. A care plan for impaired tissue integrity provides a clear roadmap for the caregiver to help the patient in attaining the following goals and outcomes. Protect skin with a moisture lotion or barrier as indicated.

Intrinsic factors can include altered nutritional status vascular disease issues and diabetes. Change with AM and PM cares GOAL. 1 Wash woundarea affected by using a soft cloth warm water and soap.

Here are some risk factors that indicate that your patient is suffering from an impaired tissue integrity problem. Keep patient clean and dry as much as possible WHAT TO REPORT TO THE CARE TEAM Reddened areas that do not fade Open areas or blisters on the skin Any changes in the ability to turn or change the patients position The team can advise you on special pads and mattress overlays to help prevent skin breakdown. Care Plan 3 Diagnosis.

A patient is extremely overweight or unable to move because of paralysis. Patient was instructed on the importance of skin integrity to prevent future complication. For medications list pertinent medications the patient.

Poor nutrition and hydration good nutrition and the right amount of fluids such as water are important to maintain healthy skin and good skin integrity. The patients bedsore will show optimal healing and further bedsores will be prevented. Excess moisture and or dryness - skin that is overly moist is more likely to be injured and tears easily.

Avoid hot water during bathing. Evidenced by the presence of a stage 2 pressure ulcer on the sacrum. Healing of the wound.


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