Impaired Skin Integrity Evaluation Nursing Care Plan

Decrease in size of the wound and increased granulation absence of irritation redness on the tissue absence of skin breaks down healing of the wound patient starts.

Impaired skin integrity evaluation nursing care plan.

A care plan for impaired tissue integrity should provide a roadmap to for the nurse to assist the patient in reaching the following. Pay special attention to high risk areas such as bony prominences skinfolds the sacrum and heels. Please pick apart my care plan. Assess patient s nutritional status including weight weight loss and serum albumin levels.

This nursing care plan contains the basic elements that defines this nanda nursing diagnosis and the nursing interventions that could be taken as a nurse to make a nursing care plan for a patient with this nursing diagnosis. It is common in bony prominences in the body wherein friction usually occurs. Nursing care plan for impaired skin integrity is a localized injury to the skin and underlying tissue usually over a bony prominence. Assess patient s ability to move shift weight while sitting turn over in bed move from bed to chair.

Immobility is the greatest risk factor in skin breakdown. Skin integrity may also be broken as a result of shearing or friction injury. Nursing care plan of pressure ulcers impaired skin integrity pressure ulcers are lesions caused by the primary barrier of the body against the outside environment the skin. Impaired skin integrity often results from pressure in combination with shear and or friction.

My nursing diagnosis i dont like my aeb not sure how to improve it word it 2. You can use this guide to help you develop your nursing care plan and nursing interventions. Monitor site of skin impairment at least once a day for color changes redness swelling warmth pain or other signs of infection. Use this guide to help you create nursing interventions for impaired skin integrity.

Nursing care plan for impaired skin integrity including diagnosis. Nursing care plan for impaired skin integrity. Determine whether client is experiencing changes in sensation or pain. The nursing care plan template below includes the following conditions.

The reduction of blood flow in the area leads to skin breakdown. Are my goals smart.