Impaired Skin Integrity Nursing Care Plan For Pressure Ulcer

The nursing care plan template below includes the following conditions.

Impaired skin integrity nursing care plan for pressure ulcer.

Skin integrity may also be broken as a result of shearing or friction injury. Partial thickness skin loss involving epidermis or dermis superficial ulcer that appears as an abrasion blister or shallow crater national pressure ulcer advisory panel 1999. The reduction of blood flow in the area leads to skin breakdown. In 95 of cases pressure ulcers are completely preventable with good care and therefore they are classified as an avoidable harm.

Risk for ineffective health maintenance. Some important nursing care for pressure ulcer has pointed out the below. Nursing care plan for impaired skin integrity including diagnosis. Nursing care plan for impaired skin integrity.

It is common in bony prominences in the body wherein friction usually occurs. Here are three 3 nursing care plans ncp and nursing diagnosis for pressure ulcers bedsores. With this the nurse must be aware of identifying at risk individuals and the myriad factors that place patients at risk for skin damage. The key marker of quality care is the maintenance of skin integrity and prevention of pressure ulcers.

Place rolled sheet or towel under ankles not heels to reduce the pressure of heels against bedding. This is why skin damage and pressure ulcers have to be reported see section 5. The areas that are most at risk of developing pressure ulcers are the parts of the body that. 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.

1 impaired skin integrity 2 risk for infection 3 risk for ineffective health maintenance. Position the patient every 2 hours to stop pressure ulcer forming. Use the braden scale to identify the risk level of the patient. Breakdown in skin primarily due to impaired blood supply as a result of prolonged pressure on the tissue.

For wounds deeper into subcutaneous tissue muscle or bone stage iii or stage iv pressure ulcers see the care plan for impaired tissue integrity. Impaired skin integrity risk for skin breakdown altered skin integrity and risk for pressure ulcers. Redistribute weight to remove pressure and prevent tissue injury. A new pressure ulcer education framework covers skin assessment and care non blanchable or persistent erythema is an important skin abnormality for which nurses need to check nurses should remember to check hidden areas such as under medical devices or skin folds.

When repositioning the patient look at all areas of the skin daily.