WebDec 4, 2014 · Nursing diagnosis is an outcome of PATIENT ASSESSMENT. A patient who is bedbound due to end stage MS, paralyzed with contractures definately has a risk for impaired skin integrity. Just because you have used that nursing diagnosis + care plan for a previous patient does not mean it is inappropriate for this client. WebFeb 5, 2009 · Decreased chest excursions and stasis of secretions are associated with immobility. * Encourage liquid intake of 2000 to 3000 ml/day unless contraindicated. Liquids optimize hydration status and prevent hardening of stool. * Initiate supplemental high-protein feedings as appropriate.

Impaired Physical Mobility Nursing Diagnosis and Nursing Care …

WebEnsuring skin integrity in the elderly requires a team approach and includes the individual, caregivers, and clinicians. The twenty-first century clinician has several online, evidence … WebImpairments in Skin Integrity Altered skin integrity increases the chance of infection, impaired mobility, and decreased function and may result in the loss of limb or, sometimes, life. Skin is affected by both intrinsic and extrinsic factors. Intrinsic factors can include altered nutritional status, vascular disease issues, and … see through cell phone case

Impaired Skin Integrity Related To Surgical Incision and Drains

WebEncourage frequent positional change, inspect pressure points, and massage gently, as indicated. Apply transparent skin barrier to elbows and heels, if indicated. Rationale: Reduces pressure on skin, promoting peripheral circulation and reducing risk of skin breakdown. Skin barrier reduces risk of shearing injury. 5. WebSep 4, 2024 · Risk for impaired skin integrity related to prolonged immobility, poor skin turgor, poor circulation or altered sensation (use one) Objective Patient will maintain intact skin as evidenced by: no redness over bony prominences, and capillary refill less than 6 seconds over areas of redness. Intervention Assess the following predisposing factors: WebApr 3, 2009 · Impaired skin integrity is only used for wounds that only go as deep as the epidermis and heal in a week. Once the subcutaneous tissue is involved, impaired tissue integrity is the diagnosis that needs to be used. When a surgeon cuts into the body to repair a hernia, there is impaired tissue integrity. see through clothes with thermal camera