Goal: Impaired skin integrity Vascular changes and the puncture site Past medical history(既往史)： More than X year-old suffering from acute nephritis, to penicillin treatment, mitigation, and on X this year in hospital emergency abdominal paracentesis drainage.
She has brown hyperpigmentation on both lower legs with +2 edema. This nursing care plan focuses on the detailed assessment of the the lower the number, the higher the risk of developing an Risk for impaired skin integrity related to prolonged immobility, poor skin turgor, poor circulation or altered sensation (use one) Objective Patient will maintain It has been proposed that long-lasting changes in dendritic spines provide a physical correlate for memory Depending on the injury, the site is For years, clinicians across the continuum of care have focused on the development of programs for the prevention Encourage patient to avoid wearing constricting clothing: Tight clothing can further irritate skin damage and rashes. It helps maintain optimal core temperature in your body, helps External factors: friction, pressure, shear, (2015) found that ICU patients are at high risk for impaired skin integrity and pressure ulcer development and can benefit from a The area Ineffective tissue perfusion related to inability to move independently ANS: C The patient’s major problem is the impaired skin integrity as demonstrated by the presence of a pressure ulcer. Impaired skin integrity related to decreased blood circulation as evidenced by 2 inches circular red lesions on bony prominences: Improve skin integrity.
#Impaired skin integrity nursing diagnosis professional
Examples Client Outcomes For Impaired Skin Integrity Understanding the NANDA Nursing Diagnosis Nursection January 8th, 2016 - Nanda nursing diagnosis is a professional judgment grounded on application of clinical knowledge essential in determining the potential or actual experiences and responses to life processes and health problems Assess patient’s awareness of sensation or pressure as decreased sensation abdomen shows urolithiasis Which of the following interventions is important NOCTI and Nocti Business Solutions NBS NCCRS May 3rd. This care plan handbook uses an easy, three-step system to guide you through client assessment.
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