Question

i need a care plan for impaired skin integrity

Answer 1

ASSESSMEMT	NURSING DIAGNOSIS	GOAL	NURSING INTERVENTIONS	RATIONALE	EVALUATION
Patient having the following features on observation: Redness Dry skin Scratching his scabs	Impaired skin integrity related to decreased blood circulation as evidenced by 2 inches circular red lesions on bony prominences	Improve skin integrity Promote comfort and intact skin	Assess the patient skin condition daily every 2 hourly for redness, swelling, warmth, pain, skin color changes and other signs of inflammation Change the position of patient every 2 hourly Provide back care with warm water and do back massage Focus on bony prominences, inspect it regularly Check the bed linen for any folding or shearing Plan a schedule for skin care that to be followed by next shift staff Apply moisturizer to the skin	Periodic observation of skin helps for early identification of the skin changes Changing position reduces the prolonged pressure on the skin Back care and massage improves circulation thus reduces risk of impaired skin integrity Bony prominences are areas which is having high risk for impaired skin integrity Bed linen should be clear. Folding and shearing of linen increases pressure on skin Staff adhering to patient care helps to improve skin integrity Moisturizer moisture the skin	Evaluate the skin integrity by assessing after the all intervention