Risk For Impaired Skin Integrity Care Plan

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Impaired skin integrity often results from pressure in combination with shear and or friction.

Risk for impaired skin integrity care plan. The following nursing assessments are done for the nursing diagnosis risk for impaired skin integrity that you can use in your assessment column in developing your impaired skin integrity care plan. Risk for impaired skin integrity related to prolonged immobility poor skin turgor poor circulation or altered sensation use one. Impaired skin integrity risk for skin breakdown altered skin integrity and risk for pressure ulcers.

Assess general condition of skin. Elderly patients skin is normally less elastic and has less moisture making for higher risk of skin impairment. Nursing care plan for impaired skin integrity impaired skin integrity.

Healthy skin varies from individual to individual but should have good turgor an indication of moisture feel warm and dry to the touch be free of impairment and have quick capillary refill. Risk for impaired skin integrity care plan other factors also include age weight loss poor nutrition and hydration excessive moisture and dryness smoking and other conditions affecting blood flow. Nursing interventions for impaired skin integrity.

Skin integrity may also be broken as a result of shearing or friction injury. The most important part of the care plan is the content as that is the foundation on which you will base your care. Nursing care plan for.

The indiana pressure ulcer initiative is a health care initiative of the indiana state department of health and the university of indianapolis center for aging community. Breakdown in skin primarily due to impaired blood supply as a result of prolonged pressure on the tissue. The epidermis is not intact and layers below the skin like the dermis and bone may be visible.

Impaired skin integrity nursing care plan for impaired skin integrity is a localized injury to the skin and underlying tissue usually over a bony prominence. Impaired skin integrity related factors external environmental chemicals. Risk for impaired skin integrity may be related tothin skin fragile capillaries near the skin surface absence of subcutaneous fat over bony prominences inability to change positions to relieve pressure points use of restraints protecting invasive lines tubes alterations in nutritional state.

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