NURSING DIAGNOSIS: Skin Integrity, risk for impaired Risk factors may include Altered nutritional/metabolic state; edema Dehydration/cachectic changes (skeletal prominence) Possibly evidenced by [Not applicable; presence of signs and symptoms establishes and actual diagnosis.] Desired Outcomes Verbalize understanding of causative factors and absence of itching. Identify and demonstrate behaviors to maintain soft, supple, intact skin. Nursing Interventions & Rationale Nursing Interventions Rationale  Observe [...]

NURSING DIAGNOSIS: Skin Integrity, risk for impaired Risk factors may include Altered circulation/metabolic state Accumulation of bile salts in skin Poor skin turgor, skeletal prominence, presence of edema, ascites Desired Outcomes Maintain skin integrity. Identify individual risk factors and demonstrate behaviors/techniques to prevent skin breakdown. Nursing Interventions & Rationale Nursing Interventions Rationale  Inspect skin surfaces/pressure points routinely. Gently massage bony [...]

NURSING DIAGNOSIS: Impaired Skin Integrity May be related to Chemical substance (bile), stasis of secretions Altered nutritional state (obesity)/metabolic state Invasion of body structure (T-tube) Possibly evidenced by Disruption of skin/subcutaneous tissues Desired Outcomes Achieve timely wound healing without complications. Demonstrate behaviors to promote healing/prevent skin breakdown. Nursing Interventions Rationale  Observe the color and character of the drainage.  Initially, drainage may [...]

Nursing Diagnosis: Skin/Tissue Integrity, impaired: actual/risk for May be related to Puncture injury; compound fracture; surgical repair; insertion of traction pins, wires, screws Altered sensation, circulation; accumulation of excretions/secretions Physical immobilization Possibly evidenced by (actual) Reports of itching, pain, numbness, pressure in affected/surrounding area Disruption of skin surface; invasion of body structures; destruction of skin layers/tissues Desired Outcomes Verbalize relief [...]

Nursing Diagnosis:  Impaired Skin Integrity [due to Grafts] May be related to Disruption of skin surface with destruction of skin layers (partial-/full-thickness burn) requiring grafting Possibly evidenced by Absence of viable tissue Desired Outcomes Wound Healing: Secondary Intention (NOC) Demonstrate tissue regeneration. Achieve timely healing of burned areas. Nursing Interventions Rationale  Assess/document size, color, depth of wound, noting necrotic tissue [...]

Nursing Diagnosis: Skin Integrity, impaired, actual and/or risk for Risk factors may include Decreased level of activity/immobility, altered sensation, skeletal prominence, changes in skin turgor Malnutrition, altered metabolic state May be related to (actual) Immunologic deficit: AIDS-related dermatitis; viral, bacterial, and fungal infections (e.g., herpes, Pseudomonas, Candida); opportunistic disease processes (e.g., KS) Excretions/secretions Possibly evidenced by Skin lesions; ulcerations; decubitus [...]

Dermatitis is a general term that describes an inflammation of the skin.

Read 4 Dermatitis Nursing Care Plan (NCP).

Mastectomy is the surgical removal of the breast which is usually a surgical management for patients with breast cancer. This is done to prevent the metastasize of the cancer cells.

Here are 14 Mastectomy Nursing Care Plans