Impaired physical mobility nursing diagnosis skin breakdown
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Health Maintenance: Desire to maintain good health.Mobility: Independent in self-care activities Include ADLs Maintains optimal level of physical activity.Skin Integrity: Presence of intact, continuous skin surface Obvious signs of trauma and injury healing Lack of bacterial low.Outcomes related to Impaired Skin Integrity include : Nursing Outcome Classification (NOC) provides a list of outcomes that can be used to evaluate the effectiveness of nursing interventions.
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Finally, the nurse must consider any underlying diseases or conditions that may be contributing to the skin issues. It is also important to look for signs of infection and initiate appropriate infection control measures when needed. When assessing impaired skin integrity, nurses should pay close attention to the patient’s skin condition and inquire about lifestyle designs that might contribute to skin breakdown. In some cases, Impaired Skin Integrity is able to be assessed using alternative NANDA nursing diagnoses. Suggested Alternative NANDA Nursing Diagnoses It can also be used to provide direction for nursing interventions and to establish eligibility for clinical care plans, such as wound care procedures or lifestyle modification recommendations. Nursing diagnosis of Impaired Skin Integrity can be used to identify and assess the risk of skin damage. These include, but are not limited to, increased bleeding and bruising, fungal and bacterial infections, loss of water, electrolytes, and protein levels, and organ failure. Once skin integrity is compromised, patients may be at risk for a variety of associated conditions and complications. People living with HIV/AIDS, cancer, and other chronic illnesses may also be more susceptible to skin damage. Patients who are at risk for impaired skin integrity include those who are elderly, have diabetes, are bedridden, and have limited mobility, as well as those who are exposed to extreme climates, corrosive substances, and traumatic events. Exposure to carnivorous animals, arachnids, or insects.Exposure to toxins (chemical irritants, radiation, etc.)Įnvironmentally-induced impairments may include:.There are a variety of factors that can contribute to impaired skin integrity, including lifestyle choices and environmental conditions.
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Possible subjective and objective indicators include: The defining characteristics associated with this nursing diagnosis vary depending on the cause of the skin problem. The National Nursing Diagnostic Association’s definition of Impaired Skin Integrity identifies it as “a state in which a client has difficulty in maintaining physical, chemical, and thermal balance because of disrupted skin integrity.” The definition also states that “this problem is experienced as a breakdown of the skin, leading to increased risk for alterations in cardiovascular, immune, and respiratory systems, and overall health.” Defining Characteristics