WebJun 3, 2009 · First one: Impaired skin integrity. Data: -Pt. has 1st degree laceration in perineal area from vaginal birth. -Pt. has swelling and bruising of the labia majora. -Pt. has hemorrhoids that have compressed near her anus. Second one: Risk of fluid volume deficit. Data: -Pt. loss 400ml of blood during vaginal delivery. WebAltered skin integrity increases the chance of infection, impaired mobility, and decreased function and may result in the loss of limb or, sometimes, life. Skin is affected by both …

Edema Nursing Diagnosis & Care Plan NurseTogether

WebThis standard will focus on patients at increased risk for impaired skin integrity as well as the following types of integumentary disorders (with ICD-10 codes): ... • Impaired … WebOct 22, 2013 · Actual: Impaired outer integrity related to malnutrition and physical immobilization evidenced due stage 1 pressure boils to holy area. Short duration goals:-Patient will maintain skin whole with no signs of further breakdown by change of shifts. Interventions:-Frequently relocation the become every 2 hours or as patient requests. carrabba\u0027s okc

Impaired Skin Integrity Nursing Diagnosis and 5 Best Care Plans …

WebNursing Diagnosis Impaired skin integrity related to pressure over bony prominences and secondary to moisture from bodily secretions as evidenced by superficial ulcerations on patients right ischium, both elbows, both heels, and sacrum. ... excessive fluid retention resulting in edema, and generalized weeping. Patient can not ambulate without ... WebImpaired skin integrity related to edema, ascites, and pruritus Imbalanced nutrition: less than body requirements related to anorexia Excess fluid volume related to portal hypertension and hyperaldosteronism Ineffective breathing pattern related to pressure on diaphragm and reduced lung volume, When caring for a patient with liver disease, the ... WebSkin integrity refers to the health of your skin. When in proper health, the skin performs various vital functions. It helps maintain optimal core temperature in your body, helps absorb and process vitamin D from the sun, keeps you hydrated by supporting electrolyte balance, among many others. carrabba\u0027s roanoke va