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    NCP Impaired Skin Integrity

    Uploaded by

    sinister17
    The document outlines a nursing assessment, diagnosis, plan, intervention, and evaluation for a patient with impaired skin integrity related to altered body temperature. The nurse encouraged turning the patient every two hours, maintaining proper body alignment, assessing mobility, ensuring adequate hydration and nutrition, and keeping the skin clean and dry. The goal of increasing body temperature and improving skin conditions was met, as evidenced by the patient's decreased capillary refill time from 4 to 3 seconds.

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    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd

    NCP Impaired Skin Integrity

    Uploaded by

    sinister17
    7K views1 page
    The document outlines a nursing assessment, diagnosis, plan, intervention, and evaluation for a patient with impaired skin integrity related to altered body temperature. The nurse encouraged turning the patient every two hours, maintaining proper body alignment, assessing mobility, ensuring adequate hydration and nutrition, and keeping the skin clean and dry. The goal of increasing body temperature and improving skin conditions was met, as evidenced by the patient's decreased capillary refill time from 4 to 3 seconds.

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    The document outlines a nursing assessment, diagnosis, plan, intervention, and evaluation for a patient with impaired skin integrity related to altered body temperature. The nurse encouraged turning the patient every two hours, maintaining proper body alignment, assessing mobility, ensuring adequate hydration and nutrition, and keeping the skin clean and dry. The goal of increasing body temperature and improving skin conditions was met, as evidenced by the patient's decreased capillary refill time from 4 to 3 seconds.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    7K views1 page

    NCP Impaired Skin Integrity

    Uploaded by

    sinister17
    The document outlines a nursing assessment, diagnosis, plan, intervention, and evaluation for a patient with impaired skin integrity related to altered body temperature. The nurse encouraged turning the patient every two hours, maintaining proper body alignment, assessing mobility, ensuring adequate hydration and nutrition, and keeping the skin clean and dry. The goal of increasing body temperature and improving skin conditions was met, as evidenced by the patient's decreased capillary refill time from 4 to 3 seconds.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 1

    Assessment Diagnosis Planning Intervention Rationale Evaluation

    Objective: >Impaired skin >At the end of the shift >Encouraged >To prevent discomfort and Goal met as
    >increase body integrity related to the patients’ capillary implementation and posting injuries to the body; to manifested by
    temperature of altered body refill must be less than 4 of a turning schedule, promote circulation decreased in
    37.8C temperature seconds. restricting time in one patient’s capillary
    >flushed skin position to 2 hours or less refill from 4 secs. - 3
    >warm to touch secs.
    >decrease elasticity >Encouraged the SO to >Misalignment can lead to
    of the skin maintain functional body discomforts and injuries to
    >dry skin alignment of the patient like joints, nerves or limbs.
    >delayed capillary positioning it properly.
    refill of four seconds
    >afebrile >Assessed the patients >Immobility is greater risk
    ability to move factor in skin breakdown

    >Encouraged adequate >Adequate hydration and


    hydration and nutrition nutrition helps maintain skin
    turgor, and suppleness.

    >Clean, dry and moisture >Smooth and supple kin is


    skin especially bony more resistant to injury.
    prominences

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