Inability to sense pressure or pain is a common cause of pressure sores or open wounds.ģ. Psychological: Client may have mental illness, be delirious and may be sedated or restrained for a prolonged time, which can lead to pressure on skin. The constant pressure on bony prominences eventually leads to breakdown of skin.Ģ. ![]() Functional: Immobility is the primary cause. Related Factors (Impaired skin integrity related to):ġ. Defining Characteristics:ģ) denuded skin that may be accompanied by erythema, edema and dischargeĥ) the adjacent skin will be fragile and edematousĦ) depth of the tissue breakdown not fully assessed visuallyħ) discharge may vary from serous fluid to foul smelling, if there is an infection. NANDA-I Definition for Impaired skin integrity :Īltered epidermis and/or dermis. The epidermis is not intact and layers below the skin like the dermis and bone may be visible. Skin integrity may also be broken as a result of shearing or friction injury. Impaired skin integrity: breakdown in skin primarily due to impaired blood supply as a result of prolonged pressure on the tissue. Nursing care plan for Impaired skin integrity ![]() This nursing care plan contains the basic elements that defines this Nanda nursing diagnosis and the nursing interventions that could be taken as a nurse to make a nursing care plan for a patient with this nursing diagnosis. ![]() These are the important elements needed to make a nursing care plan for impaired skin integrity.
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