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NursingCrib.com Nursing Care Plan Impaired Skin Integrity Traction)

NursingCrib.com Nursing Care Plan Impaired Skin Integrity Traction)

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Published by deric
A free sample nursing care plan (ncp) for Impaired skin integrity r/t traction application.
A free sample nursing care plan (ncp) for Impaired skin integrity r/t traction application.

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Categories:Types, Research
Published by: deric on Feb 12, 2009
Copyright:Attribution Non-commercial

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05/10/2014

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Cues Nursing Diagnosis Inference ObjectiveNursingInterventionRationale Evaluation
Subjective 
“Nakuha nia angsugat nya sa paagawa nun nakabalotsa kanya sa traction,” as verbalized by themother.
Objective 
c Buck’s traction @L leg to 5 lbsweight◊ c slightly dry bedsore & swelling @L posterior foot
Impaired skinintegrity r/t tractionapplication
 Blunt Injury
(vehicular accident)) 
Injury to femur/Fracturebleeding fromdamaged ends of bone & fromsurrounding tissuebreakage in skinapplication of Buck’stractionbed sore 
Short Term Goal 
◊ After 4 days of nursing intervention,proper skin care will bedemonstrated by themother.
Independent 
◊ Vital signs monitoredand recorded.◊ Demonstratedproper wound care.◊ Advised the motherto elevate affectedlower extremity fromtime to time.◊ Changes in vitalssigns may indicateinfection.◊ Cleaning the woundwill minimize the risk for infection andfurther swelling.◊ This controlsswelling and pain. Italso promotes venousreturn.◊ After 4 days of nursing intervention,the goal is metthroughdemonstration of proper skin hygieneand care.

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Jdynice Carlson liked this
Callie Menil added this note
hi po! :D pwede kmi humingi ng tulong about sa NCP nmin?....ang patient namin ay preterm pt. hypertensive, constipated, may cough at namamaga ang mukha niya na parang manganganak na. 33 weeks siya AOG pero 26 lng siya pag ultrasound.....ano po mga possible problems na pwede namin maging basis para sa nursing diagnosis namin.... Hope you can help us po...tnx so much :D
Roselyn Mariano liked this

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