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At the end of two hours nursing interventions, the patient will be able to Verbalized understanding of the condition Participate in preventive measures and treatment program
Independent Inspect surrounding skin for erythema, induration, maceration. Encourage client to inspect skin on daily basis and to describe wound characteristics and changes observed. Teach the client to keep the wound clean and to support incision (e.g. splinting, holding the area when coughing) To determine presence of complication
To monitor progress of wound healing
At the end of two weeks nursing interventions, the patient will be able to: Display timely healing of wound without complication. Maintain optimal physical well-being. Verbalize feeling of
To prevent infection and stimulate circulation to surrounding areas to assist body’s natural process of repair.
promotes circulation and reduces risks associated with immobility.increased selfesteem and ability to manage situation Assist in repositioning the client on a regular schedule to a comfortable position. optimizing outcomes . Discuss importance of early detection of skin changes and /or complications Assist the client/SO(s) in understanding and following medical regimen and developing program of preventive care and daily maintenance To detect unusualities Enhances commitment to plan. ROM exercisesflexion of extremities) To minimize the onset of pain while moving and prevent further complications Promotes optimal healing.g. Encourage early ambulation or mobilization (e.
D. fish. A.Collaborative Obtain psychological assessment of client’s emotional status. C. Refer to dietician in the provision of optimum nutrition. vegetables) To determine impact of condition To enhance skin tissue healing and to maintain general good health. .g. E) and proteins (e. as indicated.g. including proper diet rich in vitamins (e.