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chronic disease state
1. The be able to receive proper medical attention worse. 2. The patient will be able to manifest
1. Introduce yourself at the 1. This will establish start of the nursing care. leading to pressure ulcer formation: a. age b. disease trust in the working 2. Elderly patient’s is less elastic and has less moisture making it more prone to skin impairment. 3. Observe the skin integrity on the bony prominences. 3. The areas were the skin is stretched 4. Applyprescribeddressing are as follows: such as hydrocolloid sacrum. Trochanters, 2. Determine the risk factors phase.
Diagnosis:Impaired patient will
before it gets c. mobility
Evidenced by: 1.Redness 2. Blisters 3. Open lesion involving the dermis 4. open lesion which involves bones or joint 5. drainage of pus
healing and dressing. pressure ulcers. 3. The patient will be able to prevent future pressure ulcer 7. Hydrate the patient and encourage intake of foods rich in Vitamin C and protein.
reduction of 5. Prevent over exposure to scapulae, elbows. moisture such as from urine These are the areas or perspiration. were the highest skin breakdown are. 6. Observe sterile technique There is a possibility in doing procedures. of skin ischemia due compression of blood vessels. 4. This composition will prevent friction or shear. Another way is to provide emollient to skin tomoisturizethe skin. 5. This can prevent accumulation of bacteria thereby keeping away from infection. 6. Foreign body can also affect greatly the capability of the skin to regenerate. Keeping the area
NIC and activities NIC: Wound Care Activity: 1. 4. Free of any signs of infection. 2. Avoid infection. 3. Marker of the infection process. Perform breast care with aseptic technique and use sterile gauze to treat and cover wounds. with: Indicator: 1. Collagen can come from Vitamin C. Instruct the patient to report and recognize the signs of infection. .clean and free from excessive moisture can lead to faster healing process. Normal leukocyte numbers. Rational 1. Nursing Diagnosis: Risk for Infection NIC NOC NOC and indicators NOC: infection control and risk control. 2. there is no secondary infection. Observe signs of wound infection. after nursing interventions. Patients say knew about the signs of infection. Manage your therapy according to the program. eating lots of food rich in Vitamin C can replace the lost collagen thereby leading to faster healing process. 3. 2. 7.
Critic Aid. Sportz Block Medium. 5. NIC: Control of infection Activity: 1. Znlin Read more at http://www. Prevent infection. Delazinc. RVPaque. Increase nutrient inputs sufficient. Preventing infection. Desitin Creamy. Increase endurance. Prevent nosocomial infection.3. Desitin Creamy Diaper Rash Ointment. Boudreaux Butt Paste. Pinxav.drugs. Helps relaxation and helps protect the infection.com/mtm/calmoseptine-ointmenttopical. Medi-Paste.html#FJMgxt3EEsi4tSDG. Desitin. 6. Flanders Buttocks Ointment. 5. Rational : 1. Prevent secondary infection. Diaper Rash Ointment. 2. Accelerate healing. Tronolane Suppositories. 4. 4. 2. Provide health education about risk for infection. Ensure aseptic handling area IV. Caldesene. Seniortopix Healix. Increasing patient knowledge. 3. 4. Calmoseptine Ointment Generic Name: zinc oxide and menthol (topical) (ZINK OX ide) Brand Names: ARC.99 . Sportz Block Dark. Sportz Block Light. PeriGuard. Encourage adequate rest. 3. Calmol-4 Suppository. Wash hands before and after treating patients. 6. Triple Paste. Diaper Relief. Limit visitors. Balmex.