Nursing Diagnosis Objective of Care Planned Intervention Rationale Implementation Evaluation Subjective cues: Short term goal: At the end of the 5 days › To reduce risk of › Keep the affected At the end of the 5 days “Mmbah ako katuli - To minimize the intervention the patient dermal injury when area clean and dry nursing intervention the pahap bang sangom, impaired skin will be able to: severe itching is › Keep foot dry, patient was able to: katol toongan neyh integrity and - Display improvement present especially between - Display improvement ku. Ati piddi iya bang inflammation in feelings of › To prevent further the toes. in feelings of ni katol sab - To eliminate the discomfort due to invasion of › Change socks discomfort due to toongan.” discomfort felt by the itchiness. microorganism regularly itchiness. (Translated to patient. - Minimize the area of › Moisture potentiates › Alternate pairs of - Minimize the area of English: “I can’t infection skin breakdown shoes infection sleep very well at Long term goal: › To decrease irritable › Wear light, well- night, my foot is very - To fully eliminate the itching, which ventilated shoes itchy. And it is impaired skin usually associated › Protect feet in public painful when I integrity and with pain places scratch it so hard.”) inflammation. › Treat feet- use powder, preferably Objective cues: antifungal, on The following are infected foot daily. observed on the client’s › Don’t share shoes physical appearance: Right and Left Foot: - Scaly red patch surrounding the toes, ranging in size from 2-3 cm - Scaling on the soled that extends up to the side of the foot - Cracked, blistered, or peeling between the toes - Raw skin from scratching Assessment The patient shows symptoms of severe itchiness on right and left foot, which is associated with pain on the scale of 4/10.