NURSING CARE PLAN FOR WOUND HEALING

ASSESSMENT NURSING INFERENCE OBJECTIVES NURSING RATIONALE EVALUATION

DIAGNOSIS INTERVENTION
SUBJECTIVE: Impaired skin Diabetes Short – term:  Assess the feet  This will After the
integrity sometimes  Clean and and legs for prevent further appropriate
“Parang hindi related to affects the disinfect skin damage to nursing
gumagaling yung open wound nerves of the the wound temperature, tissues in the intervention, the
sugat sa paa ko” secondary to feet, causing a  Promote sensation, soft patient’s foot. patient was able
as verbalized by impaired loss of timely tissue injuries, to:
the patient. circulation. sensation. wound corns, calluses,
Therefore, when healing dryness,  Demonstrate
OBJECTIVE: a person with hammer toe or how to take
decreased Long – term: bunion care of open
 (+) swelling sensory  Educating the deformation, wound
of the right perception in patient pulses and
foot with foul- the feet is regarding the deep tendon  Discuss the
smelling wounded, the importance of reflexes. importance of
drainage from wound is left monitoring of hygiene in
ulceration. unnoticed and open wound  Instruct the  Educating the promoting
 With heavily may develop an and proper patient in foot patient will skin integrity.
soaked infection. wound care. care help promote
dressing. guidelines. cooperation.

 Inspect  This will keep

incision the wound in
regularly, check and
noting prevent
characteristics complications.
and integrity.
 Teach patient  Cleanliness
proper wound helps
care. prevent
 infection
and its
spread.

 Encourage the  To prevent

use of pillows, pressure
foam wedges, injury.
and pressure-
reducing
devices.

 Keep a sterile  This

dressing technique
technique reduces the
during wound risk of
care. infection in
impaired
tissue
integrity.