NURSING CARE PLAN 1:

A 25-year-old woman, who has recently started employment in a fast-food restaurant, is being seen for eczema (atopic dermatitis). The nurse notes
patches of dry, red, and scaly skin on the backs of the client’s hands and on her arms. The client has a history of eczema; and is allergic to a
number of medications and cleaning products. The client states that at her new job she washes her hands frequently with hot water and an
antibacterial soap.

Desired Outcome: The patient will re-establish optimal skin integrity by following treatment regimen for eczema.

Planning, Client
Assessment Inference Diagnosis goal, Desired Intervention Rationale Evaluation
outcome

Subjective Data: Exposure to Short-Term Goal: Independent: Short-Term Goal:

● Patient stated Allergens Impaired skin After 1 hour of 1. Assess and 1. To determine the MET
that at her integrity related receiving nursing monitor the severity of eczema After 1 hour of
new job, she ↓ to skin infection education, the patient’s skin on and any affected receiving nursing
frequently as evidenced by patient will be able his/her body. areas that require education, the
washes her Allergic patches of dry, to show special attention or patient was able to
hands with Response red, and scaly understanding wound care. show understanding
hot water and skin on the back about adopting about adopting
antibacterial ↓ of hands and proper self-care proper self-care
soap. arms. techniques, 2. Remove any 2. The exact cause of techniques,
Inflammation of particularly for allergens or eczema remains particularly for skin
the Skin skin care and irritants in the unknown, care and cleansing,
cleansing, such as patient’s environmental such as the use of
Objective Data: ↓ the use of environment. triggers such as moisturizers.
● Dry, red, and moisturizers. irritants or allergens
scaly skin on Skin Barrier are believed to After 2 hours of
the backs of become leakier, After 2 hours of contribute to skin receiving nursing
hands and allowing in more receiving nursing inflammation. intervention, the
arms. allergen intervention, the patient’s
● Recorded patient’s pathological cues
history of pathological cues 3. Apply cool wet 3. Cool wet cloth can decreased as
 eczema. ↓ will decrease as dressings over the be applied to soothe evidenced by:
● Allergic to a evidenced by: affected areas. the itching and ● Displayed a
number of Allows water to ● Will display a redness of the less reddish
medications escape; making less reddish affected skin. color, and less
and cleaning the skin dry color and less scratching
products. scratching action towards
↓ action towards 4. Advise the 4.Frequent scratching the affected
the affected patient to prevent to the affected areas areas of the
Dry skins are areas of the scratching the can increase the skin.
very itchy; skin. affected areas. damage to the
causing other integument that might ● Pathophysiolog
complications ● Pathophysiologi worsen the case of ic activity of
such as red and c activity of the the patient. the patient’s
scaly skin patient’s condition
condition would decreased after
↓ lessen after the 5. Educate the 5. Proper self-care the
administration patient about techniques focused administration
Existence of of prescribed proper self-care on tending to skin of prescribed
eczema medications techniques, will minimize medications
(less particularly for unnecessary damage (less
↓ inflammation, skin care and to the integument and inflammation,
less redness, cleansing, to keep the affected less redness,
Inflammation, etc.) prevent further areas clean and etc.)
irritation and damage to the moisturized.
pain affected area due
Long-Term Goal: to improper skin
After 2 weeks of cleansing Long-Term Goal:
↓
the whole nursing techniques. MET
intervention, the After 2 weeks of the
Impaired skin
patient will be able whole nursing
integrity
to display 6. Encourage the 6. Promotion of intervention, the
improvement in patient to self-care techniques patient was able to
re-establishing regularly exercise helps in ensuring the re-establish optimal
optimal skin self-care gradual alleviation of skin integrity, as
integrity, as techniques with the patient's evidenced by:
evidenced by: regards to her condition.
● Dryness, condition. ● Dryness, redness,
redness, and and scaliness on
scaliness on the the back of hands
back of hands Dependent: Dependent: and arms were no
and arms will 1. Administer the 1. Eczema is often longer present, as
no longer be medications as treated with the the patient
present, as the prescribed. following finishes the
patient finishes Ensure that the medications: prescribed
the prescribed patient finishes antibiotic course
antibiotic the course of Antibiotic creams and follows the
course and antibiotics which may be proper skin
follows the prescribed and prescribed by doctors hygiene
proper skin knows how to to prevent infection. procedures.
hygiene perform
procedures. self-application Anti-inflammatory
and when to take medications.
each of them. Eczema is
occasionally treated
with oral
corticosteroids, used
to alleviate
inflammation.
However, they can
only be administered
for a specific period
of time because of its
associated negative
effects.

Biologics for
injection (monoclonal
antibody). A new
drug recently
approved by the Food
and Drug Authority
could be used to treat
 eczema in patients
who are not
responding to other
treatments.

Collaborative: Collaborative:
1. Refer the 1. Patients with
patient to a severe forms of
dermatologist dermatitis may
as needed. need to be seen by
a dermatologist in
order to provide
further assessment
and appropriate
treatments.