The document discusses a nursing assessment and plan of care for a client with impaired skin integrity on the left breast. The nurse assessed the wound and surrounding skin, noting characteristics like color, turgor, and sensation. Over 3 days of nursing intervention including good skin hygiene, wound care, and instructions to keep the area clean and dry with cotton clothing, the client showed improvement in wound healing with minimized wounds, drying of wounds, and decreased redness, discharge and itching.
The document discusses a nursing assessment and plan of care for a client with impaired skin integrity on the left breast. The nurse assessed the wound and surrounding skin, noting characteristics like color, turgor, and sensation. Over 3 days of nursing intervention including good skin hygiene, wound care, and instructions to keep the area clean and dry with cotton clothing, the client showed improvement in wound healing with minimized wounds, drying of wounds, and decreased redness, discharge and itching.
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The document discusses a nursing assessment and plan of care for a client with impaired skin integrity on the left breast. The nurse assessed the wound and surrounding skin, noting characteristics like color, turgor, and sensation. Over 3 days of nursing intervention including good skin hygiene, wound care, and instructions to keep the area clean and dry with cotton clothing, the client showed improvement in wound healing with minimized wounds, drying of wounds, and decreased redness, discharge and itching.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOCX, PDF, TXT or read online from Scribd
Sub[ecLlve O 'Kumikirot yung sugat ko as ver ba l i z e d by t he patient
Cb[ecLlve O i sr upt ion o I ski n s u r I a c e a t t h e l e I t b r e a s t O !ain
O Iter 3 days nursing intervention,t he client will be able to display improvement in wound healing as evidenced by: Intact skin or minimized presence oI wound. bsence oI redness or erythema. bsence oI purulent discharge. bsence oI itchines
O ssessed skin. Noted color, turgor, and sensation. escribed and measured wounds and observed changes. O emonstrated good skin hygiene, e.g.,wash thoroughly and pat dry careIully. O Instructed Iamily to maintain clean, dry clothes, preIerably cotton Iabric
O stablishes comparative baseline providing opportunity Ior timely intervention. O aintaining clean, dry skin provides a barrier to inIection. !atting skin dry instead oI rubbing reduces risk oI dermal trauma to Iragile skin. O $kin Iriction caused by stiII or rough clothes leads to irritation oI Iragile skin and increases risk Ior inIection
O t the end oI the 3 days nursing intervention, the client was able to display improvement in wound healing as evidenced by: