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  • NCP Palliative

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    Aikee Caparroso
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    This document contains an assessment of a client's skin condition, including subjective and objective cues. The client has wounds on their arms and back. The diagnosis is impaired skin integrity related to an inflammatory response from infection, as evidenced by a disruption of the skin. The plan is for nursing intervention over 5 days to demonstrate absence of wound, including washing, drying, emphasizing nutrition and fluid intake, and maintaining a clean environment. The short term goal is for improved wound healing after 8 hours as seen by a smaller wound less than 5mm and minimized itchiness.

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    Ncp Palliative

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    This document contains an assessment of a client's skin condition, including subjective and objective cues. The client has wounds on their arms and back. The diagnosis is impaired skin integrity related to an inflammatory response from infection, as evidenced by a disruption of the skin. The plan is for nursing intervention over 5 days to demonstrate absence of wound, including washing, drying, emphasizing nutrition and fluid intake, and maintaining a clean environment. The short term goal is for improved wound healing after 8 hours as seen by a smaller wound less than 5mm and minimized itchiness.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
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    Download as docx, pdf, or txt
    13 views2 pages

    NCP Palliative

    Uploaded by

    Aikee Caparroso
    This document contains an assessment of a client's skin condition, including subjective and objective cues. The client has wounds on their arms and back. The diagnosis is impaired skin integrity related to an inflammatory response from infection, as evidenced by a disruption of the skin. The plan is for nursing intervention over 5 days to demonstrate absence of wound, including washing, drying, emphasizing nutrition and fluid intake, and maintaining a clean environment. The short term goal is for improved wound healing after 8 hours as seen by a smaller wound less than 5mm and minimized itchiness.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 2

    ASSESSMENT

    DIAGNOSIS

    SCIENTIFIC EXPLANATION

    PLANNING

    INTERVENTION

    RATIONALE

    EVELUATION

    Subjective Cues: May mga sugat ako dito sa braso pati sa likod, as stated by the client.

    Objective Cues: Disruption of the skin surface on the upper extremities and back Wound is 5mm i n diameter. Localized erythema Itchy

    Impaired skinintegrity related toinflammatoryrespon se secondaryto infection as evidenced by Disruption of the skin surface on the upper extremities and back

    Long Term: After 5 days of nursing in tervention the client will be able to demonstrate absence of wound

    -Assess for skin. Note fpr turgor, color and sensation. Described and measure wounds and observe changes.

    - Establishes

    comparative baseline proving opportunity for timely intervention.

    Long Term: After 5 days of nursing in tervention the client was able to demonstrate absence of wound

    -Demonstrate good skin hygiene Short Term: (wash thoroughly After 8 hours and pat of nursing drycarefully ) intervention the client will be -Emphasize the able toimprove importance of wound healing adequate nutrition as evidenced by: and fluid intake -minimize presence of wound -Maintain -wound is less appropriate than 5mm moisture environment -minimize itchiness

    -Maintain clean, dry skin provides a barrier to infection

    -Improve nutrition and hydration will improve skin condition

    Short Term: After 8 hours of nursing intervention the client was able toimproved wound healing as evidenced by: -minimize presence of wound -wound is less than 5mm -minimized itchiness

    -To assist client with minimizing condition and promote optimal healing

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