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  • Assessment Diagnosis Planning Intervention Rationale Evaluation

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    Lester Buhay
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    The patient reported rashes on their skin that caused itching. On examination, rashes and disrupted skin were observed, as well as frequent scratching. To reduce risk of infection and further skin breakdown, the nurse recommended keeping nails short, keeping the affected area clean and dry, removing wet linens, loose fitting clothing, and applying prescribed medication. The goal of preventing skin breakdown was met, as the patient demonstrated how to properly care for their skin.

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    ncp

    Original Title

    NCP2

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    The patient reported rashes on their skin that caused itching. On examination, rashes and disrupted skin were observed, as well as frequent scratching. To reduce risk of infection and further skin breakdown, the nurse recommended keeping nails short, keeping the affected area clean and dry, removing wet linens, loose fitting clothing, and applying prescribed medication. The goal of preventing skin breakdown was met, as the patient demonstrated how to properly care for their skin.

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    14 views2 pages

    Assessment Diagnosis Planning Intervention Rationale Evaluation

    Uploaded by

    Lester Buhay
    The patient reported rashes on their skin that caused itching. On examination, rashes and disrupted skin were observed, as well as frequent scratching. To reduce risk of infection and further skin breakdown, the nurse recommended keeping nails short, keeping the affected area clean and dry, removing wet linens, loose fitting clothing, and applying prescribed medication. The goal of preventing skin breakdown was met, as the patient demonstrated how to properly care for their skin.

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    © All Rights Reserved
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    of 2

    ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

    Subjective: Impaired Skin At the end of the >Recommended >To reduce risk Goal met. The
    shift, the patient will keeping nails of dermal injury patient was able to
    “Kumakalat Integrity s/t
    be able to short when severe demonstrate
    ang rashes sa alteration in
    demonstrate itching is behaviors/techniques
    balat ko” as skin >Kept the area
    behaviors/techniques present to prevent skin
    verbalized by appearance affected clean
    to prevent skin breakdown.
    the patient as and dry >To prevent
    breakdown.
    manifested further invasion
    Objective: >Removed
    by presence of
    wet/wrinkled
    >presence of of rashes. microorganism
    linens
    rashes
    >Moisture
    >Instructed
    >frequent potentiates skin
    patient not to
    scratching breakdown
    use tight
    >disruption clothing >To prevent
    of skin skin irritation
    >Administered
    surface
    triderm as >To decrease
    ordered. irritable itching

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