The following are the therapeutic nursing interventions for 

Impaired Tissue
Integrity nursing diagnosis:

1. Provide tissue care as needed.

Each type of wound is best treated based on its etiology. Skin wounds may be
covered with wet or dry dressings, topical creams or lubricants, hydrocolloid
dressings (e.g., DuoDerm), or vapor-permeable membrane dressings such as
Tegaderm. An eye patch or hard plastic shield for corneal injury. The dressing
replaces the protective function of the injured tissue during the healing process.

2. Keep a sterile dressing technique during wound care.

A sterile technique reduces the risk of infection in impaired tissue integrity. This
involves the use of a sterile procedure field, sterile gloves, sterile supplies and
dressing, sterile instruments (Kent et al., 2018).

3. Premedicate for dressing changes as necessary.

Manipulation of deep or extensive cuts or injuries may be painful.

4. Wet the dressings thoroughly with sterile normal saline solution before

removal.
Saturating dressings will ease the removal by loosening adherents and
decreasing pain, especially with burns.

5. Monitor patient’s continence status and minimize exposure of skin

impairment site and other areas to moisture from incontinence,
perspiration, or wound drainage.
Prevents exposure to chemicals in urine and stool that can strip or erode the skin
causing further impaired tissue integrity.

6. If the patient is incontinent, implement an incontinence management

plan.
Prevent exposure to chemicals in urine and stool that can strip or erode the skin.

7. Check every two (2) hours for proper placement of footboards,

restraints, traction, casts, or other devices, and assess skin and tissue
integrity.
Mechanical damage to skin and tissues (pressure, friction, or shear) is often
associated with external devices.

8. Pay special attention to all high-risk areas such as bony prominences, skin
folds, sacrum, and heels.
Systematic inspection can identify impending problems early and provide early
treatment.

9. Identify a plan for debridement when necrotic tissue (eschar or slough) is

present and if compatible with overall patient management goals
Healing does not transpire in the appearance of necrotic tissue.

10. Encourage the use of pillows, foam wedges, and pressure-reducing

devices.
To prevent pressure injury.