Nursing Diagnosis and Nursing Intervention for Scabies

1. Risk Goal Avoid

of

infection

related

to

damaged

skin

tissue

and

invasive

procedures : infection

the

risk

of

Criteria for outcome : o o o o Clients are free from signs and symptoms of infection Showing the ability to prevent infection Demonstrate healthy behavior Describe the process of transmission of disease, factors that affect transmission.

Plan of action : o o o o o o o o o o Monitor signs and symptoms of infection Monitor susceptibility to infection Limit visitors when necessary Instruct the guests to wash their hands during a visit and after leaving the patient Maintain aseptic environment during installation tool Give skin care in the area epidema Inspection of skin and mucous membranes of the redness, hot Inspection of the wound Provide antibiotic therapy if necessary Teach how to avoid infection.

2. Damage Goal Layer

to

skin

integrity

related

to

edema : normal

of

the

skin

looks

Criteria for outcome : o o o A good skin integrity can be maintained (sensation, elasticity, temperature) No cuts or lesions on the skin Able to protect skin and keep skin moist and natural treatments

Plan of action : o o o o Instruct the patient using a loose-fitting clothing Keep the skin clean to keep them clean and dry Monitor the skin is a reddish Wash the patient with warm water and soap

Nursing Diagnosis: Acute Pain Nursing Intervention:

y y y y

Assess the intensity of pain, characteristics and note the location Provide frequent skin care, get rid of unpleasant environmental stimuli Collaboration with doctor in providing analgesia Collaboration of antibiotics Nursing Diagnosis: Impaired sleep pattern

Nursing Intervention:
y y y y y y

Give comfort to the client (client's cleanliness bed) Collaboration with doctor in providing analgesic Record the number of clients awake at night Provide a comfortable environment and reduce noise Give a warm drink (milk) if necessary Give classical music as a bedtime Nursing Diagnosis: Anxiety

Nursing Intervention:

y y y y y

Identification of anxiety Use a calm approach Accompany the patient to provide security and reduce fear Help patients recognize situations that cause anxiety Provide factual information about diagnosis, prognosis action