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    Cues Nursing Diagnosis Planning Intervention Rationale Evaluation

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    BiancaGabatinoAbarca
    The patient reported a wound that was not healing fast. On examination, the patient had a 2cm skin lesion. The nurse's interventions included using a foot cradle and space boots to prevent pressure on sensitive areas, performing routine skin inspections, providing optimum nutrition and vitamins, implementing skin hygiene, using appropriate dressings, administering insulin, discussing smoking cessation, and instructing the patient to avoid heating pads and always wear shoes. After 3 days, the patient displayed timely healing of skin lesions without complication.

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    Cues Nursing Diagnosis Planning Intervention Rationale Evaluation

    Uploaded by

    BiancaGabatinoAbarca
    86 views2 pages
    The patient reported a wound that was not healing fast. On examination, the patient had a 2cm skin lesion. The nurse's interventions included using a foot cradle and space boots to prevent pressure on sensitive areas, performing routine skin inspections, providing optimum nutrition and vitamins, implementing skin hygiene, using appropriate dressings, administering insulin, discussing smoking cessation, and instructing the patient to avoid heating pads and always wear shoes. After 3 days, the patient displayed timely healing of skin lesions without complication.

    Original Title

    Impaired Ncp

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    The patient reported a wound that was not healing fast. On examination, the patient had a 2cm skin lesion. The nurse's interventions included using a foot cradle and space boots to prevent pressure on sensitive areas, performing routine skin inspections, providing optimum nutrition and vitamins, implementing skin hygiene, using appropriate dressings, administering insulin, discussing smoking cessation, and instructing the patient to avoid heating pads and always wear shoes. After 3 days, the patient displayed timely healing of skin lesions without complication.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    86 views2 pages

    Cues Nursing Diagnosis Planning Intervention Rationale Evaluation

    Uploaded by

    BiancaGabatinoAbarca
    The patient reported a wound that was not healing fast. On examination, the patient had a 2cm skin lesion. The nurse's interventions included using a foot cradle and space boots to prevent pressure on sensitive areas, performing routine skin inspections, providing optimum nutrition and vitamins, implementing skin hygiene, using appropriate dressings, administering insulin, discussing smoking cessation, and instructing the patient to avoid heating pads and always wear shoes. After 3 days, the patient displayed timely healing of skin lesions without complication.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Cues Nursing Diagnosis Planning Intervention Rationale Evaluation

    Subjective: Impaired skin After 3 days of  Use foot cradle on  To prevent pressure After 3 days of
    Pt reported that his integrity r/t impaired nursing interventions, the bed. Use space on pressure- nursing interventions,
    wound does not heal circulation AEB pt display timely boots on ulcerated sensitive points. pt displayed timely
    fast lesions that heal healing of skin heels, elbow  Systemic healing of skin lesions
    slowly lesions without protectors, and inspection can without complication.
    Objective: complication. pressure-relief identify developing
     skin lesion (2cm) mattresses. problems and
     Perform routine promotes early
    skin inspections, intervention.
    assessing color,  to provide a
    temperature, positive nitrogen
    surface changes, balance to aid in
    texture and skin and tissue
    contours. healing and to
     Provide optimum maintain general
    nutrition, including good health.
    vitamins and  to protect the
    protein. wound and/or
     Implement and surrounding tissues.
    teach skin hygiene  Prompt wound
    by showering daily treatment helps
    with lukewarm prevent infection. If
    water and using the wound appears
    mild soap. infected, encourage
     Use and apply the patient to
    appropriate barrier notify the primary
    dressings, wound health care provider
    coverings etc. immediately.
     Reinforce that all  Adherence to the
    cuts and blisters therapeutic regimen
    need to be cleaned promotes tissue
    and treated with perfusion. Keeping
    antiseptic glucose in the
    preparation. normal range slows
     Administer basal the progression of
    and prandial microvascular
    insulin. disease.
     Discuss the need  Smoking can cause
    of smoking cessati vasoconstriction
    on if applicable. that can impair
     Instruct patient to blood supply to the
    avoid heating pads feet.
    and always wear  Patients have
    shoes when decreased sensation
    walking. in the extremities
    due to peripheral
    neuropathy.

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