Skin FINAL

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PHINMA - Cagayan de Oro College

College of Nursing

NURSING CARE PLAN


NAME OF STUDENT: _____________________________ SECTION: FC2-BSN1-04 D DATE: _________________ C.I.: __________________

NAME OF PATIENT: ______________________________ ATTENDING PHYSICIAN: ______________ DIAGNOSIS: ______________________ HOSPITAL/ROOM: _________

ASSESSMENT NURSING DIAGNOSIS PLANING INTERVENTION EVALUATION

SUBJECTIVE Acute Pain related to cutaneous SHORT TERM GOALS INDEPENDENT SHORT TERM GOALS
inflammation and irritation as
“katol kaayo akong lawas murag evidenced by verbal reports, At the end of 30 minutes nursing  Educate the patient on At the end of 30 minutes nursing
gatusokon og dagom” verbalized by irritability, and scratching. intervention the patient will be able identifying and avoiding intervention the patient was able
the patient. to: trigger foods, including to:
seafood, poultry, talong,
 Identify trigger foods and kalabasa.  Identify trigger foods
causing allergic reactions. causing allergic reactions.
 Instruct the patient to keep
 Demonstrate proper use of a food diary to track
prescribed topical potential allergens and  Demonstrate proper use of
medications for rash reactions. prescribed topical
management. medications for rash
management.
 Provide topical treatments
 Verbalize understanding of such as soothing creams or
preventive measures to antihistamine lotions to  Verbalize understanding of
minimize skin irritation. alleviate itching and preventive measures to
discomfort. minimize skin irritation.

 Report a decrease in
irritation level to 4 out of 10  Encourage the patient to  Report a decrease in
or lower. wear loose, breathable irritation level to 4 out of 10
clothing to minimize skin or lower.
irritation.

 Promote proper hydration


and moisturization to
maintain skin integrity.
OBJECTIVE LONG TERM GOALS DEPENDENT LONG TERM GOALS

 Dry skin and has a presence At the end of 1 week of nursing  Collaborate with the At the end of 1 week of nursing
of skin lesions intervention the patient will be able healthcare provider to intervention the patient was able
 Frequent scratching to: prescribe antihistamines or to:
 Skin pigmentation is corticosteroids for severe
 Maintain skin integrity with allergic reactions.  Maintain skin integrity with
present
no new rashes or lesions no new rashes or lesions
 Presence of scar from  Consult with a
present. present.
rashes dermatologist for
 Irritation level 8 out of 10 specialized skin care and
 Adhere to a modified diet treatment options.  Adhere to a modified diet
plan free of trigger foods plan free of trigger foods
 Coordinate with a dietitian
Vital Signs: identified. identified.
to develop a customized
Temperature: 36.2°c meal plan that eliminates
trigger foods while ensuring
Oxygen saturation: 97%  Utilize effective coping proper nutrition.  Utilize effective coping
strategies to manage strategies to manage
Pulse rate: 79 bpm anxiety and stress related to anxiety and stress related to
Respiratory rate: 19 bpm food allergies. food allergies.

BP: 110/60 mmHg


 Demonstrate proficiency in INTERDEPENDENT  Demonstrate proficiency in
self-care techniques to self-care techniques to
prevent future allergic  Communicate with other prevent future allergic
reactions and skin healthcare team members reactions and skin
irritations. to ensure consistent irritations.
monitoring of skin
condition and response to
interventions.
 Collaborate with
occupational therapy to
assess and implement
strategies for minimizing
skin irritation during daily
activities.
 Involve the patient's family
members or caregivers in
education and support to
promote adherence to
allergen avoidance
strategies.

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