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    ICU NCP

    Uploaded by

    Kish Sison
    The patient has bedsores on their right buttocks and maculopapular rashes all over their body. The diagnosis is impaired skin integrity related to bed sores. The plan is to keep the affected area dry, note scratching of the skin, and position the patient to avoid pressure and allow for timely healing without complications. After 8 hours of interventions like keeping the area dry and clean, bed sores remain present.

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    ICU NCP

    Uploaded by

    Kish Sison
    867 views2 pages
    The patient has bedsores on their right buttocks and maculopapular rashes all over their body. The diagnosis is impaired skin integrity related to bed sores. The plan is to keep the affected area dry, note scratching of the skin, and position the patient to avoid pressure and allow for timely healing without complications. After 8 hours of interventions like keeping the area dry and clean, bed sores remain present.

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    ICU ncp

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    The patient has bedsores on their right buttocks and maculopapular rashes all over their body. The diagnosis is impaired skin integrity related to bed sores. The plan is to keep the affected area dry, note scratching of the skin, and position the patient to avoid pressure and allow for timely healing without complications. After 8 hours of interventions like keeping the area dry and clean, bed sores remain present.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    867 views2 pages

    ICU NCP

    Uploaded by

    Kish Sison
    The patient has bedsores on their right buttocks and maculopapular rashes all over their body. The diagnosis is impaired skin integrity related to bed sores. The plan is to keep the affected area dry, note scratching of the skin, and position the patient to avoid pressure and allow for timely healing without complications. After 8 hours of interventions like keeping the area dry and clean, bed sores remain present.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

    O:
     Bedsores at the Impaired skin To display timely  Protect the  The peripheral After 8 hours of
    right buttocks integrity related to healing of bed sores skin from circulation of nursing intervention
     Visible bed sores at the right without complications trauma and pad places the affected area is
    maculopopular buttocks. within the hospital prolonged patient at high maintained dry and
    rashes all over stay. pressure risk for injury cleaned. Bed sores
    the body are still noted.
     Dry and scaly
    skin  Keep the  To prevent
     Scratching of affected area infection
    the skin dry always
     Dirty nails,
     Note for  Scratching can
    untrimmed
    cause lesions
    scratching
    and open sores
    skin and of
    keeping
    finger nails
    short and
    clean

     Put mittens  Mittens


    prevent
    on hand if
    excessive
    necessary scratching
     Note the
    patient’s  Immobility is
    ability to greater risk for
    move skin
    breakdown
     Position the
    patient in the  To avoid
    non-affected pressure on
    area the affected
    area causing
    for severity

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