Write Common nursing diagnosis and care for skin disease

Impaired skin integrity related to ruptured blister area on skin

Maintain screen integrity

• Assess skin color, temperature, texture, moisture, mobility, edema and hydration levels.
• To assess skin lesions.
• Applying topical medicine to a wound or lesion on the skin.
• Regular dressing of wound on skin. So that healing is easy and infection can be prevented.
• Providing warm moist compression.
• Anchoring the patient to daily skin care.
• Ask the patient to use warm water while bathing and to dry the skin thoroughly after bathing.
• Avoid rubbing and friction while drying the skin.
• Then apply topical medicine to the wound or lesion.
• Applying petroleum jelly on the skin to prevent the skin from drying out.
• Change position every two hours to prevent bed sores.

Acute pain related to tissue damage or break in tissue integrity

Relieve pain

• Assessing pain level.
• Assess location, duration and intensity of pain.
• Assessing factors that trigger pain.
• Providing a comfortable position to the patient.
• Providing warm moist compression to the patient.
• Providing mind diversional therapy to the patient. So that the patient’s attention is diverted from the pain.
• Advising patients about relaxation therapy.
• Administering prescribed analgesic medicine.

Risk for infection related to loss of protective barrier of skin and mucous membrane

Prevent infection

• Assess skin integrity.
• Assessing whether signs of infection are present. Note if redness, swelling, fever is observed.
• Always keep the wound covered and do regular dressings.
• Use aseptic technique while dressing.
• Ask the patient not to touch the wound site.
• Providing streak isolation to the patient.
• Refusal to meet the patient’s relative.
• Educating patients about hand washing and personal hygiene techniques.
• Administer antibiotics prescribed by the doctor to prevent infection.

Risk for hyperthermia related to inflammatory process

Prevent hyperthermia

• To assess patient’s vital signs.
• Maintaining the patient’s room temperature.
• Providing cold application to the patient.
• If the patient feels cold, avoid cold application and provide blanket to the patient.
• Administer antipyretic drug if body temperature rises.
• Monitor temperature frequently.

Disturbed body image related to appearance of skin

Increases self-esteem and body image

• To know the patient’s attitude towards his physical appearance.
• Anchoring the patient to express his feelings and emotions.
• Allow enough time to listen to the patient.
• Helping the patient to increase his self-esteem and increase his coping power.
• Comforting the patient.
• Providing psychological support to the patient.
• To give the patient ideas to enhance his body appearance.
• Educating the patient about cosmetics and accessories so that the scar does not draw too much attention.
• Explaining the patient about the skin condition and its treatment modality.
• To provide knowledge about cosmetic surgery to patients.

Anxiety related to physical appearance of skin and prognosis

Reduce anxiety

• Assessing the patient’s condition.
• Paying attention to the psychological needs of the patient and listening carefully to the patient.
• Encouraging the patient to express his feelings, discomfort and anxiety.
• To resolve all doubts and queries of the patient.
• Providing knowledge to the patient about his condition and treatment so that his anxiety is removed and the patient becomes confident.
• Providing psychological support to the patient.
• Providing mind diversional therapy and recreational therapy to patients.