ENGLISH-INTEGUMENTARY PART-3(UPLOADED)

Write Common nursing diagnosis and care for skin disease

Impaired skin integrity related to ruptured blister area on skin

Maintain skin integrity

  • (Maintain skin integrity)
  • • Assess skin color, temperature, texture, moisture, mobility, edema, and hydration level.
  • • Skin lesions To assess.
  • • Apply topical medicine to the wound or lesion on the skin.
  • • Apply regular dressings to the wound on the skin. So that healing is easy and infection can be prevented.
  • • Provide warm moist compression.
  • • Encourage the patient to maintain daily skin care.
  • • Ask the patient to use warm water while bathing and dry the skin thoroughly after bathing.
  • • Avoid rubbing and friction while drying the skin.
  • • Then apply topical medicine to the wound or lesion.
  • • Apply petroleum jelly to the skin to prevent drying out.
  • • Change position every two hours to prevent bed sores.

Acute pain related to tissue damage or break in tissue integrity

Relieve Pain 

  • (Relieve Pain)
  • • Assess pain level.
  • • Assess location, duration, and intensity of pain.
  • • Assess factors that trigger pain.
  • • The patient Provide a comfortable position.
  • • Provide warm moist compression to the patient.
  • • Provide mind diversional therapy to the patient. So that the patient’s attention is diverted from the pain.
  • • Advise the patient about relaxation therapy.
  • • Administer prescribed analgesic medicine.

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

Prevent Infection

  • (To prevent infection)
  • • Assess skin integrity.
  • • Assess whether signs of infection are present. If redness, swelling, fever is observed, note it.
  • • Always keep the wound covered and dress it regularly.
  • • Use aseptic technique while dressing.
  • • Tell the patient not to touch the wound site.
  • • Provide strict isolation to the patient.
  • • To meet the patient’s relatives Say no.
  • • Educate the patient 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

  • (Preventing hyperthermia)
  • • Assess the patient’s vital signs.
  • • Maintain the patient’s room temperature.
  • • Provide cold applications to the patient.
  • • Avoid cold applications if the patient feels cold and provide the patient with a blanket Do.
  • • Administer antipyretic drugs if body temperature is high.
  • • Monitor temperature frequently.

Disturbed body image related to appearance of skin

Increase self-esteem and body image

  • (Increasing self-esteem and regulating body image)
  • • Know the patient’s attitude towards his physical appearance.
  • • Encourage the patient to express his feelings and emotions.
  • • Spend enough time listening to the patient.
  • • Help the patient increase his self-esteem and his coping power Increase.
  • • Comfort the patient.
  • • Provide psychological support to the patient.
  • • Give the patient ideas to enhance their body appearance.
  • • Provide the patient with knowledge about cosmetics and accessories so that the scar does not draw too much attention.
  • • Explain the patient about the skin condition and its treatment modalities To do. 
  • • Provide knowledge about cosmetic surgery to the patient.

Anxiety related to physical appearance of skin and prognosis 

Reduce anxiety

  • (Removing Anxiety)
  • • Assess the patient’s condition.
  • • Pay attention to the patient’s psychological needs and listen to the patient carefully.
  • • Encourage the patient to express his feelings, discomfort and anxiety.
  • • Answer all the patient’s doubts and queries To solve.
  • • Provide the patient with knowledge about his condition and treatment so that his anxiety is removed and the patient becomes confident.
  • • Provide psychological support to the patient.
  • • Provide the patient with mind diversionary therapy and recreational therapy.
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