Nursing Care Plan (One Page per Nursing Diagnosis) Nursing Diagnosis Planning Interventions Evaluation Risk for impaired Client Goals: Client will List Interventions: Achievement of Expected maintain skin integrity and be Proper skin care (ensure skin Outcomes: skin integrity related free of skin irritation or pain. Goal met when skin is to decreased is dry and clean). This goal was established by mobility as Assess lower extremities for intact, as noted in skin asking the client what his goals evidenced by client assessment. deep vein thrombosis (DVT). were regarding increasing the bed-bound Turn client every two hours. level of comfort. secondary to recent Rationale for Interventions: surgery. Excessive moist on skin Expected Outcomes: Client softens the tissue therefore skin will be free of skin increases the risk for ulcer ulcers, and erythemas upon formation. Keeping skin dry discharge by monitoring client and clean promotes skin
Nursing Care Plan (One Page per Nursing Diagnosis) Nursing Diagnosis Risk for impaired skin integrity related to decreased mobility as evidenced by client bed-bound secondary to recent surgery. Planning Client Goals: Client will maintain skin integrity and be free of skin irritation or pain. This goal was established by asking the client what his goals were regarding increasing the level of comfort. Expected Outcomes: Client skin will be free of skin ulcers, and erythemas upon discharge by monitoring client Interventions List Interventions: Proper skin care (ensure skin is dry and clean). Assess lower extremities for deep vein thrombosis (DVT). Turn client every two hours. Rationale for Interventions: Excessive moist on skin softens the tissue therefore increases the risk for ulcer formation. Keeping skin dry and clean promotes skin Evaluation Achievement of Expected Outcomes: Goal met when skin is intact, as noted in skin assessment.
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