Nurses Compass
Care Plan for Impaired Skin Integrity
Category: Dermatology
Assessment
Patient presents with pressure ulcers and signs of skin breakdown.
Diagnosis
Risk for infection related to impaired skin integrity.
Goals
Patient's skin will remain intact without further breakdown. Patient will demonstrate understanding of skin care and pressure ulcer prevention strategies.
Interventions
Monitor skin condition and assess for signs of breakdown regularly. Implement pressure-relieving devices such as specialized mattresses and cushions. Educate patient and caregivers on proper skin care techniques and repositioning schedules. Ensure adequate nutrition and hydration to support skin health.
Rationale
These interventions help prevent further skin breakdown and promote healing of existing ulcers.
Evaluation
Review skin condition and patient adherence to care plan during follow-up visits to assess effectiveness.