Nursing Care Plan for Impetigo - Nursing Diagnosis and Interventions : Impaired Skin Integrity
Nursing Diagnosis: Impaired Skin Integrity related to lesions and mechanical injury (scratching the itchy skin)
Expected outcomes are:
- A good skin integrity can be maintained (sensation, elasticity, temperature)
- No injuries or lesions on the skin.
- Able to protect skin and keep skin moist and natural treatments.
- Good tissue perfusion.
Nursing Interventions:
1. Instruct the patient to use, loose clothing.
Rational: a loose shirt, shirt will reduce friction on the skin lesions.
2. Cut nails and keep the client's hand hygiene.
Rational: the nail that will reduce the short and avoid scratching the impetigo lesion severity.
3. Keep clean skin, to keep them clean and dry.
Rational: the skin clean and dry, will reduce the spread or proliferation of bacteria.
4. Monitor skin color, the existence of redness.
Rational: to know the progression of the disease and the effectiveness of actions taken.
5. Bathe the patient with warm water and soap (antiseptic).
R: warm water will kill bacteria and reduce the rash. Anti-septic soap can reduce or kill the bacteria on the skin.
6. Collaboration for the administration of topical antibiotics on the client.
Rational: topical antibiotic may discontinue or inhibit the growth of bacteria.
7. Give the knowledge of the client not to scratch the wound.
Rational: the knowledge of patients on the treatment process can accelerate the success of the nursing process.
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