Table of Contents
- 1 What are the goals for impaired skin integrity?
- 2 What are the nursing responsibilities related to skin integrity?
- 3 Why is skin integrity important?
- 4 How can you prevent impaired skin integrity?
- 5 How do nurses maintain skin integrity?
- 6 How can we prevent skin integrity?
- 7 What does skin integrity mean?
- 8 Why does poor nutrition affect skin integrity?
What are the goals for impaired skin integrity?
Risk for impaired skin integrity care plan[1,2]
- Improve blood flow.
- Minimize tissues hypoxia (massage)
- Improve myocardial contractility/systemic perfusion.
- Proper positioning of clients, including foam blocks, pillows, bed cradles.
- Prevent complications-risk of infection.
Nursing responsibilities related to skin integrity involve assessment of the patient and the wound (Fundamentals Review 8-3), followed by the development of the nursing plan of care, including the identification of appropriate outcomes, nursing interventions, and eval- uation of the nursing care.
What factors can influence skin integrity?
Internal factors include the person’s age, health status, mobility, body weight. External factors may include pressure, shear or moisture. Often the person will have several of these factors which impact on skin integrity.
Why is skin integrity important?
Good skin integrity is vital to good health because the skin acts as a barrier to microbes and toxins, as well as physical stressors such as sunlight and radiation. It is well known that the skin loses integrity with the ageing process, and this makes older adults susceptible to pressure injury.
How can you prevent impaired skin integrity?
Skin Integrity Promotion Strategies
- Moisturize dry skin to maximize lipid barriers; moisturize at minimum twice daily.
- Avoid hot water during bathing; this will increase dry, cracked skin.
- Protect skin with a moisture lotion or barrier as indicated.
What is a skin integrity assessment?
To identify patients at risk for skin failure, assessment should be conducted on admission to the ward to identify any issues with the skin’s integrity such as existing wounds (especially pressure injuries) or vulnerable pressure points, excoriation and rashes.
How do nurses maintain skin integrity?
- KEEP THE SKIN CLEAN AND DRY: Clean the skin with a mild soap and warm water and rinse thoroughly. Gently pat dry.
- Apply Lotions and ointments as prescribed- to prevent skin breakdown. This promotes skin integrity.
- Never massage over an area of skin that is reddened or there is skin breakdown.
How can we prevent skin integrity?
What are 2 intrinsic factors that may affect skin integrity?
Intrinsic factors can include altered nutritional status, vascular disease issues, and diabetes. Extrinsic factors include falls, accidents, pressure, immobility, and surgical procedures. Ensuring skin integrity in the elderly requires a team approach and includes the individual, caregivers, and clinicians.
What does skin integrity mean?
Skin integrity refers to skin health. A skin integrity issue might mean the skin is damaged, vulnerable to injury or unable to heal normally. A pressure wound (also called a pressure sore, bed sore or pressure ulcer) is an injury to the skin and surrounding tissue.
Why does poor nutrition affect skin integrity?
[35] The adverse effects of malnutrition contain organ dysfunction, compromised collagen synthesis (that reduces the stretchability of skin), weakness of the immune system, and decreased activity of antioxidant mechanisms (leading to accumulation of free radicals) and increasing risk of infection.
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