Impaired Skin Integrity

 

Instructions: Fill out this form, print it, and hand it in with your assessment to your instructor. When you click on Next at the bottom of the page, you see the data you submitted. Please follow the instructions on how to save the data on the next page.

AOL users: Read this instruction.

Definition: state in which an individual has altered epdermis and/or dermis

1. Your initials (required): 

2. Defining Characteristics- check those that apply to your client:

None- high risk diagnosis  disruption of skin surface (epidermis)  destruction of skin layers (dermis) 
3. Related Factors- check those that apply to your client:

chemical substance including body secretions  immobility mechanical forces (trauma, shearing, restraint, cast)  medications  radiation altered circulation  altered fluid status  altered nutrition  altered sensation  extremes in age  heat or cold


4. Goal (ultimate, long term) 

5. Outcome Criteria (short term) 

6. Evaluation: Was the outcome criteria met? 

Yes- Give Evidence: 

No- Explain how you would change the plan: 

7A. Interventions 

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7B. Rationale for each intervention
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