Transcripts were created with the data collected through interviews, and analyzed. Impaired tissue integrity may be a sign of underlying health problems that require nursing care. Semi-structured interviews were conducted with 11 DLNs whose informed consent was obtained, based on the NANDA-I Nursing Diagnoses 2005-2006. As they also tend to suffer from pruritus, the early development of nursing interventions is needed however, the defining characteristics and risk factors for the diagnosis of impaired skin integrity common among these patients have not yet been concretely determined. The nursing diagnosis of impaired skin integrity has been used primarily to assess dialysis patients with decubitus ulcers and wounds. Sensations), and it has been reported that 75% of all dialysis patientsĪre suffering daily from pruritus lowering their QOL. Pruritus appeared to be one of the most uncomfortable symptoms (physical Regarding the riskįactors, they focused on the pathophysiological conditions chronic Scratch wounds due to pruritus DLNs considered these cues as importantįor the diagnosis of impaired skin integrity. Impaired emancipated decision-making Risk for impaired skin integrity. Were dermatitis due to adhesive plaster use for therapeutic purposes and Everything you need to know about nursing diagnoses including what they are. ![]() The most common cutaneous manifestations among outpatients on dialysis Unlike hospitalized patients with frequent decubitus ulcers and wounds, On the other hand, the risk factors involved the following conditions: “altered metabolic state”: decreased perspiration and pruritus “altered pigmentation”: cutaneous melanosis “altered circulation”: edema, non-palpable dorsalis pedis artery “alterations in skin turgor”: skin hydration, and scaly, shiny skin “altered nutritional state”: decreased albumin and “skeletal prominence”: hallux valgus. “Invasion of body structures” was represented as puncture of blood access in hemodialysis. ![]() Two defining characteristics for nursing diagnosis of impaired skin integrity, “destruction of skin layers” and “disruption of skin surface”, were represented as the following cutaneous manifestations: dermatitis due to adhesive plaster use scratch wounds due to pruritus xeroderma eruption epidermolysis and prurigo nodularis. Integrity common among dialysis patients. This study aimed to determine cues DLNs regard as definingĬharacteristics and risk factors for the diagnosis of impaired skin Here to view 2012 Conference Presentations (Member Login is
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