skin integrity
Skin Care
SN instructed patient on importance of protecting skin
by: keeping your skin
moist with lotions or ointments to prevent cracking, wearing shoes that fit well and provide enough room for your feet, learning how to trim your nails to avoid harming the skin
around them, wearing appropriate protective equipment when participating in work or sports.
Patient was instructed on the importance of a good skin
care which can prevent most pressure sores (bedsores) which develop in people who have already skin
damage, who are mentally confused, who are bed bound or cannot turn side to side.
Patient was instructed on proper skin
care after bathing. Do not put oils or creams between the toes. The extra moisture can lead to infection. Also don't soak the feet that can dry the skin
.
Instructed caregiver clean patient's skin
daily: Clean the patient's skin
around your tube 1 to 2 times each day.
SN instructed patient and caregiver on importance good hydration, drinking plenty of water; apply skin
lotion after bath and after wash hands , to keep skin
hydrated/moisturized.
Patient was instructed on skin
care. Keep the diabetes under control. Follow the doctor and nurse
Patient was instructed on skin
care. Look at the body after washing. Make sure there are no dry, red or sore spots that could become infected.
Patient was instructed on skin
care. Treat cuts right away. Wash them with soap and water. Avoid antiseptics, iodine or alcohol to clean cuts, because they are too harsh. It is recommended to put antibiotic cream or ointment on minor cuts.
SN instructed care giver that changing a patient's position in bed every 2 hours helps keep blood flowing. This helps the skin
stay healthy and prevents bedsores.
SN instructed patient and caregiver that the key difference between a suspected deep tissue injury (sDTI) and an unstageable pressure ulcer is that sDTI involves intact skin
, whereas an unstageable ulcer involves a breakdown into at least the subcutaneous tissue. An unstageable ulcer is covered with necrotic tissue, such as slough or eschar, formed from remnants of the collagen matrix of subcutaneous tissue. So it’s always a full-thickness ulcer either stage III or stage IV.