skin integrity
Diseases Process
Instructed in factors that contribute to poor skin integrity such as immobilization, poor circulation, moisture, heat, anemia, shearing forces, poor nutritional status.
Caregiver was instructed that most people pinch up a fold of skin and insert the needle at aangle to the skin fold. To pinch the skin properly, follow these steps: Squeeze a couple of inches of skin between the thumb and two fingers, pulling the skin and fat away from the underlying muscle. (If use a 5 millimeter mini-pen needle to inject, you don't have to pinch up the skin when injecting at aangle; with this shorter needle, you don't have to worry about injecting into muscle.)" Insert the needle, Hold the pinch so the needle doesn't go into the muscle, Push the plunger, "release the grip on the skin fold. Remove the needle from the skin.
Instructed patient how do I care for my skin around my trach tube. Clean your skin at least once each day. You may need to clean it more often if you cough up a lot of thick mucus. You may need someone to help you clean your skin. Wash your hands and put on gloves. This will prevent infection. Suction the area around your stoma. This will help remove mucus .Clean your skin around the stoma, clean the tube flanges, change wet or dirty trach ties., place a gauze between your skin and the flanges and check your skin every day for signs of infection. Look for redness or swelling of the skin around your tube. Also look for pus, bleeding, or a rash.
Instructed patient on measures to protect skin, such as, keeping skin clean and dry, assessing frequently for skin breakdown, avoiding powder due to possible craking and irritation, etc.
Patient was instructed on how to inject. To pinch the skin properly squeeze a couple of inches of skin between the thumb and two fingers. Insert the needle. Hold the pinch so the needle does not go into the muscle. Push the plunger to inject the insulin. Release the grip on the skin fold. Remove the needle from the skin.
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.
Instructed patient caregiver water will not hurt your ostomy. Normal exposure to air or contact with soap and water won’t harm the stoma. Water will not flow into the stoma. Soap will not irritate it, but soap may interfere with the skin barrier sticking to the skin. It’s best to only use water while cleaning the skin around your stoma. If you do use soap, be sure to rinse your skin well.
Instructed in measures to protect skin such as keeping skin clean and dry, assessing frequently for skin breakdown, avoiding powder due to possible caking and irritation, etc.
Patient was instructed on how to prevent pressure ulcer. A proper skin care is crucial and involves inspecting skin daily and an individualized bathing schedule, using warm (not hot) water and mild soap. Avoid massage over bony prominences and use lubricants if skin is dry.
Patient was instructed on skin complications. As many as one third of people with diabetes will have a skin disorder caused or affected by diabetes at some time on their lives. In fact, such problems are sometimes the first sign that a person has diabetes. Luckily, most skin conditions can be prevented or easily treated if caught early.