Nursing Care Plan – Impaired skin integrity r/t changes in the barrier function of the skin
Definition
Altered epidermis and/or dermis (The integumentary system is the largest multifunctional organ of the body)
Related Factors:
External
- Hyperthermia or hypothermia
- Chemical Substance; Radiation; Medications
- Physical Immobilization
- Humidity; Moisture; (excretions/secretions)
- Altered Fluid Status
- Mechanical Factors (e.g., shearing forces, forces, pressure, restraint), [trauma:injury/surgery]
- Extremes in Age
Internal
- Altered Nutritional State ( e.g., obesity, emaciation); metabolic state; fluid status
- Skeletal Prominence; alterations in turgor ( change in elasticity); [Presence of Edema]
- Altered Circulation; sensation; pigmentation
- Developmental Factors
- Immunological Deficit
- [Psychogenic]
NCP – Impaired skin integrity r/t changes in the barrier function of the skin
