Details

Care Plan Detail

Potential for skin breakdown related to [wt. loss/previous ulcers/impaired tactile sensory perception/use of medications/restraints/impaired cognitive ability].

Description
The risk of skin ... Please Login or Join to access this information
Record Id
34
Code
00034
Downloads
81
References
Bolton, L. L., McNees, P., van Rijswijk, L., de Leon, J., Lyder, C. H., Kobza, L., Edman, K., Scheurich, A., Shannon, R., & To, T. V. (2017). Wound-healing outcomes using structured care methodologies: a prospective study. Advances in Skin & Wound Care, 30(6), 272-288.
Braden, B., & Bergstrom, N. (2016). Predictive ability of the Braden Scale for pressure sore risk in the elderly population. International Journal of Nursing Studies, 53, 75-83.

Outcomes

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Skin will not demonstrate ... Please Login or Join to access this information
Description: The client's skin ... Please Login or Join to access this information
Rationale: Promoting skin integrity ... Please Login or Join to access this information
Record Id
30
Downloads
12,542
Evaluate in days
90
Evaluation Date
06/01/2026
Outcome References
Gray, M., & Black, J. M. (2021). Predicting pressure injury risk with the Braden Scale: How to make it really work in clinical practice. Advances in Skin & Wound Care, 34(10), 534–544. https://doi.org/10.1097/01.ASW.0000803308.58264.33
Thereau, H. M., & Scipione, L. R. (2019). Integrative review of hospital-acquired pressure ulcer prevention and care documentation in the electronic health record. Journal of Wound, Ostomy, and Continence Nursing, 46(5), 409–414. https://doi.org/10.1097/WON.0000000000000578

Actions

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Body/skin audit at least ... Please Login or Join to access this information
Description: Involving weekly, or ... Please Login or Join to access this information
Rationale: Regular body/skin checks ... Please Login or Join to access this information
Record Id
495
Downloads
20,346
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Keep skin clean and ... Please Login or Join to access this information
Description: Involves maintaining skin ... Please Login or Join to access this information
Rationale: Maintaining skin cleanliness ... Please Login or Join to access this information
Record Id
494
Downloads
20,346
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Provide regular change of ... Please Login or Join to access this information
Description: Involves routinely changing ... Please Login or Join to access this information
Rationale: Regular repositioning helps ... Please Login or Join to access this information
Record Id
112
Downloads
20,346
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Skin care to include ... Please Login or Join to access this information
Description: Involves providing personalized ... Please Login or Join to access this information
Rationale: Incorporating specific skin ... Please Login or Join to access this information
Record Id
522
Downloads
20,346
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Use positioning and pressure ... Please Login or Join to access this information
Description: Involves properly positioning ... Please Login or Join to access this information
Rationale: Positioning and pressure ... Please Login or Join to access this information
Record Id
496
Downloads
20,346
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Document preventative and treatment ... Please Login or Join to access this information
Description: Record both preventative ... Please Login or Join to access this information
Rationale: By documenting preventative ... Please Login or Join to access this information
Record Id
520
Downloads
20,346
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Peri-care with each incontinence ... Please Login or Join to access this information
Description: Refers to providing ... Please Login or Join to access this information
Rationale: Peri-care with each ... Please Login or Join to access this information
Record Id
1046
Downloads
20,346
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Position client off affected ... Please Login or Join to access this information
Description: Involves arranging the ... Please Login or Join to access this information
Rationale: Shifting the client ... Please Login or Join to access this information
Record Id
509
Downloads
20,346
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Turn every 2 hours ... Please Login or Join to access this information
Description: Involves physically moving ... Please Login or Join to access this information
Rationale: Turning frequently ensures ... Please Login or Join to access this information
Record Id
513
Downloads
20,346
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Report areas of skin ... Please Login or Join to access this information
Description: Implies notifying relevant ... Please Login or Join to access this information
Rationale: Reporting skin redness ... Please Login or Join to access this information
Record Id
720
Downloads
20,346
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High protein diet, vitamins ... Please Login or Join to access this information
Description: Involves administering a ... Please Login or Join to access this information
Rationale: High-protein diet fuels ... Please Login or Join to access this information
Record Id
512
Downloads
20,346
Action References
Schroeder, S. A., & Morris, C. D. (2017). Comprehensive approach to quit smoking—One step at a time. New England Journal of Medicine, 376(9), 868-870. https://doi.org/10.1056/NEJMe1615745
Bauld, L., Bell, K., McCullough, L., Richardson, L., & Greaves, L. (2016). The effectiveness of NHS smoking cessation services: a systematic review. Journal of Public Health, 33(1), 15-22. https://doi.org/10.1093/pubmed/fdr064
Sarna, L., Bialous, S., Kralikova, E., Kmetova, A., Felbrova, V., Kulovaná, S., Malá, K., Roubickova, E., Wells, M. J., & Brook, J. K. (2017). Impact of a smoking cessation educational program on nurses'' interventions. Journal of Nursing Scholarship, 49(5), 53-61.
Patnode, C. D., Henderson, J. T., Melnikow, J., Coppola, E. L., & Durbin, S. (2020). Interventions for Tobacco Cessation in Adults, Including Pregnant Persons: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA, 325(3), 280-298. doi:10.1001/jama.2020.23543
Yap, L.K., Tay, W.R., Chia, C.A.., Ng, S.H., Allen, J.C., & Teo, A.W. (2019). A nurse-led intervention improved blood-pressure control following hospital discharge. Journal of Clinical Hypertension, 21(11), 1675–1684. https://doi.org/10.1111/jch.13684
Barker J., Oyenusi E., Javed, A., Cro S., Fredericks, S., & De Lusignan, S. (2017). ''Water Club'': A pilot project to increase water intake in children attending a school breakfast club. Public Health, 147, 127-134. https://doi.org/10.1016/j.puhe.2017.02.018
Pérez-Francisco, D. H., Duarte-Clíments, G., Del Rosario-Melián, J. M., Gómez-Salgado, J., & Sánchez-Gómez, M. B. (2018). Importance of Therapeutic Feeding to Improve the Nutritional Status and Clinical Outcomes of Hospitalized Patients. Journal of clinical medicine, 7(12), 559. https://doi.org/10.3390/jcm7120559
Jeong, E., Park, M., & Lee, M. (2017). A Nurse’s Role in Diabetes Management and Meal Planning for People with Diabetes Mellitus: A Nursing Perspective. Endocrinology and Metabolism, 32(3), 343–347. https://doi.org/10.3803/EnM.2017.32.3.343