Impaired Skin Integrity - Glomerulonephritis Care Plan

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Impaired Skin Integrity related to mobilization, uremia, capillary fragility and edema.

Purpose: The client no disturbance / change the integrity of the skin during treatment.

Interventions:
  1. Assess the skin from redness, damage, bruises, turgor and temperature.
  2. Keep skin dry and clean. Clean and dry perineal area after defecation.
  3. Treat the skin by using lotion to prevent dryness of the area pruritus.
  4. Avoid using harsh soaps and rough on the skin of the client.
  5. Encourage the client to not scratch the area pruritus.
  6. Encourage the client to ambulation, as much as the client.
  7. Help the client to change position every 2 hours if the client bedrest. Maintain a crease-free linen. Give protection on the heel and elbow.
  8. Remove clothing, jewelry that can cause obstructed circulation.
  9. Note the edema area with caution.
  10. Maintain adequate nutrition.

Rationale:
  1. Anticipating the damage to the skin so that it can be given treatment.
  2. Skin that is dry and clean is not easy irritation and reduce bacteria growth media.
  3. Lotion can lather that is not easily broken / damaged.
  4. Harsh soaps can cause skin dryness and harsh soaps can scratch the skin.
  5. Scratching cause skin damage.
  6. Ambulation and change of position improves circulation and prevents the emphasis on one side.
  7. Folds bed linen cause pressure on the skin.
  8. Circulation is impeded facilitate the occurrence of skin damage.
  9. Skin elasticity area of edema is very less, so easily damaged.
  10. Adequate nutrition increases skin defense.

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