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Category Archives: Sensory & Neuro

Risk for Infection – Dermatitis

Risk for Infection – Dermatitis Nursing Care Plans

Common Risk Factors
Impaired skin integrity Severe inflammation Excoriation
Common Expected Outcome Patient remains free of secondary infection. NOC OutcomesRisk Detection; Risk Control; Tissue Integrity: Skin and Mucous MembranesNIC Interventions Skin Surveillance; Infection Control; Infection Protection

Ongoing Assessment

Actions/Interventions Rationale
Assess skin for severity of skin integrity compromise. The skin is the body’s first line of defense against infection. Disruption of the integrity of skin increases the patient’s risk of developing an infection or of scarring.
Assess for signs of infection. Patients with dermatitis are at highest risk for developing skin infections caused byStaphylococcus aureus. Purulent drainage from skin lesions indicates infection. With severe infections, the patient may have an elevated temperature.

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Disturbed Body Image – Dermatitis

Disturbed Body Image – Dermatitis Nursing Care Plans

Common Related Factor Defining Characteristics
Visible skin lesions Verbalizes feelings about change in body appearance Verbalizes negative feelings about skin condition Fear of rejection or reactions of others
Common Expected Outcome Patient verbalizes feeling about lesions and continues daily activities and social interactions. NOC Outcome Body Image NIC InterventionBody Image Enhancement

Ongoing Assessment

Actions/Interventions Rationale
Assess the patient’s perception of changed appearance. The nurse needs to understand the patient’s attitude about visible changes in the appearance of the skin that occur with dermatitis.
Assess the patient’s behavior related to appearance. Patients with body image issues may try to hide or camouflage their lesions. Their socialization may decrease based on anxiety or fear about the reactions of others.

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Impaired Skin Integrity – Dermatitis

 Impaired Skin Integrity – Dermatitis Nursing Care Plans

Common Related Factor Defining Characteristics
Contact with irritants or allergens
  • Inflammation
  • Dry, flaky skin
  • Erosions, excoriations, fissures
  • Pruritus, pain, blisters
Common Expected Outcome Patient maintains optimal skin integrity within limits of the disease, as evidenced by intact skin. NOC OutcomesKnowledge: Treatment Regimen; Tissue Integrity: Skin and Mucous MembranesNIC Interventions Skin Care: Topical Treatments; Skin Surveillance; Teaching: Procedure/Treatment

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Dermatitis Nursing Care Plans

Dermatitis is a general term that describes an inflammation of the skin. There are different types of dermatitis, including seborrheic dermatitis and atopic dermatitis (eczema). Although the disorder can have many causes and occur in many forms, it usually involves swollen, reddened and itchy skin.
Dermatitis is a common condition that usually isn’t life-threatening or contagious. But, it can make you feel uncomfortable and self-conscious. A combination of self-care steps and medications can help you treat dermatitis.
  1. Impaired Skin Integrity -Dermatitis
  2. Disturbed Body Image  -Dermatitis
  3. Risk for Infection  -Dermatitis
  4. Risk for Impaired Skin Integrity  -Dermatitis
Source:
 http://ncplist.blogspot.com/search/label/Dermatitis

Cataract

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Neurotransmitters

Definition

Nerve cells arranged in networks communicate information with one another through neurotransmission which is the conduction of electrical messages from neuron to neuron. The electrochemical messages cross the synapses between neural cells by way of special chemical messengers called neurotransmitters.  (more…)

Cranial Nerves

Cranial Nerves

The cranial nerve is a part of the peripheral nervous system and primarily serves the head and the neck. There are about 12 pairs of cranial nerves where only one pair extends to the thoracic and the abdominal cavities.

Characteristics of the cranial nerves