I am a nursing student and have to do a concept map for an unreal patient. My 'patient' has obesity as a medical diagnosis, and my nursing diagnosis is:
Risk for Impaired skin integrity related to immobility as evidenced by skin breakdown on back and thighs.
I have to have four interventions, with a rationale for each one. This is where I hit problems. ( guess I'm not cut out for this part... we haven't had much practice on concept mapping etc)
My first intervention and rationale is:
Intervention: Keep skin dry and clean. Rationale: Moisture leads to skin breakdown. By keeping the skin dry and clean you are reducing moisure and reducing the amount of bacteria on the skin that may cause an infection.
My second intervention and rationale is:
Intervention: Reposition the patient every 2 hours or as the patient requests. Rationale: by repositioning the patient is not kept in one place for too long. Repositioning aids in circulation of the blood and helps with condition of the skin.
And there is where I have hit the roadblock. I am hoping these are okay (please let me know if I should word them differently or not) and any help with any other interventions/and rationales would be great. I would like to put in one for getting the patient out of bed and mobile and also maybe something about nutrition, but m not sure how to put that in there...