Help with Care Plans

jmarz · Oct 23, 2008, 05:32 AM

Re: Help with Care Plans

tnx a lot Daytonite

Sunset87 · Oct 26, 2008, 10:59 AM

Re: Help with Care Plans

If my patient just had abdominal surgery, is Impaired Tissue Integrity a good diagnosis?

*Daytonite* · Oct 26, 2008, 03:58 PM

Originally Posted by Sunset87

If my patient just had abdominal surgery, is Impaired Tissue Integrity a good diagnosis?

What is the assessment of the incision? Is there a problem with the incision?

Sunset87 · Oct 26, 2008, 06:27 PM

Re: Help with Care Plans

There is no problem with the incision. What if I used Impaired Skin Integrity? Do these diagnoses apply to surgical wounds or only naturally occurring wounds?

*Daytonite* · Oct 26, 2008, 06:51 PM

Originally Posted by Sunset87

There is no problem with the incision. What if I used Impaired Skin Integrity? Do these diagnoses apply to surgical wounds or only naturally occurring wounds?

Read the definition of these two diagnoses. Impaired Skin Integrity is used for wounds that stop just above the subcutaneous layer of the skin. Stage I and II decubitus are included in Impaired Skin Integrity.

If there is no problem with the incision then there is no reason to use either diagnosis.

Sunset87 · Oct 26, 2008, 08:44 PM

Re: Help with Care Plans

Thanks so much! I thought since the skin is no longer intact I could use that diagnosis.

tullosrn2010 · Oct 28, 2008, 05:42 PM

Re: Help with Care Plans

You Could Use Risk For Infection Rt Break In First Line Of Defense

*Daytonite* · Oct 28, 2008, 09:07 PM

Originally Posted by tullosrn2010

You Could Use Risk For Infection Rt Break In First Line Of Defense

If you have a "break in the first line of defense", I assume you mean the skin. You should use Impaired Skin Integrity because you have an actual problem. "Risk for" implies that no problem exists.

WAWA TO GO · Oct 29, 2008, 08:35 PM

Re: Help with Care Plans

HELLO..I HAVE A DILEMMA. WHAT IS THE FIRST PRIORITY FOR A PATIENT WHO ALREADY HAS HYPERTENSION AND HAS A HISTORY OF IT..THE FIRST INTERVENTION YOU WOULD DO WOULD BE TO CONTROL THE HYPERTENSION RIGHT??? YOU WOULD STILL TEACH ABOUT RISK BEHAVIOR MODIFICATIONS BUT THATS NOT A PRIORITY RIGHT??? THERE ARE NO OTHER SIGNS AND SYMPTOMS OTHER THAN HIGH BLOOD PRESSURE..THERE'S IS OTHER HISTORY LIKE TURP, SUPRAPUBIC TUBE, PARTIAL THYROIDISM, HIGH CHOLESTEROL...LABS WERE OK..NOTHING OUT OF "WACK" THAN OF COURSE THERE IS DEMENTIA (tmi?)

tullosrn2010 · Oct 29, 2008, 09:28 PM

Re: Help with Care Plans

yes i am referring to the skin. I said risk for b/c pt doesn't have infection yet but is prone to one bc of incision

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Help with Care Plans

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