the definition of [color=#3366ff]impaired tissue integrity
is "[font='arial unicode ms']damage to mucous membrane, corneal, integumentary, or subcutaneous tissues" (page 227, nanda-i nursing diagnoses: definitions & classification 2007-2008
). your evidence supporting the use of this diagnosis is edema of the face and around the eyes, erythema and warm skin. those symptoms do not describe anything that sounds like damage to the skin or subcutaneous tissue at all. with impaired tissue integrity
you are expecting to find open entryway in the skin, incisions, cuts, etc. often with cellulitis there is weeping of serum from the edematous tissues because they are so swollen. however, the correct diagnosis to use in those cases is impaired skin integrity
(impaired skin integrity
) since only the epidermal areas of the skin are involved. if there is no weeping of the skin and fluid only is being retained, then perhaps a diagnosis such as risk for impaired skin integrity
needs to be considered.