Care Plan based on pressure ulcer?

[Jedi of Zen]

I know that in the "related to" aspect of the Nursing Diagnosis of a care plan, you are NOT supposed to use medical diagnostic terminology. ex - you can't say "such and such related to colon cancer". Well, what about Pressure Ulcer Staging? Is that a strictly medical diagnosis? Could a nurse, for example, put "Impaired skin integrity related to Pressure Ulcer Stage II" in the nursing diagnosis? My guess is no, because that just seems too easy - but in my textbook, it says that nurses can "assess and stage pressure ulcers". So that kind of threw me for a loop. Any thoughts? thank you!

[Jamie2887]

I know that in the "related to" aspect of the Nursing Diagnosis of a care plan, you are NOT supposed to use medical diagnostic terminology. ex - you can't say "such and such related to colon cancer". Well, what about Pressure Ulcer Staging? Is that a strictly medical diagnosis? Could a nurse, for example, put "Impaired skin integrity related to Pressure Ulcer Stage II" in the nursing diagnosis? My guess is no, because that just seems too easy - but in my textbook, it says that nurses can "assess and stage pressure ulcers". So that kind of threw me for a loop. Any thoughts? thank you!

Not sure but I'm assuming your having slight diffilculty with your careplan also, I was on a role for awhile, and I got stopped up on a few things, I'm going to make a seperate post regarding my questions, PLEASE respond if you know, thanks.

[Daytonite, BSN, RN]

you need to refer to a nursing diagnosis reference. [color=#3366ff]impaired skin integrity the nanda taxonomy gives a number of related factors (etiologies, or causes) for this nursing diagnosis. probably the most appropriate to use would be "physical immobilization". you can write this nursing diagnostic statement as impaired skin integrity r/t physical immobilization aeb [describe the pressure ulcer--it's signs and symptoms].

there is information on writing nursing diagnoses on these threads:

• https://allnurses.com/forums/f205/desperately-need-help-careplans-170689.html - desperately need help with careplans (in nursing student assistance forum)
  
• https://allnurses.com/forums/f50/careplans-help-please-r-t-aeb-121128-7.html - careplans help please! (with the r\t and aeb) (in general nursing student discussion forum)
  

[rachiee]

heya there,

i found this site really really good for my care plans, http://www1.us.elsevierhealth.com/evolve/ackley/ndh6e/constructor/p-z.html

there is even a link to pressure sores under [color=#4d4c76]pressure ulcer and it comes up with subheadings

• acute pain
  
• imbalanced nutrition: less than body requirements
  
• impaired physical mobility
  
• impaired skin integrity
  
• impaired tissue integrity
  
• risk for infection
  
• total urinary incontinence

hope it helps you as much as it did for me

xoxox

rach

[Conrad283, BSN, RN]

Impaired skin intergrity related to ... imbalaced nutrition, immobility, etc evidenced by ....