Care Plan Help!

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I have to make a care plan for my patient who has cellulitis. She has a wound on her leg.

My care plan dx is: impaired skin integrity related to sweeping and inflammation caused by a bacterial infection as evidence by break in skin tissue and decreased mobility.

Does this sound right?

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Specializes in Complex pedi to LTC/SA & now a manager.

Do you have access to the NANDA-I 2011-2014 book?

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I do not. Where can I find that?

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Specializes in Complex pedi to LTC/SA & now a manager.

You can easily get a book or Ebook copy from amazon or Barnes & noble for around. $20 or so. It's a great investment and explains each current diagnosis and acceptable related factors and defining factors.

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Sorry. My dx was

impaired skin integrity related to swelling and inflammation as evidenced by break in skin and decreased mobility.

I meant swelling not sweeping. So this is not acceptable? I will invest in that book, however I have to turn in the care plan in a couple of days. Thanks for letting me know about the book! :)

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Specializes in Complex pedi to LTC/SA & now a manager.

When I get home I can fix your wording but no it's not right. Look at the nursing student assistance forum there are many care plan threads. Look for replies by GrnTea especially and also Esme

I'll have access to my book in about a half hour

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Hello

I can't correct you cause I'm still learning myself, but it just feels good for me to finally read these post and the nursing lingo makes sense. I guess it means I'm actually learning.

Good luck! I'll continue to read here to see the corrections made

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Skin integrity; impaired r/t decreased mobility AMB wound (size, edging, color), swelling, etc

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Disclaimer: I'm a nursing student. Lol. So I'll try my best.

No. It's not worded correctly.

We won't know how it is suppose to be worded truly until we have a history and assessment data on this patient. So essentially, what I'm asking is, what's going on with your patient? Paint a picture for us.

Also consider this:

Cellulitis is an infection of the dermis and hypodermis. The inflammation/rubor is due to the infection - well and in reality due to your body fighting it (vasodilation causes the inflammation - as it attempts to bring resources to the area of "incident".)

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I have to make a care plan for my patient who has cellulitis. She has a wound on her leg.

My care plan dx is: impaired skin integrity related to sweeping and inflammation caused by a bacterial infection as evidence by break in skin tissue and decreased mobility.

Does this sound right?

Okay. It looks like you may have things flip flopped. Think about your own wording for a second. However, first consider the following.

Example:

Excess fluid volume r/t excess fluid intake as evidenced by jugular vein distention and crackles upon auscultation.

Translation:

Excess fluid ((because*R/T*)) the patient drank so much water ((I can tell you*AEB*)) they have excess fluids because their jugular veins pop at me and they have fluid in their lungs when I listen to them.

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