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Hi Chris,
For this nursing diagnosis, I would think that a dependent nursing action would be one that the nurse cannot initiate without the physician. So...for impaired skin integrity, perhaps this would be barrier creams, prescription creams/sprays, or special protective dressings that the physician would need to order? This varies depending on the facility, but maybe that gives you an idea.
Best wishes :)
Here are a few dependent nursing actions that pertain to your nursing diagnosis (ones that you cannot perform without the order of a physician):
1. Apply Bordeaux Butt Paste topically to buttocks and perineal region PRN after each incontinent episode.
2. Administer Vitamin C 500mg p.o. BID to promote skin integrity.
3. Apply Zinc Oxide cream topically to areas of bony prominence (elbows, sacral region, heels, vertebral processes of the back).
Chris189
20 Posts
On my care plans I have to list 2 assessments, 2 independant nursing actions, and 2 dependant nursing actions.
I am working with an 84 yo woman who is incontinent, has demtia, non ambulatory, and has a history of pressure sores. So my diagnosis is risk for impaired skin integrity related to immobility. I already have my 2 assessments and actions, but im having trouble find some "dependant" nursing actions. Any ideas or places I could go to look? Im thinking requesting some kind of support surface because that would require a doctors order. Im drawing a blank for anything else and I dont know where to look. Thanks in advance!