NANDA- workup

Nurses General Nursing

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I made my nanda can anyone please tell me if i have to do more information

about immobility like why did immobilty cause the skin to breakdown?

Nursing Diagnosis: Risk for impaired skin integrity

Related to: Immobility due to fractured hip

Thank you..

Specializes in ob/gyn med /surg.

do you have a care plan book? why do you think immobility would cause breakdown? where is your as evidenced by? i thought at risk for care plans didn't have r/t on them?

i haven't done "school" care plans for awhile but they are essental to nursing school and learning to care for your patient.... use your critical thinking skills as to " why would a immobile person have breakdown? "

Specializes in ob/gyn med /surg.

i called my cousin who is in nursing school and she uses mosby nursing care plans , nursing diagnosis and intervention... thats what she uses and she told me she had a A on every care plan she's written ...

i think a book will really help... in the hospital i work in the computer writes them for us... so i haven't done any in awhile..

good luck and keep us posted

immobility from fx hip

also could use r/t:

poor nutrition

AEB inability to change positions q 2 hours (by herself)

the why would be in the body of the care plan

use measurable outcomes, and ACTIVE interventions

Thank you guys..

for immobility->and because pt. can't do anything to reposition himself.

so risk for skin integrity

r/t : poor circulation due to fractured hip??

a fractured hip does not cause poor circulation

and poor circulation is not necessarily a result of a fractured hip...

it wouldn't work...

Specializes in med/surg, telemetry, IV therapy, mgmt.

better would be: risk for impaired skin integrity related to physical immobility due to (presence of cast) (being in traction)

a "risk for" means the problem does not yet exist, so the potential problem is implied. your nursing interventions that follow must be specifically designed to prevent that specific problem. see https://allnurses.com/forums/2751313-post8.html on the student forums for information on how to write them.

Specializes in Hospice, LTC.

Risk for infection? is she post op?

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