Skip to content
View in the app

A better way to browse. Learn more.
allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

Help with DX

I have an OB patient and was going to go with Impaired Tissue Integrity but not sure if its tissue integrity or skin integrity. What do you think? I gave ice packs, tucks pads, epifoam, and instructed her on sitz baths to help with soreness and swelling. I was thinking skin integrity was more like preventing infections but not really sure.

Featured Replies

I assume your talking about an episiotomy or laceration. It really depends on how deep the wound is - if it is a 1st degree to 4th degree - that's what you want to know.

You are giving care for it, so I know you have one, just how deep is the question. Skin integrity is just that, skin. Tissue refers to everything below it, fascia, adipose, muscle, etc.

  • Author

She didn't actually have an episiotomy, maybe a small laceration but nothing much. But there was still swelling.

  • Expert

your diagnosis is always based on assessment of the laceration never on the treatments for it. how did the doctor describe the laceration in their documentation?

  • impaired skin integrity
    • first degree lacerations - involves superficial lady partsl mucosa or perineal skin

    [*]impaired tissue integrity

    • second degree lacerations - involves deeper tissues and perineal muscles
    • third degree lacerations - extend into the rectal sphincter
    • fourth degree lacerations - extend through the rectal sphincter and into the rectal mucosa

swelling is part of the inflammatory response of this mom's body to the tissue trauma. the 4 cardinal signs of inflammation are redness, heat, swelling and pain.

Guest
This topic is now closed to further replies.
Go to topic listing

Currently Reading 0

  • No registered users viewing this page.

Account

Navigation

Search

Search

Configure browser push notifications
Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.