Need Nsg Dx Help

[NurseStudentFall01]

I'm in clinicals now and I went to assess my pt tonight. I'm having trouble figuring out a nursing diagnosis for psoriasis. Is is skin integrity impaired or tissue integrity impaired or something totally different? My care plan book only talks about decubitus ulcers with the skin integrity dx and only necrosis, gangreen and that sort of thing with tissue integrity dx. I know this is probably the simplest thing, but please bear with me. If it helps, I've figured out a dozen other dx's for this pt, this is the only one I'm having trouble with. Thanks for any help!

[sharann, BSN, RN]

NurseStudent,

I think you are on the right track. The skin integrity is impaired.

Also, consider these as well if you have not already:

Alteration in comfort

Risk for infection secondary to impaired skin integrity

Body image disturbance (something like that)

Good luck w/ the care planning

[NurseStudentFall01]

Thanks! I went with comfort altered r/t pruritis and lesions. I also added skin integrity impaired r/t lesions. I think I need a new care plan book, this one doesn't have half of what I'm looking for. Thanks so much for the help!