We will also cover what you can do as a care provider to help your senior family member or client to maintain skin integrity, as well as to help in the skin healing process if necessary. We will discuss what is skin integrity, the complications that can arise from losing it, and the various causes and risk factors for loss of skin health with aging. In this article, we will cover the topic of skin integrity when it comes to older adults. This is often referred to as the loss of skin integrity. Unfortunately, as we age, our skin health gradually starts to deteriorate due to several reasons, and it becomes less effective in its protective role. Not to mention, skin plays a vital role in one’s appearance, which may impact your self-image and quality of life. Your skin acts as a barrier and protects you from a variety of things like trauma, changes in outside temperature, and environmental chemicals, to name a few. But protection is one of the most important functions of your skin. Nursing Care Plan for Goiter - Assessment and Diag.Many people don’t think of their skin as a protective organ.
R /: Laken, wet, dirty, matted facilitate the occurrence of pressure sores. Keep the bed, lake remains clean, tight and dry. R /: Identifying early signs of pressure sores. R /: To identify patients in need of ADL ability. Assess the patient's degree of dependence. R /: muscle paralysis can occur quickly with a pattern that has been rising. Assess motor function and sensation every 4 hours.
#Risk for impaired skin integrity free#
Maintaining depressed area remains dry and intact, free of pressure sores.ġ.Patients retain the skin remains dry and intact.Nursing Diagnosis : Risk for Impaired Skin Integrity : dekubitus related to kelemahan otot, paralisis, gangguan sensasi, perubahan nutrisi, inkontinensia. Electromyography (EMG) tests the electrical activity in muscles.Cerebrospinal fluid sample ("spinal tap").There may be signs of decreased breathing caused by paralysis of the breathing muscles. The examination will also show that reflexes, such as the "ankle or knee jerk," are decreased or missing.
Signs and testsĪ history of increasing muscle weakness and paralysis may be a sign of Guillain-Barre syndrome, especially if there was a recent illness.Ī medical exam may show muscle weakness and problems with involuntary (autonomic) body functions, such as blood pressure and heart rate. This is because GBS can be deadly if weakness spreads to muscles that control breathing, heart rate, and blood pressure. You may need to be treated in the hospital for the first few weeks. After about 4 weeks, most people begin to get better. Over several days, muscle weakness in the legs and arms develops. Symptoms usually start with numbness or tingling in the fingers and toes.