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Showing posts with the label Impaired Skin integrity

Impaired Skin integrity

Altered epidermis and/or dermis Defining Characteristics: Invasion of body structures;  destruction of skin layers (dermis);  disruption of skin surface (epidermis) Related Factors: External Hyperthermia;  hypothermia;  chemical substance (e.g., incontinence);  mechanical factors (e.g., friction, shearing forces, pressure, restraint);  physical immobilization;  humidity;  extremes in age;  moisture;  radiation;  medications Internal Altered metabolic state;  altered nutritional state (e.g., obesity, emaciation);  altered circulation;  altered sensation;  altered pigmentation;  skeletal prominence;  developmental factors;  immunological deficit;  alterations in skin turgor (change in elasticity);  altered fluid status NOC Outcomes (Nursing Outcomes Classification) Suggested NOC Labels Tissue Integrity: Skin and Mucous Membranes Wound Healing: Primary Intention Wound Healing: Secondary Inte...