Impaired Skin Integrity - NCP for Dermatitis

Dermatitis or eczema is inflammation of the skin. It is characterized by itchy, erythematous, vesicular, weeping, and crusting patches.

Dermatitis symptoms vary with all different forms of the condition. They range from skin rashes to bumpy rashes or including blisters. Although every type of dermatitis has different symptoms, there are certain signs that are common for all of them, including redness of the skin, swelling, itching and skin lesions with sometimes oozing and scarring.

Although the symptoms of atopic dermatitis vary from person to person, the most common symptoms are dry, itchy, red skin. Typical affected skin areas include the folds of the arms, the back of the knees, wrists, face and hands.

Nursing Diagnosis for Dermatitis : Impaired skin integrity related to the dryness of the skin

Goal :
The skin can return to normal.

Outcomes:
The client will maintain skin hydration in order to have a good and downs of inflammation.

Characterized by :
  • revealed an increase in skin comfort,
  • reduced the degree of exfoliation,
  • reduced redness,
  • reduced blisters, due to scratching,
  • healing damaged skin areas.

Intervention:
1. Shower at least once a day for 15-20 minutes. Immediately apply ointment or cream that has been prescribed after a shower. Bathing more frequently if signs and symptoms increased.
Rationale: With bath water will seep under the skin saturation. Application of a moisturizing cream for 2-4 minutes after bathing to prevent water evaporation from the skin.

2. Use warm water not hot.
Rationale: hot water causes vasodilation which will improve pruritus.

3. Use moisturizing soap, or soap for sensitive skin. Avoid bubble bath.
Rational: soap that contains moisturizers less alkaline content and do not make dry skin, dry soap may increase complaints.

4. Spread / give ointment or cream that has been prescribed two or three times per day.
Rationale: ointment or cream to moisturize the skin.

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