Dermatitis Pain Management - NIC NOC

Dermatitis is an inflammation of the skin accompanied by flaking epidermis and formation of scales (Brunner and Suddart 2000). So dermatitis is inflammation of the skin characterized by itching.

Cause of dermatitis in general can be divided into 2, namely:
Exogenous: eg chemicals (detergents, oil, cement, acid, alkaline), physical (sunlight, temperature), microorganisms (microorganisms, fungi).
Endogenous: eg atopic dermatitis.

Clinical manifestations
In general, the clinical manifestations of dermatitis signs of acute inflammation, especially pruritus (itching), increase in body temperature, redness, edema such as the face (especially the lid and lips), impaired function of the skin and external genitalia.

Acute stage: skin disorders such as erythema, edema, vesicles or bullae, erosion and exudation that looks wet.
Subacute stage: erythema, and edema is reduced, exudate dries to leprosy.
Chronic stage: the lesion appears dry, squama, hyperpigmentation, papules.
The stages are not always sequential, could have been from the beginning a dermatitis from the beginning give clinical picture of skin disorders such as chronic stage.

Nursing Diagnosis for Dermatitis: Acute Pain

Supporting Data:
  • Clenched jaw / clenching his fists
  • Agitation
  • Anxiety
  • Changes in sleep patterns
  • Pulling away when touched
  • Nausea and vomiting
  • Skinny picture

Risks Control
  • Clients report reduced pain with pain scale 2-3
  • Calm face expression
  • Clients can rest and sleep
  • Vital signs within normal limits.

Pain Management:
  • Comprehensive review of pain (location, characteristics, duration, frequency, and quality factor of precipitation).
  • Observation inconvenience.
  • Use therapeutic communication techniques to determine the client's experience of pain before
  • Control of environmental factors that affect pain such as room temperature, lighting, noise.
  • Choose and pain management (pharmacological / non-pharmacological).
  • Teach non-pharmacological techniques (relaxation, distraction, etc.) to mengetasi pain ..
  • Collaboration of analgesics to reduce pain.
  • Evaluation of pain reducers / pain control.
  • Monitor vital signs
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