Impaired Skin Integrity related to Diabetes Mellitus

Nursing Diagnosis for Diabetes Mellitus: Impaired Skin Integrity

Goal: After nursing Interventions, improved wound healing:

Expected outcomes:

• Luka shrink in size and increase in granulation tissue.

Nursing Interventions:

Wound care

1. Note the characteristics of the wound: determine the size and depth of the wound, and the classification of the influence ulcers
2. Note the characteristics of the fluid that comes out secret
3. Clean with a liquid anti-bacterial
4. Rinse with 0.9% NaCl fluid
5. Perform nekrotomi, if necessary
6. Perform the appropriate tampon
7. With sterile gauze dressing as needed
8. Make dressing
9. Maintain a sterile dressing technique when performing wound care
10. Observe any changes in the packing
11. Compare and note any changes in the wound
12. Give position to avoid pressure

Rational:
Assessment of injuries, will be more realible done by the same caregiver in the same position and the same techniques.