Hypospadias is a birth defect of the urethra in the male that involves an abnormally placed urinary meatus (the opening, or male external urethral orifice). Instead of opening at the tip of the glans of the penis, a hypospadic urethra opens anywhere along a line (the urethral groove) running from the tip along the underside (ventral aspect) of the shaft to the junction of the penis and scrotum or perineum. A distal hypospadias may be suspected even in an uncircumcised boy from an abnormally formed foreskin and downward tilt of the glans.
Impaired Skin Integrity Definition
Altered epidermis and/or dermis: Invasion of body structures, destruction of skin layers (dermis), and disruption of skin surface (epidermis).
Related Factors:
External:
Hyperthermia, hypothermia, chemical substance, 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.
Nursing Diagnosis for Hypospadias : Impaired Skin Integrity
Impaired skin integrity related to surgical trauma
Characterized by:
- Objective Data: Damage to the skin, impaired healing
- Subjective Data: Report of the wound still not healed
- Normal skin, no visible damage
- Demonstrate appropriate wound healing without complications
- Protect the incision when changing position, coughing, deep breathing and ambulation
- Observe the incision is periodically
- Provide routine maintenance incision
- Reduce the possibility of an open wound sutures
- Affects choice of interventions
- Increases healing