Malaquias, S. G., Bachion, M. M., Martins, M. A., Nunes, C. A. D. B., Torres, G. D. V., & Pereira, L. V. (2014). Important Disclosure: Please keep in mind that these care plans are listed for Example/Educational purposes only, and some of these treatments may change over time. See Evaluating Your Response in Appendix C. Nursing Care Plan A Client with … 3. Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse – helping them achieve success in their careers! Healthy skin varies from individual to individual, but should have good turgor (an indication of moisture), feel warm and dry to the touch, be free of impairment, and have quick capillary refill (less than 6 seconds). The sacral wound is 5 inches wide and 2 inches deep with no drainage noted. Trauma 10. Nursing outcomes for the diagnosis impaired tissue integrity (00044) in adults with pressure ulcer, Evaluation of surgical wound healing in orthopedic patients with impaired tissue integrity according to nursing outcomes classification. A written plan ensures consistency in care and documentation (Maklebust, Sieggreen, 1996). Lab and Diagnostic work shows: WBC 22, Blood Sugar 126. Encourage use of lift sheets to move patient in bed and discourage. Patient demonstrates understanding of plan to heal tissue and prevent injury. Pt takes the following medications: Lisinopril 12.5 mg PO Daily, ASA 81mg PO Daily, Regular Insulin per sliding scale with meals, Lantus 30 units Subq at night. Monitor patient’s continence status and minimize exposure of skin impairment site and other areas to moisture from incontinence, perspiration, or wound drainage. Implementing the risk for impaired skin integrity care plan can help prevent further complications, especially discomfort and risk of infections. (2000). Impaired Skin Integrity Nursing diagnosis [1] Assessment Inspect the skin (especially bony prominences, dependent areas, and affected extremity for pallor, redness and breakdown. Maintain the head of the bed at the lowest degree of elevation possible. Pain is part of the normal inflammatory process. Monitor patient’s skin care practices, noting the type of soap or other cleansing agents used, temperature of water, and frequency of skin cleansing. In a normal setting, these defenses are adequate to defend the body from any threats, however, there are factors that may cause impairment or a break in this line of defense causing impairment of tissue integrity. Patient reports any altered sensation or pain at site of tissue impairment. Pt VS: HR 80, BP 120/80, O2 Sat 98% on RA, and RR 15. Wound assessment is more reliable when classified in such manner according to the National Pressure Ulcer Advisory Panel. To assess the extent of injury. Pt VS: HR 80, BP 120/80, O2 Sat 98% on RA, and RR 15. Nursing Care Plan Decubitus is a condition of local tissue damage caused by ischemia in the skin (cutis and sub-cutis) due to excessive external pressure. This is to avoid the adverse effects of external mechanical forces (pressure, friction, and shear). a nursing care plan … Make sure that the client has healthy skin, i.e. -The nurse will verbalize and demonstrate to the pt’s family 4 ways on how to prevent pressure ulcers. These findings will give information on extent of the impaired tissue integrity or injury. . 2. To assess the extent of injury. a nursing care plan … Tell patient to avoid rubbing and scratching. Skin Body Face Products : https://goo.gl/esZVuD Impaired Tissue (Skin) Integrity – Nursing Diagnosis & Care Plan. The sacral wound is 5 inches wide and 2 inches deep with no drainage noted. Systematic inspection can identify impending problems early and provide early treatment. Outline a teaching plan that could be given to clients for home care of an ileostomy. Oct 26, 2017 - Nursing Care Plan (Impaired Skin Integrity) - Free download as Word Doc (.doc), PDF File (.pdf), Text File (.txt) or view presentation slides online. Nursing Intervention in Patients with Impaired Skin Integrity 1. Nutritional deficits or extremes 6. Pt is also a type 1 Diabetic. Impaired skin integrity nursing diagnosis and early recognition allows for prompt intervention. Impaired Skin Integrity - Nursing Care Plan - State in which the skin of an individual is altered unfavorably. Menna Barreto, L. N., Swanson, E. A., & de Abreu Almeida, M. (2016). Impaired skin integrity often results from pressure in combination with shear and/or friction. Lab and Diagnostic work shows: WBC 22, Blood Sugar 126. Encourage a diet that meets nutritional needs. Nutrition plays an important role in maintaining an intact skin and in promoting wound healing. By accessing any content on this site or its related media channels, you agree never to hold us liable for damages, harm, loss, or misinformation. This … patient or caregiver from elevating HOB repeatedly. -Pt will gain at least 3 lbs by discharge. This is to identify patients at risk for immobility-related skin breakdown. This is to prevent exposure to chemicals in urine and stool that can strip or erode the skin causing further impaired tissue integrity. How do you develop a nursing care plan? Impaired Skin Integrity related to malnutrition and pressure ulcers as evidence by disruption of epidermal and dermal tissues. See Also: Risk for Impaired Skin Integrity Care Plan ». Each type of wound is best treated based on its etiology. Copyright © 2021 RegisteredNurseRN.com. Nursing Diagnosis Risk for Impaired Skin Integrity - Nursing Care Plan for Guillain-Barre Syndrome Guillain-Barre syndrome is a serious disorder that occurs when the body's defense (immune) system mistakenly attacks part of the nervous system. Determine etiology (e.g., acute or chronic wound, burn, dermatological lesion, pressure ulcer, leg ulcer). Develop a care plan for Mrs. Lewis for the nursing diagnosis, Risk for impaired skin integrity. Contractures are noted in both upper extremities. Menna Barreto, L. N., Silva, M. B. D., Engelman, B., Figueiredo, M. S., Rodríguez‐Acelas, A. L., Cañon‐Montañez, W., & Almeida, M. D. A. Pt has advance stage of Alzheimer’s and is aphasic. Yes, it’s the integumentary system, specifically, our skin, cornea, subcutaneous tissues, and mucous membranes are our first line of defense against threats from the external environment. Mechanical damage to skin and tissues as a result of pressure, friction, or shear is often associated with external devices. Nursing Care Plan (Impaired Skin Integrity) - Free download as Word Doc (.doc), PDF File (.pdf), Text File (.txt) or view presentation slides online. The dressing replaces the protective function of the injured tissue during the healing process. 0NURSING 120 Nursing History/Assessment and Nursing Care Plan VI. What are nursing care plans? Impaired tissue integrity, related factors and defining characteristics in persons with vascular ulcers. To assess the contributing factors leading to lack of tissue perfusion. Wanting to reach a bigger audience in teaching, he is now a writer and contributor for Nurseslabs since 2012 while working part-time as a nurse instructor. Goals Expected Outcomes Nursing Interventions Implementation Evaluations Radiation 7. Damaged or destroyed tissue (e.g., cornea, mucous membranes, integumentary, subcutaneous), Skin and tissue color changes (red, purplish, black). What nursing care plan book do you recommend helping you develop a nursing care plan? The most common cause includes physical trauma (e.g., car accident, sports injury, cuts, blunt trauma, etc.,). Incision Site Care; Pressure Ulcer Care; Skin Care: Topical Treatments; Skin Surveillance; Wound Care; Nursing Interventions and Rationales 1. Pt takes the following medications: Lisinopril 12.5 mg PO Daily, ASA 81mg PO Daily, Regular Insulin per sliding scale with meals, Lantus 30 units Subq at night. 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Topical treatments must be matched to the client, wound, and setting (Krasner, Sibbald 1999). Skin Body Face Products : https://goo.gl/esZVuD Impaired Tissue (Skin) Integrity – Nursing Diagnosis & Care Plan. Tissue perfusion is good Sep 25, 2013 - Nursing Care Plan (Impaired Skin Integrity) - Free download as Word Doc (.doc), PDF File (.pdf), Text File (.txt) or view presentation slides online. Wound care (NIC): use a TENS unit (Transcutaneous electrical nerve stimulation) to enhance the wound healing process, if necessary. To assess the contributing factors leading to lack of tissue perfusion. Chemical irritants 3. Causes[1,2] 1. An eye patch or hard, plastic shield for corneal injury. The family states the patient has been unable to walk for the past year which has lead to her being bed ridden and has not be able to eat for the past week. Care Plans are often developed in different formats. Pt has advance stage of Alzheimer’s and is aphasic. Mechanical damage to skin and tissues (pressure, friction, or shear) is often associated with external devices. Gabapentin for the treatment of itching produced by burns and wound healing in children: a pilot study. Examine the status of the patient’s skin. Discuss relationship between adequate nutrition consisting of fluids, protein, vitamins B and C, iron, and calories. His goal is to expand his horizon in nursing-related topics. Rubbing and scratching can cause further injury and delay healing. With age, skin loses its integrity. Assess patient’s nutritional status; refer for a nutritional consultation and/or institute dietary supplements. 4. Therapeutic Communication Techniques Quiz. Sep 25, 2013 - Nursing Care Plan (Impaired Skin Integrity) - Free download as Word Doc (.doc), PDF File (.pdf), Text File (.txt) or view presentation slides online. The patient needs proper knowledge of his or her condition to prevent impaired tissue integrity. Altered circulation 2. Elderly patients' skin is normally less elastic and has less moisture, making for higher risk of skin impairment. A more appropriate second goal for the nursing diagnosis 'risk for impaired skin integrity' would be: Client will demonstrate three behaviors/ techniques to prevent skin breakdown by end of student nurse shift on _____ (in terms of nursing diagnoses, the highest priority one for this client is: The following are the therapeutic nursing interventions for Impaired Tissue Integrity nursing diagnosis: Recommended resources for the nursing diagnosis impaired tissue integrity and care plan: Save my name, email, and website in this browser for the next time I comment. Immobility is the greatest risk factor in skin breakdown. a nursing care plan i developed for a patient with pediculosis. Weight loss Examine the patient’s skin condition. Related Images with Nursing Care Plan On Impaired Skin Integrity Scribd Nursing care plan Download as PDF by sree2020kanth health maintenance care plan for diabetes health information nursing Nursing Care Plans For Depression Pictures to pin on Pinterest knowledge deficit nursing care plan knowledge deficit nursing care . Infection 5. Surgery 8. Generally occurs in patients with chronic diseases that lie long. Assess general condition of skin. Nursing care plan for impaired skin integrity (including diagnosis): The nursing care plan template below includes the following conditions: Impaired Skin Integrity, Risk for Skin Breakdown, Altered Skin Integrity, and Risk for Pressure Ulcers. NURSING CARE PLAN CLIENT’S PROBLEM (NURSING DIAGNOSIS) (GOALS OR OBJECTIVES) EXPECTED CLIENT OUTCOMES NURSING ACTIONS/INTERVENTION RATIONALE/SCIENTIFIC PRINCIPLES EVALUATION Risk for skin integrity impairment r/t prolonged bed rest AEB inability to move purposefully within physical environment, … Murphy, J. V., Banwell, P. E., Roberts, A. H., & McGrouther, D. A. The patient who scratches the skin in attempts to alleviate extreme itching may open skin lesion and increase risk for infection. He wants to guide the next generation of nurses to achieve their goals and empower the nursing profession. Rationale: Presence of signs and symptoms establishes an actual diagnosis. Pale tissue color is a sign of decreased oxygenation. 3.2 Skin: How to keep the skin healthy, how to inspect the skin and what to look for 3.3 Keep moving: Supporting your residents to change position 3.4 Incontinence: Supporting your residents with incontinence 3.5 Nutrition: Supporting your residents to eat and drink well 3.6 How to write a care plan for residents at risk/with pressure ulcers 7 8 Nursing Diagnosis: Impaired Skin Integrity. If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Nursing Priorities: 1. Refer to the nurse for treatment enterostoma to get help in the assessment, discovery degrees wounds and wound care documentation or skin damage. 5. Prior assessment of wound etiology is critical for proper identification of nursing interventions. 3. If ordered, turn and position patient at least every 2 hours, and carefully transfer patient. Gil Wayne graduated in 2008 with a bachelor of science in nursing. Impaired Skin Integrity – Nursing Care Plan & Nursing Diagnosis Abdeljalil ER, RN, BSN - 25th August 2016 0 Nursing care plans: These are the important elements needed to make a nursing care plan for impaired skin integrity. The wound on the heel is draining purulent yellow drainage and is 3 inches wide and 1 1/2 inches deep. You can use this guide to help you develop your nursing care plan and nursing interventions for impaired tissue integrity. Assess site of impaired tissue integrity and determine etiology (e.g., acute or chronic wound, burn, dermatological lesion, pressure ulcer, leg ulcer). Pt is also a type 1 Diabetic. The wound on the heel is draining purulent yellow drainage and is 3 inches wide and 1 1/2 inches deep. A high-protein, high-calorie diet may be needed to promote healing. Wound infections may be managed well and more efficiently with topical agents, although intravenous antibiotics may be indicated. Here are some factors that may be related to the nursing diagnosis Impaired Tissue Integrity. Do not position the patient on site of impaired tissue integrity. Nurseslabs – NCLEX Practice Questions, Nursing Study Guides, and Care Plans, Impaired Tissue Integrity & Wound Care Nursing Care Plan, Nursing Assessment for Impaired Tissue Integrity, Nursing Interventions for Impaired Tissue Integrity, Wound care nursing: professional issues and opportunities. Accurate information increases the patient’s ability to manage therapy independently and reduce the risk for infection. When tissue integrity is left untreated, it could cause local or systemic infection and ultimately lead to necrosis. This website provides entertainment value only, not medical advice or nursing protocols. a nursing care plan … Instruct patient, significant others, and family in the proper care of the wound including hand washing, wound cleansing, dressing changes, and application of topical medications). Identify a plan for debridement when necrotic tissue (eschar or slough) is present and if compatible with overall patient management goals. Some hospitals may have the information displayed in digital format, or use pre-made templates. Jun 1, 2020 - Nursing Care Plan (Impaired Skin Integrity) - Free download as Word Doc (.doc), PDF File (.pdf), Text File (.txt) or view presentation slides online. Educate patient about proper nutrition, hydration, and methods to maintain tissue integrity. Healing does not transpire in the appearance of necrotic tissue. He conducted first aid training and health seminars and workshops for teachers, community members, and local groups. a nursing care plan i developed for a patient with pediculosis. 2. Monitor for proper placement of tubes, catheters, and other devices. If patient is incontinent, implement an incontinence management plan. Nursing care plan for impaired skin integrity is a localized injury to the skin and underlying tissue, usually over a bony prominence. Impaired Skin Integrity Nursing Diagnosis: Nursing diagnosis and assessments can help you to avoid skin damages and can lead you to design impaired skin integrity nursing care plans. Pt’s weight is 95 lb and height is 5′ 6. Impaired skin integrity: breakdown in skin primarily … Saturating dressings will ease the removal by loosening adherents and decreasing pain, especially with burns. Nurseslabs.com is an education and nursing lifestyle website geared towards helping student nurses and registered nurses with knowledge for the progression and empowerment of their nursing careers. Wet thoroughly the dressings with sterile normal saline solution before removal. © 2021 Nurseslabs | Ut in Omnibus Glorificetur Deus! Systematic inspection can identify impending problems early. a nursing care plan … Nursing care plan for impaired skin integrity (including diagnosis): The nursing care plan template below includes the following conditions: Impaired Skin Integrity, Risk for Skin Breakdown, Altered Skin Integrity, and Risk for Pressure Ulcers. Encourage the use of pillows, foam wedges, and pressure-reducing devices. To promote compliance to medication and preventing future injury. Otherwise, scroll down to view this completed care plan. Skin integrity means the condition of this organ as a whole. Classify pressure ulcers by assessing the extent of tissue damage. Related Images with Nursing Care Plan On Impaired Skin Integrity Scribd Nursing care plan Download as PDF by sree2020kanth health maintenance care plan for diabetes health information nursing Nursing Care Plans For Depression Pictures to pin on Pinterest knowledge deficit nursing care plan knowledge deficit nursing care . Use these statements below for your “related to” in your diagnostic statement. (2014). Berman, A., Snyder, S. J., Kozier, B., Erb, G. L., Levett-Jones, T., Dwyer, T., … & Parker, B. Unable to walk for the past year and has not be able to eat for the past week. This technique reduces the risk of infection in impaired tissue integrity. free of injuries, lightning strikes, cuts, rashes or damage. This is to prevent exposure to chemicals in urine and stool that can strip or erode the skin. For patients with limited mobility, use a risk assessment tool to systematically assess immobility-related risk factors. Impaired skin integrity often results from pressure in combination with shear and/or friction. Nursing Care Plan for:Impaired Skin Integrity, Risk for Skin Breakdown, Altered Skin Integrity, and Risk for Pressure Ulcers. He earned his license to practice as a registered nurse during the same year. Temperature extremes 9. His drive for educating people stemmed from working as a community health nurse. Check every two (2) hours for proper placement of footboards, restraints, traction, casts, or other devices, and assess skin and tissue integrity. There are different formats that can be followed when you’re developing a nursing care plan… Premedicate for dressing changes as necessary. Assess characteristics of wound, including color, size (length, width, depth), drainage, and odor. -Pt will be started on TPN per MD order and will be weighed every day. To promote compliance to medication and preventing future injury. If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. 1. The patient looks very thin and malnourished. Skin, the largest organ of the body functions as the protector of our inner organs and tissue. Teach skin and wound assessment and ways to monitor for signs and symptoms of infection, complications, and healing. Keep a sterile dressing technique during wound care. Check that either client has healthy skin i.e., free from wounds, outbreaks, cuts, rashes, or damaged skin. Assess site of impaired tissue integrity and its condition. Nursing care plan for impaired skin integrity is a localized injury to the skin and underlying tissue, usually over a bony prominence. Impaired Skin Integrity common due to several factors, such as an allergy to a certain temperature (climatic factors), living environment that make the skin more sensitive, a lifestyle that is not clean and many more. Educate the patient the need to notify the physician or nurse. Assess site of impaired tissue integrity and determine etiology (e.g., acute or chronic wound, burn, dermatological lesion, pressure ulcer, leg ulcer). Pt’s weight is 95 lb and height is 5′ 6. Nursing Interventions and Outcomes for the Diagnosis of Impaired Tissue Integrity in Patients After Cardiac Catheterization: Survey. Otherwise, scroll down to view this completed care plan. Serous exudate from a wound is a normal part of inflammation and must be differentiated from pus or purulent discharge, which is present in infection. This care plan is listed to give an example of how a Nurse (LPN or RN) may plan to treat a patient with those conditions. Fluid imbalances 4. Other factors also include age, weight loss, poor nutrition and hydration, excessive moisture and dryness, smoking, and other conditions affecting blood flow. Nurse Salary: How Much Do Registered Nurses Make? There are no injuries to the skin. 3. Nursing Priorities: 1. The extent and depth of injury may affect pain sensations. We strive for 100% accuracy, but nursing procedures and state laws are constantly changing. Nov 27, 2014 - Nursing Care Plan (Impaired Skin Integrity) - Free download as Word Doc (.doc), PDF File (.pdf), Text File (.txt) or view presentation slides online. Diagnosis and assessment by the nursing staff will help you prevent skin damage and can lead to care plans that compromise the integrity of the skin. Impaired skin integrity related to radiation therapy, Defining characteristics of the nursing diagnosis” high risk for impaired skin integrity”, Nursing Test Bank and Nursing Practice Questions for Free, NCLEX Practice Questions Test Bank (2021 Update), Nursing Pharmacology Practice Questions & Test Bank for NCLEX (500+ Questions), Arterial Blood Gas Analysis Made Easy with Tic-Tac-Toe Method, Select All That Apply NCLEX Practice Questions and Tips (100 Items), IV Flow Rate Calculation NCLEX Reviewer & Practice Questions (60 Items), EKG Interpretation & Heart Arrhythmias Cheat Sheet. Assess skin and tissue affected by the tape that secures these devices. Odor may be a result of presence of infection on the site; it may also be coming from a necrotic tissue. Contractures are note in both upper extremities. Incision Site Care; Pressure Ulcer Care; Skin Care: Topical Treatments; Skin Surveillance; Wound Care; Nursing Interventions and Rationales 1. All Rights Reserved. Do not treat a patient based on this care plan. This leads to nerve inflammation that causes muscle weakness and other symptoms. Redness, swelling, pain, burning, and itching are indication of inflammation and the body’s immune system response to localized tissue trauma or impaired tissue integrity. Individualize plan is necessary according to patient’s skin condition, needs, and preferences. Fever is a systemic manifestation of inflammation and may indicate the presence of infection. Use them in writing your short term or long term goals for your impaired tissue integrity care plan: Assessment is required in order to recognize possible problems that may have lead to Impaired Tissue Integrity as well as identify any episode that may transpire during nursing care. Patient describes measures to protect and heal the tissue, including wound care. Registered Nurse, Free Care Plans, Free NCLEX Review, Nurse Salary, and much more. On assessment, you note that the patient has a stage 3 pressure ulcer on her right heel and sacral area. Nursing Intervention in Patients with Impaired Skin Integrity 1. Early assessment and intervention help prevent the development of serious problems. After nursing actions for............... damage to the patient's skin integrity is resolved with outcomes criteria: Skin integrity can be maintained (sensation, elasticity, temperature, hydration, pigmentation). The patient can give suggestions on the right measures for protecting and healing the tissue. -Pt will be turned every two hours as evidence by nursing documentation.-Pt’s wounds will be changed daily per wound care orders and proper hand hygiene will be performed before and after dressing changes. This is to prevent further impaired tissue integrity complications. (2019). The formatting isn’t always important, and care plan formatting may vary among different nursing schools or medical jobs. What constitutes our body’s protection against external threats? Care Plan for Impaired Skin Integrity | Diagnosis & Risk for Pressure A pilot study of the diagnosis and treatment of impaired skin integrity: dry skin in older persons. An 93 year old female presents to the ER with her family. A break in tissue integrity is normally repaired by the body very well, though there are circumstances that it doesn’t repair it at all and replaces the damaged tissue with connective tissue. Implement a written treatment plan for topical treatment of the site of skin impairment. -Pt family will verbalize 2 ways on how to prevent pressure ulcers. Patient’s wound decreases in size and has increased granulation tissue. Avoid by massaging around affected area. Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. Enter your email address below and hit "Submit" to receive free email updates and nursing tips. Impaired Skin Integrity common due to several factors, such as an allergy to a certain temperature (climatic factors), living environment that make the skin more sensitive, a lifestyle that is not clean and many more. Initial and long-term care should be both administered to make sure that skin’s condition isn’t changing to a worse state. -Pt will not have any further skin breakdown during the hospitalization.-Pt’s wounds will be kept clean and free from any further infection. Inspect the lesion every day and monitor for signs of infection. Skin wounds may be covered with wet or dry dressings, topical creams or lubricants, hydrocolloid dressings (e.g., DuoDerm) or vapor-permeable membrane dressings such as Tegaderm. Other causes can be related to thermal factors (e.g., burns, frostbites), or chemical injury (e.g., adverse reactions to drugs), infection, nutritional imbalances, fluid imbalances, and altered circulation (e.g., pressure ulcers). Nursing care plan for Impaired skin integrity. Nursing Diagnosis Risk for Impaired Skin Integrity - Nursing Care Plan for Guillain-Barre Syndrome Guillain-Barre syndrome is a serious disorder that occurs when the body's defense (immune) system mistakenly attacks part of the nervous system. Join the nursing revolution. To have skin integrity means to have an intact and undamaged skin. The following are the stages of pressure ulcers: Pay special attention to all high-risk areas such as bony prominences, skin folds, sacrum, and heels. This leads to nerve inflammation that causes muscle weakness and other symptoms. Nursing Care for Impaired Skin Integrity Singapore What is Impaired Skin Integrity? 2. 12. stage 3 pressure ulcer on her right heel and sacral area. Provide gloves or clip the nails if necessary. Impaired skin integrity is characterized by the following signs and symptoms: The following are the common goals and expected outcomes for impaired tissue integrity. A nursing care plan for skin integrity serves as a guideline that can help health care providers offer the best help to manage and prevent further damage, allowing a patient to recover. The most important part of the care plan is the content, as that is the foundation on which you will base your care. Monitor status of skin around wound. Assess changes in body temperature, specifically increased in body temperature. NURSING CARE PLAN on Impaired Skin Integrity Nursing Diagnosis: Delayed wound recovery due to ineffective therapeutic regimen management and self-care deficit as evidenced by low self-esteem and impaired physical mobility. Manipulation of profound or extensive cuts or injuries may be painful. Nursing Diagnosis: Impaired Skin Integrity. Pezzi, M. V., Rabelo‐Silva, E. R., Paganin, A., & de Souza, E. N. (2016). Inspect the lesion every day and monitor for signs of infection. You have entered an incorrect email address! Inadequate nutritional intake places the patient at risk for skin breakdown and compromises healing further causing impaired tissue integrity. If skin has lost its elasticity for any reason, then a comprehensive nursing care plan for impaired skin integrity is needed as soon as possible to guarantee that no further damage is going to happen.