Assessment
Diagnosis
Planning
Intervention
Rationale
Evaluation
Objective:
>increase body temperature of 37.8C
>flushed skin
>warm to touch
>decrease elasticity of the skin
>dry skin
>delayed capillary refill of four seconds
>afebrile
>Impaired skin integrity related to altered body temperature
>At the end of the shift the patients’ capillary refill must be less than 4 seconds.
>Encouraged implementation and posting of a turning schedule, restricting time in one position to 2 hours or less

>Encouraged the SO to maintain functional body alignment of the patient like positioning it properly.

 >Assessed the patients ability to move

>Encouraged adequate hydration and nutrition


>Clean, dry and moisture skin especially bony prominences
>To prevent discomfort and injuries to the body; to promote circulation



>Misalignment can lead to discomforts and injuries to joints, nerves or limbs.


>Immobility is greater risk factor in skin breakdown

>Adequate hydration and nutrition helps maintain skin turgor, and suppleness.

>Smooth and supple kin is more resistant to injury.
Goal met as manifested by decreased in patient’s capillary refill from 4 secs. - 3 secs.

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