Nursing Diagnosis: Skin Integrity, impaired, actual and/or risk for
Risk factors may include
- Decreased level of activity/immobility, altered sensation, skeletal prominence, changes in skin turgor
- Malnutrition, altered metabolic state
May be related to (actual)
- Immunologic deficit: AIDS-related dermatitis; viral, bacterial, and fungal infections (e.g., herpes, Pseudomonas, Candida); opportunistic disease processes (e.g., KS)
- Excretions/secretions
Possibly evidenced by
- Skin lesions; ulcerations; decubitus ulcer formation
