- Impaired physical mobility related to neuromuscular impairment, pain/discomfort, and restrictive therapies as evidenced by limited ROM and muscular strength
- Disturbed body image related to traumatic event and disfigurement as evidenced by self-reported negative feelings about self and worry concerning others' reactions
- Imbalanced nutrition related to hyper-metabolic state as evidenced by decreased body weight and loss of muscle mass
- At risk for ineffective tissue perfusion related to reduction/interruption of arterial/venous blood flow from circumferential burns
- Acute pain related to tissue damage as evidenced by report of pain and non-verbal pain responses (ex. grimacing, guarding, fetal position, etc.)
- Impaired skin integrity related to disruption of skin surface and destruction of skin layers as evidenced by absence of viable tissue
- Actual and potential: at times the absence of viable tissue will be obvious but other times the integrity of the tissue will be questionable
- Impaired skin integrity is both an actual and potential problem
- Related to: absence of viable tissue that is capable of being a barrier between the internal environment of the body and the external environment surrounding the body
- Plan and outcome: provide alternative barriers to act as a barrier between the internal and external environments of the body
- alternative barriers need to aid in wound healing and prevent infection
- assessments should identify progress of wound healing and identify early infection or tissue necrosis
- Nursing interventions: Assessment, wound care, and infection prevention
- Assess and document wound characteristics, size, color, depth, changes, and note condition of surrounding tissue and necrotic tissue
- Remove necrotic tissue and unnecessary xenograft (underlying tissue must be healed and xenograft must be dried out) from wound bed
- Change wound dressings, apply antibiotic ointments, maintain skin grafts and synthetic dressings
- Administer antibiotic therapies as ordered
http://nurseslabs.com/11-burn-injury-nursing-care-plans/
Vera, Matt. 11 Burn Injury Nursing Care Plans. Nurseslabs.com, n.d. Web. 20 May 2015. <http://nurseslabs.com/11-burn-injury-nursing-care-plans/>.
It is no secret that I have a very deep and personal relationship with God. I have pushed and resisted that relationship this past year through all the bullshit I have had to go through living with Herpes but once again, God is bigger than my stubbornness and broke through that outbreak cold sore and all I had Genital Herpes. For me personally, hearing over and over how I am not good enough has really invaded my mind in the worst way possible. I completely shut down and I was just waking up like is this how life going to end this temporary herpes outbreak “fuck everybody with herpes if you know what I mean” but let's be honest here...
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