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Cellulitis is a common, potentially serious bacterial skin infection. Cellulitis appears as a swollen, red area of skin that feels hot and tender, and it may spread rapidly. Skin on lower legs is most commonly affected, though cellulitis can occur anywhere on your body or face. Cellulitis may affect only your skin's surface, or cellulitis may also affect tissues underlying your skin and can spread to your lymph nodes and bloodstream
Cellulitis is a common, potentially serious bacterial skin infection. Cellulitis appears as a swollen, red area of skin that feels hot and tender, and it may spread rapidly. Skin on lower legs is most commonly affected, though cellulitis can occur anywhere on your body or face. Cellulitis may affect only your skin's surface, or cellulitis may also affect tissues underlying your skin and can spread to your lymph nodes and bloodstream
Cellulitis is a common, potentially serious bacterial skin infection. Cellulitis appears as a swollen, red area of skin that feels hot and tender, and it may spread rapidly. Skin on lower legs is most commonly affected, though cellulitis can occur anywhere on your body or face. Cellulitis may affect only your skin's surface, or cellulitis may also affect tissues underlying your skin and can spread to your lymph nodes and bloodstream
S : Medyo ni- nerbyos na ako ng makausap ko ang doctor. As verbalized by the patient.
-increased alertness -v/s taken as follows : P : 125 bpm R : 22 cpm
Fear related to unfamiliarity with environmental experiences as evidenced by increased alertness.
After 8 hours of rendering nursing intervention, the client will lessen his fear.
INDEPENDENT : >Note degree of incapacitation.
>Measure vital signs/physiological responses to situation.
>Stay with the client or
To assess degree of fear and reality of threat perceived by the client.
To assess degree of fear and reality of threat perceived by the client.
Sense of
After 8 hours of rendering nursing intervention, clients fear has lessened.
measures to maintain proper skin functioning.
>Discuss importance of early detection of skin changes and/or complicatio ns. . DEPEDEN T : >Assist Nurse on duty in give prescribed IV meds as indicated.
To promote wellness.
To relieve inflammation. make arrangements to have someone else be there.
>Identify clients partner the responsibility for the solutions.
>Instruct patient in use of relaxation/visualization and guided imagery skills.
abandonment can exacerbate fear.
Enhances sense of control
Provides a helpful and healthy outlet for energy generated by fearful feelings and promotes relaxation.
S : Namamaga at namumula ang kanang paa ko. As verbalized by the patinet.
O : -swelling of the right foot -skin redness -skin lesions
Impaired skin integrity related to bacterial infection as manifested by the swelling of the right foot.
SHORT TERM GOAL : After 4 hours of rendering nursing intervention, patient will be able to participate in preventive measures and treatment program.
LONG TERM GOAL:
After 1 week the client will be taught what a part of his body is at most risk for skin break down
INDEPENDENT : >Identify underlying cause/condition involved. R : To assess causative/contributing factors. >Note changes in skin color, texture and turgor. R : To assess extent of involvement/injury. >Determine depth of injury/damage to integumentary system. R : To assess extent of involvement/injury. >Inspect skin on a daily basis, describing lesions and changes observed. R : To assist with correcting/minimizing condition and promote optimal healing. >Keep the area clean/dry, prevent infection, and stimulate circulation to surrounding areas. R : To assist bodys natural process of repair. >Review importance of skin and measures to maintain proper skin functioning. R : To promote wellness. >Discuss importance of early detection of skin changes and/or complications. R : To promote wellness. >Assist clients mother in understanding and following medical regimen and developing program of preventive care and daily maintenance. R : Enhances commitment to plan,
After 4 hours of rendering nursing intervention, the clients mother participated in preventive measures and treatment programs for her child.
After week of teaching the client, he is seen doing a self-inspection of his lower extremities.
Discharge Planning Get plenty of rest. This gives your body a chance to fight the infection. Raise the area of the body involved as high as possible. This will ease the pain, help drainage and reduce swelling. Please check the label for how much to take and how often. The pain eases once the infection starts getting better. optimizing outcomes.
DEPEDENT : >Assist Nurse on duty in give prescribed IV meds as indicated. R : To relieve inflammation.
Be sure to take the full course of antibiotics. You may be advised to make a follow-up appointment with your doctor to make sure the cellulitis is improving. Dont forget to do this.