Subjective Risk for The skin is the Short Term: INDEPENDENT After one

Impaired primary defense of After 15 minutes of INTERVENTION hour of

 “Makati Skin the body. The health teaching the S nursing
ang sugat Integrity r/t integument SO of the client will  Assess mood,  To evaluate interventio
nung dry skin and protects the body be able to: abilities, and patient’s attitude ns the goal
bata” as behaviors against harmful personal which may was met as
verbalize that may microorganisms  Verbalize styles. contribute to skin evidenced
d by lead to skin that can cause understanding of  Assess site of breakdown. by:
caregiver integrity diseases, infections factors that impaired  Redness, swelling,
impairment and microbial contribute to tissue integrity pain, burning, and  Verbaliza
Objective AEB invasion. skin integrity and its itching are tion of
scratching A normal skin can impairment condition. indication of SO’s
 Observed of scars and be observed as  Verbalize proper  Provide the inflammation and understa
scratchin scabs moist and intact. wound cleaning client’s SO the body’s immune nding of
g of scars Dryness of the skin techniques and health teaching system response factors
and is more prone to proper hygiene regarding the to localized tissue and
wound friction and can be importance of trauma or proper
 Rashes a risk and may Long Term: maintaining a impaired tissue wound
 Dark result to In the span of 1 moist and integrity. cleaning.
coloration impairment of skin hour, the client will intact  Increased  Absence
integrity. be able to apply integument. knowledge of both of
If the damaged what he learned to  Provide the the client and SO patient’s
tissue is left his daily regime. client’s SO will help with the itchiness
untreated, the health teaching client’s treatment on
patient will be at  Absence of in giving a and prevention of wounds
risk for local or itchiness balanced diet skin breakdown. and scars
systemic infection.  Absence of and nutritious  A high-protein, and
rashes food. high-calorie diet rashes
may be needed to
promote healing.