NUR 424 Lecture Notes - Lecture 10: Occlusive Dressing, Debridement, Atrophoderma
Document Summary
Chapter 61: management of patients with dermatologic problems. Nursing goals for skin care: prevent: additional damage, secondary infection, contact precautions, appropriate care- wound care, dressings, reverse inflammation (inflamed, dry/scaly, relieve discomfort & protecting the skin, bathing practices: choice of soothing products / avoid friction, changing dressings. Nursing management: health history, observation, physical examination, patient education for self-care, medical therapies, understanding of expected outcomes. Skin grafts: five rules, categorization, selection, change, evolution, practice. Pruritis: most common symptom with dermatologic disorders, associated with systemic disease (chart 61-1, p. 1773, medical management. Identify/treat etiology: administer pharmacologic therapy, avoid triggers/causative factors, nursing management, patient education for self-care, focus on good hygiene. Wound care: autolytic debridement, enzymatic debriding agents- uses body"s own digestive enzymes to break down necrosis. Allows wound to heal from inside out: more effective debridement than surgical debridement, wound is kept moist with occlusive dressing, categories of dressings, occlusive dressings. Airtight closure by using a plastic film (plastic wrap)