WITH RIGHT FOOT ABSCESS AND CELLULITIS
# 1. Nursing Diagnosis: Impaired Skin Integrity
R/T: Skin breakdown
AEB: abscess in Rt foot/cellulitis
Patient’s Goals:
Short Term: patient will maintain skin from moisture.
Long Term: Patient will not develop any further signs of skin breakdown/infection.
Nursing Actions: (Interventions in order of priority):
• Assess site of skin impairment.
• Implement measures to maintain skin moisture free.
• Notify PCP if abscess worsens.
Rationale:
• Assessing the skin will prevent further progression of infection.
• Keeping the skin clean and dry reduces the amount of bacteria on skin reduces moisture.
Evaluation of Interventions:
• Not present to see patient’s outcome
Patient’s signficant/family educational needs:
• N/A: Not present to educate patient’s family.
#2. Nursing Diagnosis: Impaired Physical Mobility
R/T: cellulitis with pain
AEB: unable to bear weight on Rt foot
Patient’s Goals:
Short term: maintain leg elevated
Long Term: Get patient up and walking again
Nursing Actions: (Interventions in order of priority):
• Respect patient’s privacy while performing morning care.
• Make the patient comfortable while positioning their foot during wound care.
Rationale: