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PARONYCHIA Paronychia - Coggle Diagram
PARONYCHIA 
Definition
•An infection of the tissue folds around the nails. (Handley N, Unger A 2016)
Pathophysiology
• Paronychia is an infection of the tissue adjacent to a nail, most often a fingernail. It's caused by injury or irritation, such as a hangnail, cuticle damage or continually wet hands.
• Adjacent tissue is painful, red and swollen. There may be pus.
• Treatments include hot water soaks and medication, such as antibiotics or antifungals. Pus may need to be drained.(Handley N, Unger A 2016)
Clinical manifestation
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• Changes in nail shape, color, or texture.
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Risk factors
• occupation (dishwasher, bartender, housekeeper),
• certain medications, and
• immunosuppression (diabetes, HIV, malignancy)
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Prevention
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• Avoiding trauma caused by biting, picking, manicures, or pedicures
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Nursing Care Plan
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Intervention
• Assess the client’s description of pain or discomfort: severity, location, quality, duration, precipitating or relieving factors.
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