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Nursing Intervention and Implementation for Burns Patient, Wulan Azahra…
Nursing Intervention and Implementation for Burns Patient
Intervention
Impaired Skin Integrity
Intervention: Skin Care: Graft/Donor Site NIC
Pascaoperative
Praoperative
Outcome
Burn Healing
Demonstrate tissue granulation.
Achieve timely healing of burn wounds.
Risk for peripheral Neurovascular Dysfunction
Intervention: Pain Management: Acute
Outcome
Maintain palpable peripheral pulses of equal quality and strength; good capillary refill, free of numbness or paresthesia.
Acute Pain
Intervention: Pain Management: Acute
Outcome
Pain Level
Report pain reduced or controlled.
Display relaxed facial expressions and body posture.
Pain Control
Participate in activities and sleep and rest appropriately
Implementation Medication: Local Wound Care
Second degree burns
Superficial burns
Deep burns
Third and Fourth Degree Burns
First degree burns
Wulan Azahra_2106753132 Focus Group 4