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Tissue Integrity and Infection - Coggle Diagram
Tissue Integrity and Infection
Alteration in Normal Processes
Surgical Wound Infection
Diabetic Foot Ulcer
Burns
Pressure Ulcer
Risk Factors
Pressure Ulcer: Immobility, incontinence, poor nutrition, age.
Surgical Wound Infection: Diabetes, obesity, immunocompromised, poor hygiene.
Diabetic Foot Ulcer: Poor glycemic control, neuropathy, vascular insufficiency.
Burns: Occupational hazards, fire exposure, unsafe environments.
Clinical Manifestations
Pressure Ulcer: Redness, open sores, skin breakdown, pain.
Surgical Wound Infection: Swelling, pus, fever, delayed healing.
Diabetic Foot Ulcer: Ulceration, foul odor, infection signs.
Burns: Blisters, open wound, pain, redness, swelling.
Laboratory and Diagnostic Tests
Pressure Ulcer: Wound cultures, CBC, CRP.
Surgical Wound Infection: Wound swab, CBC, ESR, CRP.
Diabetic Foot Ulcer: Blood glucose, wound cultures, vascular studies.
Burns: Wound cultures, CBC, imaging.
Collaborative Interventions
Pressure Ulcer: Wound care specialist, physical therapy, nutrition support.
Surgical Wound Infection: Surgical team, infectious disease consultation.
Diabetic Foot Ulcer: Endocrinologist, podiatrist, wound care nurse.
Burns: Burn unit specialists, plastic surgeons, physical therapy.
Health Promotion
Pressure Ulcer: Repositioning, skin inspections, nutrition for skin health.
Surgical Wound Infection: Post-op wound care, infection prevention education.
Diabetic Foot Ulcer: Foot inspections, diabetes management, pressure offloading.
Burns: Burn prevention education, safe environment, skin care after healing.
Nursing Process
Assessment
Nursing Diagnosis (NUR DX)
Planning
Implementation
Evaluation of Expected Outcomes