Question

a client is confined to bed due to a spinal cord injury. the client's plan of care identifies a nursing diagnosis of risk for impaired skin integrity related to immobility. what would be most appropriate for the nurse to do when providing skin care to this client?

Answer 1

• Position changes: The nurse should reposition the client every 2 hours, using a turning schedule to prevent pressure ulcers.
• Skin inspection: The nurse should inspect the client's skin at least once a day for redness, blisters, or other signs of skin breakdown. Any abnormalities should be reported to the healthcare provider immediately.
• Skin cleaning: The nurse should clean the client's skin gently with a mild soap and warm water, being careful not to cause friction or remove the skin's natural oils.
• Moisturizing: The nurse should apply moisturizing lotion or cream to the client's skin to prevent dryness and cracking.
• Protection: The nurse should use pillows, padding, and other devices to protect bony prominences from pressure.