Impaired skin integrity related to pruritis
Expected outcome
- Demonstrates improved skin integrity-intake skin with no evidence of excoriation for infection, decrease scrathing, no prurutis.
- Use starch or baking soda baths, soothing lotions such as calamine.
- Administer cholestyramin (questran) to promote fecal excretion of bile salts to decrease itching .
- Administer antihistamines, transquilizers, and sedatives if prescribed.
- Assist the patient to divent the patien in reducing the strong tendency to scrach his skin :
- encourage activities to divent the patient attention
- keep nails trimmed and clean
- Avoid excessive top bleeding
- Give sooting massage, particular at night in prepering the patient for sleep, since this is a time when he is specially likely to scrach.
- Provide the client with gloves to use at night if the patient scratches during sleep.
