Ineffective Tissue Perfusion: Peripheral related to impaired circulation
Nursing Diagnosis for Atherosclerosis : Ineffective Tissue Perfusion: Peripheral related to impaired circulation
Goal: clients show improvement perfusion with
Expected outcomes: a peripheral pulse / same, normal skin color and temperature, an increase in behaviors that increase tissue perfusion.
Intervention and Rational:
1. Observation of skin color on the sick.
Rationale: The skin color typically occurs when cyanosis, cold skin. During the color change, the sick to be cool then throbbing and tingling sensations.
2. Note the decrease in pulse; traffic change skin (no color, glossy / tense).
Rationale: This change indicates progress or chronic process.
3. View and examine the skin for ulceration, lesions, gangrene area.
Rationale: Lesions may occur from the size of a pin needle to involve all the fingertips and can lead to infection or damage / loss of tissue seriously.
4. Advise for the proper nutrients and vitamins.
Rationale: The balance of a good diet includes protein and adequate hydration, necessary for healing of the sick.
5. Monitor signs of tissue perfusion adequacy.
Rationale: To identify the early signs of impaired perfusion.
6. Encourage patients perform the exercises or exercises gradually extremities.
Rationale: For circulation.
Nursing Diagnosis for Atherosclerosis : Ineffective Tissue Perfusion: Peripheral related to impaired circulation
Goal: clients show improvement perfusion with
Expected outcomes: a peripheral pulse / same, normal skin color and temperature, an increase in behaviors that increase tissue perfusion.
Intervention and Rational:
1. Observation of skin color on the sick.
Rationale: The skin color typically occurs when cyanosis, cold skin. During the color change, the sick to be cool then throbbing and tingling sensations.
2. Note the decrease in pulse; traffic change skin (no color, glossy / tense).
Rationale: This change indicates progress or chronic process.
3. View and examine the skin for ulceration, lesions, gangrene area.
Rationale: Lesions may occur from the size of a pin needle to involve all the fingertips and can lead to infection or damage / loss of tissue seriously.
4. Advise for the proper nutrients and vitamins.
Rationale: The balance of a good diet includes protein and adequate hydration, necessary for healing of the sick.
5. Monitor signs of tissue perfusion adequacy.
Rationale: To identify the early signs of impaired perfusion.
6. Encourage patients perform the exercises or exercises gradually extremities.
Rationale: For circulation.
