The main symptoms of the onset of mild eczema is an area of smooth, slightly flushed dry, scaly, can cause itching or not, and is usually found in the legs or arms. In patients with acute eczema, skin will experience intense itching, usually occurs in the front of the elbows, behind the knees, and face. However, any area of skin may be affected. Furthermore, the skin becomes more sensitive to scratchy fabrics, especially wool. In the winter, the eczema will become more severe because the indoor air is very dry.
Impaired Skin Integrity related to changes in skin barrier function.
Purpose: Patients will maintain the integrity of the skin during the treatment.
Outcomes: no drought and thickening.
Nursing actions:
1. Protect your skin healthy to the possibility of maceration (excessive hydration of the stratum corneum) when installing wet bandage.
R /: Maceration on healthy skin can cause rupture of the skin and the expansion of the primary abnormality.
2. Avoid the risk of thermal injury due to the use of warm compresses the temperature is too high.
R /: Patients with dermatitis may experience a decrease in sensitivity to heat.
3. Apply lotions and creams skin immediately after bathing.
R /: Hydration effective in preventing disruption of the stratum corneum layer of the skin barrier.
4. Keep the nails are always cut short.
R /: Cutting the nail will reduce skin damage due to scratching.
Impaired sense of comfort (pain and itching) related to an inflammatory process of the skin.
Purpose: Patients will maintain the level of comfort during the treatment.
Outcomes: The patient will show reduced pain and itching after nursing actions 1 x 24 hours.
Nursing actions:
1. Assess the causes of disturbance sense of comfort.
R /: As a basis for nursing intervention plan.
2. Control irritant factors.
R /: Itching can be aggravated by heat, chemical and physical.
3. Maintain humidity of approximately 60%.
R /: With low humidity skin will lose water.
4. Maintain a cold or cool environment.
R /: Coolness reduce itching.
5. Use a mild soap or special soap for sensitive skin.
R /: These include the absence of a solution of detergent, dye or reinforcement material.
5. Wash bed linens and clothes with a mild soap.
R /: harsh soaps can cause irritation to the skin.
6. Compress Air with cold water in order to relieve the itching.
R /: Aspiration water from the gauze pack will gradually cooling the skin and relieve pruritus.
7. Apply lotions and creams skin immediately after bathing.
R /: Hydration effective in preventing disruption of the stratum corneum layer of the skin barrier.
8. Use of topical therapy as prescribed by a doctor.
R /: This action helps relieve symptoms.
