Cues Nursing Inference Planning Intervention Rationale

Diagnosis

Subjective: Body Image Itch can be After 30 mins of Independent:

“ Ang kati ng disturbances produced by nursing intervention
katawan ko” related to diverse the patient will Encourage the promoting healthy
change in mechanical verbalize relief of patient to adopt skin skin and healing
physical stimuli such as anxiety and care routines to of skin lesions.
appearance as gentle touch, adaptation to actual decrease skin
Objective: evidenced by pressure, body image irritation:
-skin dryness desquamation. vibration, and disturbances Long bathing or
-scaly wool fibers.  Bathe or showering in hot
Thermal and shower using water causes
electrical lukewarm drying of the skin
stimuli such as water and and can aggravate
transcutaneous mild soap or itching through
or direct nerve nonsoap vasodilation.
stimulation can cleansers.
also produce
itch. The itch  After Rubbing the skin
sensation is bathing, with a towel can
received by free allow the irritate the skin
nerve endings in skin to air and exacerbate
the skin and dry or gently the itch-scratch
transmitted via pat the skin cycle.
unmyelinated C dry. Avoid
fibers and rubbing or
myelinated Ad brisk drying.
fibers to the For soothing and
central - Teach the cooling effect on
spinothalamic patient to apply wet inflamed tissue
tracts dressings and
calamine lotion
-to avoid
The patient spreading
proper Virus
handwashing
technique

Dependent:

To relief from
-Administer itching
antihistamine as
prescribed
To soften and
separate adherent
-apply antibacterial crust
ointment as
prescribed.