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RNSG 1324

Concept-Based Transition to Professional Nursing Practice

Concept – TISSUE INTEGRITY

Concept Definition
Tissue Integrity is the ability of body tissues to regenerate and/or repair to maintain normal
physiological processes.

Exemplars
Dermal Ulcers
Impetigo
Psoriasis
Wounds (traumatic and surgical)
Tinea Pedis
Candida
Pediculosis (lice)

Objectives
1. Explain the correlation of the listed exemplars to the concept of tissue integrity (including
definition, antecedents, and attributes).
2. Analyze conditions which place a patient at risk for impaired tissue integrity.
3. Identify when Tissue Integrity imbalance (negative consequence) is developing or has
developed.
4. Apply the nursing process (including collaborative interventions) for individuals experiencing
Tissue Integrity imbalance and to promote normal Tissue Integrity.

Assignments
Review the following from previous course(s)
 Anatomy and physiology of skin and tissue associated with the skin
Prior to class
 Follow the “Read Me” File under the Tissue Integrity Module on Canvas
 Review the Tissue Integrity Concept Analysis Diagram with explanation
 Complete the assigned readings
*Page numbers, assignments, and other lecture information will be posted on blackboard.
 Giddens (2017) Chapter 27
 Yoost (2015) Chapter 29
 Lewis (2014) Chapter 12, 20, 23 & 24
 McKinney (2013) Chapter 49
 Burchum & Rosenthal & Lehne Pharmacology Course On-line Chapter 105

Concept Content Outline:


Antecedents: Good Nutrition
Lack of External Trauma
Adequate Perfusion
Limited Pressure on Site
Affected by Life Cycle (birth to death)
Attributes: Integument - Structurally
Intact and Functioning
Normal Healing Process
Interrelated Concepts:
Immunity
Fluid and Electrolytes
Thermoregulation
Perfusion
Elimination
Nutrition
Mobility
Sensory
Sub Concepts: Primary Prevention
Self-care Behaviors
Three Stages of Wound Healing
Risk Factors: Prolonged pressure
Poor hygiene
Poor nutrition
Incontinence
Breaks in skin
Negative Outcomes:
Pain
Infection
Altered Body Image
Loss of Fluid/ Loss of Electrolytes
Decubiti
Positive Outcomes:
Protection from infection
Adaptation to environment
Protection from injury and or trauma
Structure and Function of Skin:
Epidermis
Dermis
Subcutaneous
Appendages
Primary and Secondary Skin Lesions:
Description
Distribution
Variations
Diagnostic Studies:
Description, purposes and nursing responsibility
For Each Exemplar:
Assessment:
Comprehensive history
Physical assessment
Physical and psychological clinical manifestations
Diagnostic tests
Clinical Management:
Nursing interventions
Collaborative interventions
Pharmacological therapy
Non Pharmacological therapy
Procedural therapy
Diagnostic studies

N:ADN Syllabus/CBC Curriculum/Transition Summer 2017/RNSG 1324/Tissue Integrity Revised 3/17