Deterioration Of Tissue Integrity

Deterioration Of Tissue Integrity

Deterioration Of Tissue Integrity


Nursing Diagnosis Definition

The nursing diagnosis for "Deterioration of Tissue Integrity" is defined as "impaired integrity of the skin, mucous membrane, or subcutaneous tissue, at risk for injury." This diagnosis encompasses situations where the patient's skin, mucous membranes, or subcutaneous tissue are compromised and vulnerable to potential harm.

Defining Characteristics


  • Pain or discomfort in the affected area: Subjective complaints indicating distress or pain related to the compromised tissue.
  • Verbalization of concern about the appearance of the affected area: Patient's expressed worry or apprehension regarding the visual condition of the affected area.


  • Redness, warmth, or swelling in the affected area: Observable signs of inflammation or vascular response in the compromised tissue.
  • Open wounds or ulcers: Visible breaks or sores in the skin, mucous membrane, or subcutaneous tissue.
  • Discoloration of the affected area: Observable changes in color that may indicate tissue damage.
  • Cracking or fissures in the skin: Observable signs of skin breakdown, presenting as cracks or openings in the affected area.

Related Factors

  • Chronic illness: Underlying health conditions contributing to compromised tissue integrity.
  • Immobility: Lack of movement leading to pressure on specific areas and subsequent tissue damage.
  • Friction or pressure on the affected area: External forces causing damage to the skin, mucous membrane, or subcutaneous tissue.
  • Inadequate nutrition: Lack of essential nutrients affecting the body's ability to maintain tissue health.
  • Impaired circulation: Compromised blood flow contributing to poor tissue perfusion and integrity.

Risk Population

  • Patients who are at risk for "Deterioration of Tissue Integrity" include those who are elderly, have chronic illnesses, are immobile, have pressure ulcers, have poor nutrition, or have impaired circulation. These individuals face higher susceptibility to compromised tissue health.

Associated Problems

  • Infection: Risk of infections affecting the compromised tissue.
  • Pain: Discomfort or pain related to the impaired tissue.
  • Decreased mobility: Impaired ability to move due to the condition of the affected tissue.
  • Decreased quality of life: Negative impact on the overall well-being and lifestyle of the patient.
  • Increased healthcare costs: Elevated expenses associated with managing the complications of tissue deterioration.

Suggestions for Use

  • Assess the patient's skin, mucous membrane, or subcutaneous tissue for signs of deterioration: Conduct a thorough examination to identify any visible or reported signs of compromised tissue integrity.
  • Implement strategies to prevent further deterioration, such as repositioning, nutrition, and skin care: Take proactive measures to minimize the risk of worsening tissue damage through interventions like repositioning, proper nutrition, and skin care.
  • Regularly re-evaluate the patient's condition and make necessary adjustments to their care plan: Continuously assess the patient's response to interventions and modify the care plan accordingly.

Suggested Alternative Nursing Diagnoses

  • Impaired physical mobility: Challenges in the patient's ability to move due to the impact of tissue deterioration.
  • Impaired skin integrity: Compromised condition of the skin related to tissue deterioration.
  • Ineffective tissue perfusion: Impaired blood flow affecting tissue health.

Usage Tips

  • Consider the patient's individual needs and abilities when implementing interventions: Tailor interventions to the specific circumstances and capabilities of the patient.
  • Evaluate the effectiveness of the interventions: Regularly assess the impact of implemented strategies on the patient's tissue integrity.
  • Involve the patient and their family in the care plan to ensure their understanding and cooperation in implementing interventions: Engage patients and their families in the care process to enhance collaboration and compliance with interventions.
  • Consult with other healthcare professionals, such as wound care specialists, to ensure the best possible outcomes: Seek expertise from specialists to optimize the management of tissue deterioration.

NOC Results

  • Tissue Integrity: The patient's skin, mucous membrane, or subcutaneous tissue is maintained in a healthy state, with minimal deterioration.
  • Pain Management: The patient's pain is effectively managed and minimized as a result of interventions.
  • Infection Control: The patient's risk for infection is reduced as a result of interventions and appropriate wound care.

NIC Interventions

  • Skin and Wound Care: This intervention involves assessment, cleaning, and dressing of the affected area to promote healing and prevent further deterioration.
  • Repositioning: This intervention involves regularly turning and positioning the patient to reduce pressure and friction on the affected area.
  • Nutrition Management: This intervention involves ensuring the patient receives adequate nutrition to support the healing process and maintain tissue integrity.

Isabella White

Hello to all nursing enthusiasts! I'm Isabella White and I'm thrilled to welcome you to this space dedicated to the exciting world of nursing. Let me share a little about myself and what we can expect together on this journey. About Me: Nursing is more than just a profession to me, it's a calling. When I'm not caring for my patients or learning more about health and wellness, you'll find me enjoying the great outdoors, exploring new trails in nature, or savoring a good cup of coffee with close friends. I believe in the balance between caring for others and self-care, and I'm here to share that philosophy with you. My Commitment to You: In this space, I commit to being your reliable guide in the world of nursing. Together, we'll explore health topics, share practical tips, and support each other on our journeys to wellness. But we'll also celebrate life beyond the hospital walls, finding moments of joy in the everyday and seeking adventures that inspire us to live fully. In summary, this is a place where nursing meets life, where we'll find support, inspiration, and hopefully a little fun along the way. Thank you for joining me on this exciting journey. Welcome to a world of care, knowledge, and connection! Sincerely, Isabella White

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