Page 1203 - Saunders Comprehensive Review For NCLEX-RN

Introduction

Pyramid to Success

The Pyramid to Success focuses on the concept that the integumentary system
provides the first line of defense against infections. Focus is on the protective
measures necessary to prevent infection, including infection from colonization with
a multidrug-resistant organism, such as methicillin-resistant Staphylococcus aureus
(MRSA). Pyramid Points address the risk factors related to the development of
integumentary problems, and the preventive measures related to these problems,
including skin cancer. Another important focus are the emergency measures related
to bites and stings. Psychosocial issues related to the body image disturbances that
can occur as the result of an integumentary problem and providing psychosocial
support is a primary nursing consideration

Client Needs: Learning Objectives

Safe and Effective Care Environment

Consulting with interprofessional health care team members regarding
treatments
Ensuring that informed consent has been obtained for treatments and
procedures
Establishing priorities of care
Handling of hazardous and infectious materials
Instituting standard and other precautions
Maintaining confidentiality related to the skin problem
Making referrals to appropriate interprofessional health care team members
Practicing asepsis techniques and preventing infection

Health Promotion and Maintenance

Implementing disease prevention measures
Performing physical assessment techniques for the integumentary system
Promoting health screening and health promotion programs to prevent skin
problems
Providing instructions to the client regarding prevention measures and care for
an integumentary problem

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