Saturday, March 14, 2009

Nursing care plans for Dermatophytosis (tinea)

Nursing care plans for Dermatophytosis
Dermatophytosis (tinea) is a group of superficial fungal infections usually classified according to their anatomic location. Dermatophytosis may affect the scalp (tinea capitis), the bearded skin of the face (tinea barbae), the body (tinea corporis, occurring mainly in children), the groin (tinea cruris, or jock itch), the nails (tinea unguium, also called onychomycosis), and the feet (tinea pedis, or athlete's foot). These disorders vary from mild inflammations to acute vesicular reactions.
Tinea infections are prevalent in the United States and are usually more common in males than in females. Although remissions and exacerbations are common, with effective treatment, the cure rate is very high. About 20% of infected people develop chronic conditions.

Tinea infections result from dermatophytes (fungi) of the genera Trichophyton, Microsporum, and Epidermophyton. Transmission can occur directly through contact with infected lesions or indirectly through contact with contaminated articles, such as shoes, towels, or shower stalls. Some cases come from contact with contaminated animals or soil. Warm weather, humidity, and tight clothing encourage fungus growth

Hair or nail loss and secondary bacterial or candidal infections, resulting in inflammation, itching, tenderness, and maceration, are common complications of tinea infections.

Assessment Nursing care plans for Dermatophytosis
Tinea lesions vary in appearance and duration. Inspection of the patient with tinea capitis may expose small, spreading papules on the scalp that may progress to inflamed, pus-filled lesions (kerions). Patchy hair loss with scaling may be visible. Tinea barbae appears as pustular folliculitis in the bearded area.
In patients with tinea corporis, inspection and palpation reveal flat skin lesions at any site except the scalp, bearded skin, or feet. These lesions may be dry and scaly or moist and crusty; as they enlarge, their centers heal, producing the classic ring-shaped appearance. In patients with tinea cruris, inspection and palpation find raised, sharply defined, itchy red lesions in the groin that may extend to the buttocks, inner thighs, and external genitalia. Tinea unguium starts at the tip of one or more toenails (fingernail infection is less common). Inspection reveals gradual thickening, discoloration, and crumbling of the nail, with accumulation of subungual debris. Eventually, the nail may be completely destroyed.

Diagnoses Nursing care plans for Dermatophytosis (tinea)
Key outcomes Diagnoses Nursing care plans for Dermatophytosis (tinea)
  1. patient will report feelings of increased comfort.
  2. patient and his family will demonstrate the appropriate skin care regimen.
  3. patient will voice feelings about his changed body image.
  4. patient will exhibit improved or healed wounds or lesions.
  5. patient will avoid or minimize the risk of secondary infection.

Nursing interventions Patient teaching Base On NANDA nursing Diagnosis here
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