About
Incisional edges start to separate, edges are not approximated. Usually occurs as a result of incisional pulling, straining, or increased stress at incision site.
Assess
Incision edges and approximation, obesity, splinting with coughing, surrounding skin
Complications
Evisceration, scarring, infection
Diagnosis
- Impaired skin integrity related to incision trauma
- Pain related to incisional trauma
- Risk for infection
Goals
- The client's incision will heal with edges well approximated.
- The client will remain free from infection.
- The client will identify strategies to prevent incision stress.
Interventions
- Assess incisions frequently, noting any signs of stress, tension on sutures or staples.
- Teach client preventative strategies such as using splinting with coughing and deep breathing.
- Apply abdominal binder for high risk ( obese) clients as indicated by physician.
- Notify physician immediately if excess bleeding, drainage, swelling, or redness surrounding incision.
- Notify physician if edges start to separate from incision site or if absent staples or sutures along incision line.
- Cover any areas of separation with sterile gauze to prevent infection.
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