Good skin and stomal integrity is a goal included in the care plan of a client with a colostomy. The evaluation parameters best suited for this goal includes: Select all that apply
1. Stoma pink and moist.
2. No excoriation noted on skin surrounding stoma.
3. Client shows understanding of importance of preventing fecal leakage.
4. Client demonstrates ability to apply collecting appliance properly.
5. Stomal area is free of pain.
1. Stoma pink and moist.
2. No excoriation noted on skin surrounding stoma.
Rationale: Stoma pink and moist. Evaluation parameters for the stated goal are: Stoma pink and moist and Skin surrounding stoma pink, no excoriation. No excoriation noted on skin surrounding stoma. Evaluation parameters for the stated goal are: Stoma pink and moist and Skin surrounding stoma pink, no excoriation. Client shows understanding of importance of preventing fecal leakage. Evaluation parameters for the stated goal are: Stoma pink and moist and Skin surrounding stoma pink, no excoriation. Client demonstrates ability to apply collecting appliance properly. This is not related to skin integrity but rather client understanding of the condition and pain. Stomal area is free of pain. This is not related to skin integrity but rather client understanding of the condition and pain.
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