Pathway Dekubitus.docx

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Pathway Faktor tekanan, toleransi jaringan, durasi & besar tekanan

Tekanan eksterna > tekanan dasar

Hipoksia

Alirab darah menurun atau menghilang

Tidak mendapat suplai nutrisi & leukosit yang cukup

Resiko infeksi

Iskemik jaringan & infeksi

Kematian jaringan

Perubahan temperature kulit

Dekubitus

Nyeri akut

Hilang sebagian lapisan kulit, terjadi luka

Kerusakan integritas kulit

Lapisan kulit hilang secara lengkap, meluas & luka dalam

Keterbatasan gerak

Gangguan citra tubuh

Kerusakan integritas jaringan

Tingkat kesakitan tinggi

Gangguan rasa nyaman Hambatan mobilitas fisik

Penurunan perilstaltik usus

Anoreksia

Defisit nutrisi

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