Impaired Skin Integrity

The skin is made up of the epidermis, dermis, hypodermis and associated appendages. It is considered to be the largest organ in the human body and is subject to any kind of aggression that could jeopardise the body's functioning, such as the appearance of wounds. A skin wound, of whatever origin, is an anatomical alteration of the skin that affects its physiology, especially when it affects the dermal layer. Caring for people with skin lesions requires nurses to take a holistic approach, plan strategies and a set of interventions that make it possible to achieve the proposed objectives through the systematisation of nursing care. The Nursing Intervention Classification (NIC) allows the mapping of actions or the arrangement of nursing activities within a group to determine the efficiency and effectiveness of nursing care. The systematisation of nursing care (SNC) is capable of providing support for the development of interdisciplinary and humanised care methodologies. It represents an important achievement in the field of nursing care, since it provides greater autonomy for nurses and secure support through recording.