Nursing Skin Integrity Assessment
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Create a comprehensive skin integrity assessment for patient at risk.

Patient details:
- Age: [age]
- Mobility: [independent/limited/immobile]
- Nutrition status: [adequate/poor]
- Moisture exposure: [incontinence/diaphoresis]
- Sensory perception: [intact/impaired]
- Braden scale score: [number]
- Risk level: [low/moderate/high/very high]

SKIN ASSESSMENT DOCUMENTATION

1. HEAD TO TOE SKIN ASSESSMENT
   Head/scalp: [findings]
   Face: [findings]
   Ears: [behind ears — common pressure site]
   Neck: [findings]
   Chest: [under breasts if applicable]
   Back: [thoracic spine/scapulae]
   Sacrum/coccyx: [HIGH PRIORITY]
   Buttocks/gluteal: [findings]
   Hips: [trochanter area]
   Heels: [HIGH PRIORITY]
   Ankles/malleoli: [findings]
   Between toes: [findings]
   Under medical devices: [tubes/O2/splints]

2. PRESSURE INJURY STAGING (if present)
   - Location: [anatomical]
   - Stage: [1/2/3/4/unstageable/DTI]
   - Measurements: [L x W x D]
   - Description: [wound bed/edges/periwound]

3. PREVENTION INTERVENTIONS
   - Repositioning schedule: [every X hours]
   - Specialty surface: [mattress type]
   - Heel offloading: [device used]
   - Moisture management: [barrier cream]
   - Nutrition consult: [ordered]
   - Wound care consult: [if injury present]

4. PATIENT AND FAMILY EDUCATION
   - Repositioning importance: [taught]
   - Skin inspection: [demonstrated]
   - Nutrition: [discussed]
   - Reporting changes: [instructed]

Note: Placeholder information only

Source: https://promptzyo.com/prompt/nursing-skin-integrity-assessment