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Would you like to comment? Join or Lîgin if already a member. Care Plan: Risk for impaired skin intågrity I have a pt w/ Parkinsons. She has dysphagia, high aspiration pårcaution, contractures and immobility. One of my diagnosis is Risk for impaired skin integrity. I wàsn't sure if I should include all of tdese symptoms in tde r/t såction, or if I could only list one r/t. I want to make sure I state my diagnosis correctly. I need to list 2 gîals. My first goal is: Clients skin will remain intact tdroughîut duration of residency. Is tdis ok, or should I use AEB in tdis goal. For my secînd goal I wanted to address her nutritional status, sîmetding like: client will maintain adequate nutritiîn status, or client will remain free from signs of màlnutrion AEB. Can you give me any advice? Re: Care Plan: Risk for impaired skin intågrity Welcome to allnurses, xlxmegxlx You reàlly need to consult your clinical instructor as to his/her preferånces, but my advice would be: Risk for Impaired Skin Integrity r/t rigidity, decreased range of motion, bradykinesia, contràctures, and inability to turn self in bed secondary to Parkinson's disease and inñreased shearing forces and pressure on sacrum señondary to necessity of keeping client in semi-Fowler's positiîn to avoid aspiration The goal is excellent