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Scabies nursing diagnosis

Ayurvedic Treatment for Scabies / Skin Mites - Symptoms

Explore 10 Common Causes Of Scabies Based on the assessment data, the major nursing diagnosis for patient with scabies: Risk for infection related to tissue damage. Impaired skin integrity related to edema. Acute pain related to injury to biological agents

Nursing management of patients with scabies and lice Ectoparasites have afflicted mankind since antiquity and continue to be responsible for much human suffering. The infested patient is in need of prompt, effective treatment from a compassionate, knowledgeable nurse Diagnosis Diagnosis of a scabies infestation usually is made based upon the customary appearance and distribution of the the rash and the presence of burrows. Whenever possible, the diagnosis of scabies should be confirmed by identifying the mite or mite eggs or fecal matter (scybala) The diagnosis, treatment and management of scabies in nursing and residential care can be extremely difficult, stressful and labour-intensive. Controlling the infection depends on good communication, education and teamwork. The extent of treatment should be based on risk assessment which includes the number of confirmed and symptomatic cases nursing care plan for scabies. A 32-year-old member asked: can anyone give me a nursing care plan for dysthymia? Dr. Lisa Saponaro answered. 18 years experience Clinical Psychology. Psychotherapy: Treatment for dysthymia is similar to treatment for depression. It should include psychotherapy and may also be appropriate to treat with antidepress. Diagnosis To diagnose scabies, your doctor examines your skin, looking for signs of mites, including the characteristic burrows. When your doctor locates a mite burrow, he or she may take a scraping from that area of your skin to examine under a microscope. The microscopic examination can determine the presence of mites or their eggs

Factors that contribute to the persistence and spread of scabies are overcrowding, delays in diagnosis, and poor public health awareness. Outbreaks in health care facilities, such as nursing homes, can result in dozens of patients and staff becoming infected. In a typical infestation, there are 10-20 mites Scabies Signs and Symptoms The most common symptom of scabies is severe itching, which may be worse at night or after a hot bath. A scabies infection begins as small, itchy bumps, blisters, or pus-filled bumps that break when you scratch them. Itchy skin may become thick, scaly, scabbed, and crisscrossed with scratch marks Crusted scabies (also called Norwegian scabies) is a rare but serious form of scabies. You can get crusted scabies if your body has a hard time fighting the mites, so there are more of them living on your body. People who have a weak immune system, are elderly, or have a disability such as Down syndrome are more likely to get crusted scabies Diagnosis of Scabies: Typical scabies lesions consist of papules, vesicles, or linear burrows containing the pinpoint mite; however, these may not be present on an elderly or immunocompromised infested person

Scabies Causes - Common Causes Of Scabie

Factors related to missed diagnosis of incidental scabies infestations in patients admitted through the emergency department to inpatient services. Acad Emerg Med . 2010 Sep. 17(9):958-64. [Medline] For the diagnosis of scabies, skin scrapings have high specificity but low sensitivity. Punch biopsy of a burrow is often unsuccessful in identifying mites or eggs. When a nursing mother has.

Pennsylvania nursing homes are also required by PA Code § 211.1. to report cases of scabies to the appropriate Division of Nursing Care Facilities field office. 7 The PA-PSRS scabies criteria mirrors the 2014 revised McGeer criteria for long-term care. 8 For more information see Surveillance Criteria to Identify Scabies Cases Scabies infestations can spread quickly because people are usually unaware they have the condition until 2 to 3 weeks after the initial infection. There's an increased risk of catching scabies in confined environments, such as schools and nursing homes, where people are in close proximity to one another

The diagnosis of scabies can often be made clinically in patients with a pruritic rash and characteristic linear burrows. The diagnosis is confirmed by light microscopic identification of mites, larvae, ova, or scybala (feces) in skin scrapings. In rare cases, mites are identified in biopsy specimens obtained to rule out other dermatoses Scabies is not usually a serious condition, but it does need to be treated. A pharmacist will recommend a cream or lotion that you apply over your whole body. It's important to read the instructions carefully. Let the pharmacist know if you are breastfeeding or pregnant DEFINITION • Scabies is an itchy skin condition caused by a tiny burrowing mite called Sarcoptes scabiei. • Scabies is contagious and can spread quickly through close physical contact in a family, child care group, school, class or nursing home. 3

Clinical examination remains the mainstay of diagnosis, although dermatoscopy is a useful adjunct. Scabies presents with severe itch and a papular rash, with a predilection for the hands, feet and genitalia. The distribution may be more widespread in infants and older people. Secondary bacterial infection is also common in patients with scabies. Scabies, also known as the seven-year itch, is a contagious skin infestation by the mite Sarcoptes scabiei. The most common symptoms are severe itchiness and.. Suspect scabies in a person with: and/or can occur in outbreaks in nursing homes, long-term care facilities, military barracks, and prisons. Use clinical judgement to determine if confirmation of the diagnosis with the ink burrow test and/or microscopy of skin scrapings from papules or burrows is required 2. Atypical Scabies Atypical (Norwegian) or Crusted Scabies When diagnosis and treatment are delayed, scabies can have an unusual or atypical presentation, involving heavy infestation with hundreds to millions of mites. When extensive hyperkeratotic skin lesions with crusting and scaling develop, the infestation is called atypical scabies

Scabies Nursing Management and Care Plan - Nurseslab

By alexis Health acute pain cellulitis nursing diagnosis, acute pain related to cellulitis care plan, altered primary defenses, care plan for contact dermatitis, cellulitis bed rest, cellulitis nclex, cellulitis therapeutic procedures, complications for cellulitis, impaired skin integrity nursing diagnosis, ineffective tissue perfusion care. Pediculosis and scabies are caused by ectoparasites. Pruritus is the most common presenting symptom. Head and pubic lice infestations are diagnosed by visualization of live lice. Finding nits. 1. Nursing. 2008 Dec;38(12):10. doi: 10.1097/01.NURSE.0000342004.30988.6a. Caring for a patient with scabies. Rushing J(1). Author information: (1)University of. Scabies and lice: review of the clinical features and management principles. Venna S (1), Fleischer AB Jr, Feldman SR. (1)Georgetown University School of Medicine, Washington, D.C., USA. Health care providers frequently encounter human infestations of scabies and lice A diagnosis of scabies can be made by your doctor taking your medical history and a physical examination. Laboratory tests are not usually necessary. A doctor who is experiencing in dealing with scabies will usually be able to recognize the typical inflamed burrows in the skin of the hands, wrists and elsewhere

Diagnosis of a scabies infestation is usually made based upon the customary appearance and distribution of the rash and presence of burrows. When possible, the diagnosis of scabies should be confirmed by identifying the Institutions such as nursing homes, extended-care facilities, and prisons are often sites of scabies outbreaks. Child care. Clients optimistic for recovery Nursing Diagnosis In Askep Scabies 1. Acute pain associated with injury to biological agents 2. Disturbances in sleep patterns associated with pain 3. Body image disturbance associated with changes in secondary penampian 4. Anxiety associated with changes in health status 5 Managing scabies in a nursing home. Scabies is a highly contagious pruritic ectoparasitic infestation of skin mite Sarcoptes scabiei var. hominis. (Chouela et al., 2002; Currie and McCarthy, 2010) The scabies mite, an arachnid of the genus Acarus, was first identified by Bonomo in the year 1687 AD. The adult female is larger and responsible for.

PPT - Pediatric Visual Diagnosis PowerPoint Presentation

The severity of scabies infestation is directly related to the number of mites residing on the skin and the length of time between initial infestation and subsequent diagnosis and treatment. Scabies infestations are generally categorized as typical, atypical or Norwegian (subtype of atypical) Scabies is a common skin condition in long-term care facilities like nursing homes and assisted living communities. The resulting rash can be extremely uncomfortable, and may take multiple rounds of treatment to get rid of the parasites

Long-term care facilities, including nursing homes and homes for the developmentally disabled, are also prone to scabies outbreaks. Because caregivers assist residents with bathing and dressing. Scabies among people in nursing homes and extended-care facilities has become a common problem in the United States. The residents often need help with daily tasks, so there is frequent skin-to-skin contact. Scabies can spread to nursing staff. The staff can then spread scabies to other residents. This can happen quickly

Nursing management of patients with scabies and lic

  1. Long-term care facilities should have a scabies prevention program. This program should include an assessment of the skin, hair and nail beds of all new admissions as soon as possible following arrival. Pruritus, rashes and skin lesions should be documented and brought to the attention of the nursing supervisor and the attending physician
  2. ation and scrapings. Treatment is with topical scabicides or sometimes oral ivermectin
  3. Scabies is a highly contagious skin infestation caused by a tiny, burrowing mite. This causes an itchy, red rash that can be easily passed through skin contact or through bedding or clothing
  4. The diagnosis of scabies should be considered in any nursing home resident with an unexplained generalized rash. Residents with dementia and severe functional impairment that fail to respond to Permethrin cream (5%) may benefit from treatment with oral Ivermectin
  5. Prompt diagnosis, proper treatment of cases and exposed individuals and education of staff are the most important elements of scabies control in health care facilities. Clinical Characteristics and Epidemiology. Scabies is an infestation or parasitic disease of the skin caused by the mite, Sarcoptes scabiei. The mite is primarily transmitted by.

Scabies 2 Infectious diseases have remained the most common contributor to human morbidity and mortality across the world. Even though infectious diseases can be prevented, they cause about 17 million deaths annually across the globe (World Health Organization, n.d). The impact of infectious diseases has also been increased by antibiotics resistance. . Therefore, there is a need to adopt novel. Scabies: A skin infestation caused by a mite; Sarcoptes scabiei subspecies hominis. 2.7 Scabies Outbreak: Consider the possibility of an outbreak if a health care worker or a resident in the personal care home meets the criteria for diagnosis of Scabies. • Typical Scabies - Consider the possibility of an outbreak if more than on

Scabies: Symptoms, Pictures, and Diagnosis

1. Apply cream to the affected area. Once you have a definitive diagnosis, your doctor will likely prescribe a lotion or cream to treat the scabies. These preparations can cure most cases of scabies, especially if you follow your doctor's orders Scabies is common in nursing homes and extended-care facilities in the United States. This is because frequent skin-to-skin contact between staff and residents can cause scabies to spread quickly 4. Neem Oil. Neem oil is known to kill scabies mites, and it prevents their ability to grow and breed. Neem also numbs pain and relieves itching, making it perfect to treat scabies symptoms as well. A study conducted in India evaluated 814 patients with scabies who used a paste made from neem oil and turmeric for treatment. A cure was obtained within three to 15 days in 97 percent of the cases. Scabies is an infestation of a highly contagious, microscopic skin parasite.It can spread between anyone through skin-to-skin contact and through sharing clothes, towels, or other materials that touch the skin. Scabies usually isn't serious, but it can be harmful for people with certain health conditions. It can also lead to dangerous infections without proper treatment Management of scabies in nursing homes. Yen Med J. 2021;3(1):139-147.. Abstract Background: Scabies is an infestation that occurs worldwide. The outbreak of scabies is often seen in institutionalized care such as the nursing homes which mainly cares for the elderly. This review article looks at the burden of scabies on the nursing

Scabies. B86 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM B86 became effective on October 1, 2020. This is the American ICD-10-CM version of B86 - other international versions of ICD-10 B86 may differ Scabies outbreaks are usually found in extremely crowded spaces like nursing homes, primary schools, and military bases. It is important to note that the absence of mites or their eggs and fecal matter does not exclude the diagnosis of scabies. Due to this, clinical diagnosis is the best bet for scabies Diagnosis of scabies Diagnosis is usually made clinically by examining the body for a scabies-like rash or burrows. The diagnosis can be confirmed by taking skin scrapings of non-excoriated or non-inflamed areas (burrows and pimple-like rash) using a stitch cutter

Outbreaks of scabies in a residential or nursing home should be referred to Public Health. All residents, staff, and their families are treated simultaneously on an agreed treatment date. The risk of transmission of scabies is low in schools and children can return to school after the first application of treatment has been completed Scabies diagnosis is typically made based on the presence of burrows and the characteristic appearance and distribution of the rash. Ideally the diagnosis should be confirmed by identifying the mite, which can be accomplished by carefully removing the mite from the end of a burrow using a needle tip or by skin scraping Human scabies is an intensely pruritic skin infestation caused by the host-specific mite Sarcoptes scabiei var hominis. A readily treatable infestation, scabies remains common primarily because of diagnostic difficulty, inadequate treatment of patients and their contacts, and improper environmental control measures

Scabies is an itchy skin condition caused by the microscopic mite Sarcoptes scabei. It is common all over the world, and can affect anyone. Scabies spreads quickly in crowded conditions where there is frequent skin-to-skin contact between people. Hospitals, child-care centers, and nursing homes are examples The differential diagnosis for scabies includes eczema, neurodermatitis, urticaria, contact dermatitis, drug eruption, impetigo, and, when bullous lesions are present in the elderly, bullous pemphigoid.[22,23] to make a diagnosis, a thorough skin examination should be undertaken under good light using a hand-held magnifying lens Nursing Diagnosis. 1. Risk for respiratory distress related to immaturity of the lungs, with decreased production surfactan that cause hypoxemia and acidosis. 2. Risk for hypothermia or hyperthermia related to prematurity or changes in ambient temperature. 3 Scabies infection is antediluvian and ubiquitous both in developing and developed countries, yet often neglected. Scabies has a predilection to infect vulnerable subsets of population in crowding conditions, typically applicable to residents in the nursing home. The mite incites a unique immunological response from human hosts. Scabies does not manifest as a singular skin condition and may. Scabies spreads from prolonged skin to skin contact. A simple hug or kiss will likely not spread it. It does spread where people are often in close contact like in nursing and childcare facilities. In adults, it often spreads through sexual contact. It can also spread through sharing items used by someone who has scabies like towels or linens

CDC - Scabies - Diagnosi

  1. Scabies is a skin condition caused by tiny mites. Scabies mites go into the top layer of your skin, where they live and lay eggs. Scabies makes your skin very itchy and can cause a rash of red bumps, blisters, or both. Crusted scabies (also called Norwegian scabies) is a rare but serious form of scabies
  2. Scabies outbreaks, caused by mites, rarely occur in the NICU setting. This outbreak in a unit located in an academic children's hospital demonstrates some of the diagnostic challenges associated.
  3. is. Early identification and prompt treatment of infested subjects is essential, as missed diagnosis may result in outbreaks, considerable morbidity, and significantly increased economic burden. The standard diagnostic technique consists of mites' identification by microscopic exa
  4. Avoid applying strong steroid creams, especially if the diagnosis of scabies is uncertain. Crotamiton cream or lotion has soothing qualities and may help to relieve itch. Apply crotamiton 2-3 times a day (but only once a day for children less than 3 years old)
  5. The scabies mite is an ectoparasite able to infest humans. Its clinical presentation is typical, although in immunocompromised, mentally retarded and elderly patients the clinical presentation may be altered. Diagnosis may therefore be difficult in such patient groups, who often reside in nursing homes. Because delay in diagnosis may induce rapid spread of the scabies mite, immediate diagnosis.
  6. A patient with noncrusted scabies may only be infested with 10 to 15 mites. Crusted scabies is more common in the immunocompromised, such as the debilitated elderly or a person receiving steroids or immunosuppressive therapy. If diagnosis and treatment are delayed, the number of live mites multiply resulting in heavier infestations

Scabies Nursing Time

Without treatment scabies could lead to secondary skin infections caused by bacteria due to persistent scratching. Outbreaks of scabies tend to occur in settings where people live in close quarters, such as nursing homes. In October 2018 there was an outbreak of scabies in a nursing home in the region of The Hague in the Netherlands Human scabies is caused by infection with a mite known as Sarcoptes scabiei var. hominis. Scabies is normally acquired by skin-to-skin contact with someone else who has scabies. It is frequently acquired from children and can also be sexually transmitted. This chapter is set out as follows: History. Clinical findings Early diagnosis and prompt treatment is essential to minimise the spread of infestation. Veterinary nurses have a vital role to play in early recognition, diagnosis and for providing owners with accurate accessible advice to prevent zoonotic transmission. This article summarises the latest data on the biology, diagnosis and control of scabies Scabies is easily spread among people who are in close contact. Whole families are often affected. Outbreaks of scabies are more common in nursing homes, nursing facilities, college dorms, and child care centers. The mites that cause scabies burrow into the skin and lay their eggs. This forms a burrow that looks like a pencil mark

Scabies in affected staff, patients and contacts can look atypical. If possible the diagnosis should always be confirmed with microscopic scrapings or identification of typical burrows. Treat all affected contacts simultaneously. Nursing staff or attending carers should wear plastic disposable gloves and practise strict barrier nursing Persistence of symptoms after ttt due to: • Incorrect diagnosis of scabies. Many drug reactions can mimic the symptoms of scabies and cause a skin rash and itching; the diagnosis of scabies should be confirmed by a skin scraping that includes observing the mite, eggs, or mite feces (scybala) under a microscope Scabies is curable if treated; however, if not treated it may persist indefinitely. The diagnosis of scabies is usually made from the history and examination of the affected individual, as well as from the history of the family and close contacts. Microscopy of skin scrapings can be used to confirm the diagnosis The scabies mite is an ectoparasite able to infest humans. Its clinical presentation is typical, although in immunocompromised, mentally retarded and elderly patients the clinical presentation may be altered. Diagnosis may therefore be difficult in such patient groups, who often reside in nursing.

Scabies – symptoms, causes and treatment – article1000

nursing care plan for scabies Answers from Doctors

Diagnosis of a scabies infestation usually is made based on the customary appearance and distribution of the rash and the presence of burrows. Whenever possible, the diagnosis of scabies should be confirmed by identifying the mite, mite eggs, or mite fecal matter (scybala) nursing homes, prisons, child care facilities, and institutions. Scabies transmission can also occur via prolonged contact with bed linen, clothing, Diagnosis Most diagnoses of scabies infestation are made based upon the appearance and distribution of the rash and the presence of burrows. Some common testing method Scabies in an important diagnosis to make promptly, given the highly infectious nature of this ectoparasitic skin infestation. Failure to treat promptly can result in endemic or epidemic spread. The sine qua non for the diagnosis of scabies is pruritus. As always, there is an exception: the elderly, the immunosuppressed, and certain individuals with physical or mental limitations may manifest exaggerated scabies without obvious itching (Exaggerated, Crusted or Norwegian Scabies.

Scabies - Diagnosis and treatment - Mayo Clini

  1. Nursing homes, extended care facilities, prisons, and childcare centers are frequent sites for scabies outbreaks. Healthy adults most often get these mites through sexual contact with an infected.
  2. Scabies is a highly contagious skin disease caused by the mite Sarcoptes scabiei that affects many mammals. However, the sensitivity of traditional tests for scabies diagnosis in humans is less.
  3. Scabies is transmitted in the course of close physical contact, e.g. during sexual intercourse, as well as in camps and between children under unsanitary living conditions. Transmission by means of underwear or linen is rare . . . Most states have workers compensation web pages and links to the actual regulations

1. Introduction Scabies is a type of skin disease which are caused by an infestation and sensitization by Sarcoptes scabiei var. hominis and its product [1, 2]. There are many factors which are contributing to this type of skin disease such as poor hygiene, poverty, and sexual contact and wrong diagnosis Myth: Scabies is highly contagious. Reality: Yes, scabies is contagious, but diagnosis of an acquaintance does not automatically mean your patient will contract the disease. Infection requires. The family nursing process is the same nursing process as applied to the family, the unit of care in the community. These are the common assessment cues and diagnoses for families in creating Family Nursing Care Plans. [no_toc] First level Assessment. The process of determining existing and potential health conditions or problems of the family Scabies is a skin condition caused by mites (little bugs) that burrow under the skin and produce small red bumps and severe itching. The mites easily spread from person to person, especially among people who share close living spaces Teach them to wash all linens, towels, and clothing used by the patient during the 2 days before treatment in hot water and dry them in a hot dryer. * Tell the patient to apply the prescribed scabicide cream or lotion to clean skin from her neck to her toes, including all skin folds, and to wash it off after 8 to 14 hours or as directed

Scabies - VisualD

  1. A diagnosis of clinical or suspected scabies should only be made if other differential diagnoses are considered less likely than scabies. The 2020 IACS Criteria are intended to standardize the diagnosis of common scabies, and therefore to facilitate communication and comparison of epidemiological and clinical findings
  2. In an immunosuppressed patient, the treatment option is still the same, but with close follow up. If the symptoms persist, diagnosis and treatment must be reassessed. For hyperkeratotic scabies and nail scabies, removal of thick crust, cutting of nails and occlusive dressing are additionally required
  3. Clinical presentation. Patient history plays a significant part in the diagnosis of scabies, with the presence of nocturnal and heat-aggravated pruritis, chronicity of symptoms and contact history all raising suspicion of the infestation (Fox and Usatine 2006, Tidman and Tidman 2013).To avoid delay in diagnosis and treatment, it is important to be aware that clinical manifestation can differ.

Scabies Signs and Symptoms Nanda Nursing Diagnosi

Scabies can spread more easily in nursing homes, and prisons. A person can also get scabies indirectly by sharing towels everyone in the household should seek diagnosis and treatment. Any. scabies. The mites will die within 48 hours if they are away from the human body. Scabies can spread quickly in crowded situations where there is frequent skin-to-skin contact (such as hospitals, nursing homes, and child care centers). People cannot catch scabies from animals. The most common symptom is a rash that is very itchy, especially at. Scabies is a fairly common infectious disease of the skin caused by a mite. race or standards of personal hygiene. Clusters of cases or outbreaks are occasionally seen in nursing homes, institutions and child care centers. Health education on the life history of scabies, proper treatment and the need for early diagnosis and treatment of. Pennsylvania nursing homes reported 484 cases of scabies and 37 outbreaks. One hundred ten scabies events were reported from hospital inpatient, emergency, and outpatient settings, as well as from ASFs, with one outbreak occurring in a psychiatric unit (Table) Scabies is a common condition worldwide and affects all ages, races, and income levels. It is unrelated to hygiene. Scabies is caused by an infestation of the skin by the human itch mite, which is known scientifically as Sarcoptes scabiei. The human itch mite is an eight-legged creature that can only be seen with the aid of a microscope

Scabies outbreaks affect residents of facilities such as nursing homes and rehabilitation centers, dormitories, and prisons — basically any institutional setting where close body contact is. People who are found in the older age groups and are found in nursing homes also are very prone to contacting crusted scabies. Diagnosis should be made by a medical practioner and once scabies is discovered, then the whole family or people living within that environment must be treated. Bedding, clothing and other linens must be washed with hot. Scabies and pediculosis are ubiquitous, contagious, and debilitating parasitic dermatoses. They have been known since antiquity and are distributed worldwide. Clusters of infestation occur—for example, scabies affecting immunocompromised individuals or patients and staff in hospitals and nursing homes for the elderly, and pediculosis. Scabies is a common contagious parasitic dermatosis. Transmission of the mite Sarcoptes scabiei var hominis generally occurs by skin-to-skin contact, but with crusted scabies it may also occur through fomites, such as infected clothing or bedding. Diagnosis is usually clinical

Nursingcrib

PATIENT & CAREGIVER EDUCATION Scabie

Scabies is a common skin problem caused by tiny mites called Sarcoptes scabiei . The mites burrow into the skin, leave their feces (poop). The female mites lay eggs in the tiny tunnels they create. This causes small itchy bumps and blisters. The itching and rash from scabies are due to a hypersensitive reaction to the mite, its feces, and its eggs To correctly diagnosis and treat a scabies infestation. To reduce the transmission risk and reinfestation. 2. BACKGROUND To assist clinicians in appropriate management of Scabies. 3. DEFINITIONS Contact: one who has been recently exposed to a contagious disease. Scabies: is a parasitic disease of the skin caused by a mite (Sarcoptes Scabiei. scabies_____ 6 . 4.1 Surveillance _____ 6 toenails should be checked for scaly skin which is a sign of crusted scabies. The diagnosis should be confirmed by a general practitioner or dermatologist nursing staff • personal carers. Whenever possible, the diagnosis of scabies should be confirmed by identifying the mite or mite eggs or fecal matter (scybala). This can be done by carefully removing the mite from the end of its burrow using the tip of a needle or by obtaining a skin scraping to examine under a microscope for mites, eggs or mite fecal matter (scybala)

Cat Skin Disorders Pictures Symptoms and TreatmentNursing Care Plan for Insomnia | Insomnia | Sleep | Free

Scabies is a contagious disease caused by the mite Sarcoptes scabiei var hominis. The affected individual usually complains of having a highly pruritic rash that occurs at night. It occurs more often in children <15 years of age, sexually active young adults, the immunocompromised and in persons living in crowded living conditions (eg nursing. Nursing Diagnosis Based on the assessment data, the major nursing diagnosis for patient with scabies: Risk for infection related to tissue damage. Impaired skin integrity related to edema. Acute pain related to injury to biological agents. Disturbed sleep pattern related to itchiness and pain of lesions Such institutions as hospitals, nursing homes, and long-term care facilities are sites of epidemic scabies infestations. In 1992, a study evaluating 130 Canadian long-term health care facilities found that scabies infestations had occurred in 20% of such facilities during a 1-year period [ 9 ] Scabies is a parasitic skin infestation caused by the Sarcoptes scabiei var. hominis mite, which is primarily transmitted via direct human-to-human contact. The female scabies mite burrows into the superficial skin layer, causing severe pruritus , particularly at night

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