EFFECTIVENESS OF SKIN INTEGRITY AND BEDREST OF CELLULITIS PA-TIENTS: CASE STUDY

Abstrak

Cellulitis is an acute bacterial infection of the skin that spreads to the dermis, and subcutis layers preceded by injury or trauma; At the same time, the causes are beta-hemolytic Streptococcus and Staphylococcus aureus and an unsanitary environment, which can increase trauma and infection in the extremities, as for the signs and symptoms of Cellulitis. Namely, redness or inflammation of the extremities accompanied by pain, feeling hot, feverish, and muscle stiffness occurs so that it interferes with movement. After the author conducted an assessment on Mrs. H due to Cellulitis was obtained after practicing in a hospital where the environment was dirty so that it caused injuries to both lower extremities and caused the patient to have a fever, with observations that the patient appeared to be in pain with a pain scale of 5 (0-10), the patient felt hot on his body with body temperature 38°C, blood pressure 120/80 mmHg, pulse rate 86x/minute, respiratory rate 18x/minute. The results of the laboratory examination of leukocytes were 15,790/µL. The diagnoses raised were hyperthermia, acute pain, impaired skin integrity, and infection. The implementation given is compressing warm water on the forehead, neck and axilla to reduce body temperature, cleaning wounds on both feet with NaCl fluid, teaching deep breathing techniques to reduce pain, recommending bed rest and collaborating with the medical team in providing antipyretic therapy, antibiotics, anti-inflammatory and provide ointment for wounds. The evaluation obtained was that all nursing problems were resolved on the third day with the criteria for body temperature decreasing to 36.8°C, decreased skin damage marked by the wound starting to dry and not swelling, and pain decreasing with a pain scale of 1 (0-10). There is no spread of damage found.