Gapping Earring Puncture Concept Map

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Precipitating

Factors

Wearing one
Predisposing or more
Factors earrings on
one ear
Race or
ethnicity (i.e. Wearing
Africans) heavy pierced
earring for a
Gender long time
(Females)
Wearing
earrings afer
an infection

Allergic
reaction to
material of
earring
A tear in the earring
puncture occurs

The puncture on the skin stretches


and enlarge

Prolonged use of heavy earrings


cause skin elasticity/turgor to
weaken over time

Leading to gradual stretching and


enlargement of earring puncture

- Skin around earring


puncture is stretched
- Enlarged, stretched or
1. Regularly inspect site for
ripped earring puncture
any signs of infection. (i.e. - Redness
swelling, redness, purulent
- Swelling 1. Acute Pain r/t infection Surgery
discharge, fever, etc)
2. Educate client on signs of 2. Impaired Skin Integrity r/t - The edges of the perforations
infection and instruct in injury to ear lobule are exised on the lateral and
seeking immediate care when medial surfaces of the earlobe.
these arise. 3. Deficient Knowledge r/t
- The entire tract is removed.
3. Discuss with the patient the insufficient knowledge of
importance of surgical Physical Examination Gapping earring puncture - The above two incisions are
procedure to correct the resources joined.
gapping earring puncture. 4. Risk for Bleeding related - Results in a much larger
4. Provide comfort measures if
the patient is in pain. to decreased platelet count defect that is closed separately
5. Provide antihistamines as 5. Risk for Infection related on each surface.
prescribed by physician if an
allergic reaction is the cause. to surgical procedure - Antibiotic dressing is applied.
6. Administer antibiotics as
prescribed by physician.

Legend:

Disease
Disease Process
Signs and symptoms
Predisposing factors
Precipitating factors
Diagnostic Tests
Nursing Diagnoses
Medical Management
Nursing Management

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