INTEGUMENTARY SYSTEM

NUR 869 LEE ANNE WALMSLEY

SKIN

FIRST LINE OF DEFENSE

LARGEST ORGAN OF BODY

LAYERS

EPIDERMIS DERMIS HYPODERMIS

EPIDERMAL APPENDAGES

HAIR

NAILS

GLANDS

GERONTOLOGIC CHANGES

1. 2. 3. 4. 5. 6. 7.

FUNCTIONS

SURFACE BARRIER PROVIDES SENSORY PERCEPTION F/E BALANCE (INSENSIBLE) TEMPERATURE REGULATION ROLE IN BODY IMAGE AND

EXPRESSION

ASSESSMENT

OBSERVE PATIENT THROUGHOUT EXAM

GENERAL APPEARANCE SPECIFIC RX TO FOOD, PET

DRUGS,INSECT BITES/STINGS EXPOSURE TO UV LIGHT DRUG HISTORY

NORMAL ASSESSMENT

SKIN:

NAILS:

HAIR:

ASSESSING SKIN LESIONS

TYPE: PRIMARY OR SECONDARY COLOR SIZE SHAPE LOCATION DRAINAGE DISTRIBUTION

PRIMARY

MACULE PAPULE NODULE VESICLE BULLA PUSTULE WHEAL

SECONDARY

SCALES FISSURE SCAR EROSIONS ULCERS ATROPHY LICHENIFICATION CRUSTS

PSYCHOSOCIAL

BODY IMAGE CHANGES DEPRESSION ANXIETY SLEEP DISTURBANCE ISOLATION

NURSING DIAGNOSIS

HIGH RISK FOR IMPAIRED SKIN INTEGRITY

PAIN/ITCHING SLEEP PATTERN DISTURBANCE BODY IMAGE DISTURBANCE KNOWLEDGE DEFICIT

PREVENTATIVE MEASURES

1. 2. 3. 4. 5. 6. 7.

CHRONIC SKIN LESIONS

1. 2. 3. 4. 5. 6.

DIAGNOSTIC TESTS

SKIN BIOPSY PATCH TESTS SKIN SCRAPING TZANCK SMEAR WOOD’S LIGHT EXAM PHOTOGRAPHS KOH TEST - FUNGUS

HEALTH PROMOTION

AVOID ENVIRONMENTAL HAZARDS ADEQUATE REST AND EXERCISE PROPER HYGIENE AND NUTRITION CAUTIOUS USE OF SELF TREATMENT

ENVIRONMENTAL HAZARDS

SUN EXPOSURE IRRITANTS AND ALLERGENS

NUTRITION

VIT A: Vit B COMPLEX: VIT C: VIT K: PROTEIN: UNSATURATED FATTY ACIDS:

BASES FOR TOPICAL MEDS

POWDER LOTION CREAM OINTMENT PASTE

THERAPIES

DRUG THERAPY PHOTOTHERAPY RADIATION THERAPY LASER THERAPY

DRUG THERAPY

ANTIBIOTICS CORTICOSTEROIDS ANTIHISTAMINES TOPICAL FLUROURACIL

DX AND SURGICAL THERAPY

SKIN SCRAPING ELECTRODESSICATION AND

ELECTROCOAGULATION CURETTAGE PUNCH BX CRYOSURGERY EXCISION

NURSING MANAGEMENT

WET DRESSINGS BATHS TOPICAL MEDS PREVENTION OF SPREAD SPECIFIC SKIN CARE PSYCHOLOGICAL EFFECTS

DISORDERS

MALIGNANT CONDITIONS NONMELANOMA SKIN CANCERS BACTERIAL INFECTIONS VIRAL FUNGALS BENIGN CONDITIONS

BASAL CELL CA

SQUAMOUS CELL CA

ACTINIC KERATOSIS

MALIGNANT MELANOMA

ABCD’s OF MELANOMA

ASYMMETRY BORDER COLOR DIAMETER

BACTERIAL INFECTIONS

SKIN IDEAL FOR BACTERIAL GROWTH CAN OCCUR FROM BREAK IN SKIN PREDISPOSING FACTORS

– 1.– 2.– 3.– 4.

IMPETIGO

FOLLICULITIS

FURUNCLE

CARBUNCLE

CELLULITIS

HERPES

PLANTAR WARTS

FUNGAL

RINGWORM

PATCH TESTING

CONTACT DERMATITIS

URTICARIA

DRUG REACTION

ATOPIC DERMATITIS

ACNE

SEBORRHEIC KERATOSIS

BENIGN SKIN TAGS

VITILIGO

DIABETES

DIABETES

NECROTIZING FASCIATIS

STEVENS JOHNSON SYNDROME