1 / 19

Chapter 10

Chapter 10. Assessing the Integumentary System. Skin layers Epidermis Dermis Subcutaneous layers Hair Nails. Sweat glands Eccrine glands Apocrine glands Sebaceous glands. Structures of the Integumentary System. Interaction with Other Body Systems. Respiratory system

mary-olsen
Télécharger la présentation

Chapter 10

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Chapter 10 Assessing the Integumentary System

  2. Skin layers Epidermis Dermis Subcutaneous layers Hair Nails Sweat glands Eccrine glands Apocrine glands Sebaceous glands Structures of the Integumentary System

  3. Interaction with Other Body Systems • Respiratory system • Cardiovascular system • Gastrointestinal system • Urinary system • Neurological system • Endocrine system • Lymphatic system

  4. Developmental, Cultural,and Ethnic differences • Infants • Adolescents • Pregnant women • Menopausal Women • Older Adults • Cultural and Ethnic differences

  5. Lets get to the assessment! • As always…ABCs. Then, the health history and the skin assessment itself. • Questions to ask—Non-healing sores or ulcerations? Changes in moles? Pruritus? Rashes, seasonal disorders or changes in body hair or nails? • Assess for the skin turgor.

  6. Steroids Anticonvulsants Antimalarials Some chemo (bleomycin) Barbiturates Cephalosporins Tetracyclines Sulfonamides Penicillins Phenothiazines Oral antidiabetic agents NSAIDS Others: Allopurinol Captopril Oral Contraceptives Thiazide Diuretics Lithium Warfarin Some Drugs which may affect the skin

  7. Describing a lesion • Size • Shape • Color • Texture • Surface relationship • Exudate • Tenderness or pain

  8. Size • What is the best way to assess the size of a lesion?

  9. Shape your lesion • Macules • Wheals • Vesicles • Fissures • Irregular borders Circumscribed Linear Usually associated with melanoma

  10. Color • Just what color does it look like? Remember, lesions can change colors throughout time. If you use a descriptive term to describe a color make sure it is a common term. • Periwinkle is not a well known color. Red, rust, blue, light blue, orange, brown, dark brown...these terms are well known and useful for the next practitioner to relate to. • Does it blanch?

  11. Texture • Macules are smooth. • Warts are rough. • Psoriasis is scaly. • For example, if your client is having a new rash form—chart if it is raised or flat.

  12. Surface relationship • Just where is the lesion & how does the primary lesion differ from the secondary lesions? • Is it flat or raised? • If raised, is it solid or cystic? • Is it depressed or pedunculated?

  13. Exudate • Thin, Clear, Pale, Straw-yellow: serous oozing/weeping from non-infected lesion. • Thick, purulent, creamy yellow: Infection • Red (dark, light), bloody, serous, sero-sanguinous. • Oozing or flowing or weeping or gushing

  14. Comfort Level • Is there discomfort to open air? Light touch? • Not all lesions hurt. • If pain is present measure it on a scale of 1-10.

  15. Assessing The Nails • Color (Pink, light brown, yellow, blue, etc.) • Trauma (missing, black, raised, etc.) • Nail texture (uniform and not brittle) • Clubbing? • Fungus, psoriasis? • In-grown? • Blanching (color return within 3 seconds)

  16. Assessing The Hair • Distribution (Thinning? Patchy? Bald?) • Color and condition of scalp • Any adherent material on the hair shaft? • Pediculosis (1-2mm white eggs, usually near scalp) • May see movement if already hatched • Is hair dry, coarse, fine, silky? • Is there tenderness?

  17. Inspect Color Lesions Nail beds Hair loss Palpate Skin tugor Lesion Temp of Arms Palpate radial pulses. Note intensity of each pulse in relationship to the other side of the body. Remember not to ever press or massage the carotid area… (Do you know why?) Lets get into a focused exam

  18. If time permits…read Case Study starting with Biographical DataNote significant findings

  19. 1st Quiz tomorrow - 9/26/07 For next week: Begin reading Assess of Head, Face, Neck

More Related