20
Nursing Assessment: Integumentary System Chapter 23 Overview Chapter 23 Overview Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
| Date post: | 17-Jan-2016 |
| Category: |
Documents |
| Upload: | blake-horn |
| View: | 212 times |
| Download: | 0 times |
Nursing Assessment: Integumentary System
Chapter 23 OverviewChapter 23 Overview
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
2
Structures and Functions of Skin and Structures and Functions of Skin and AppendagesAppendages
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Fig. 23-1. Microscopic view of the skin in longitudinal section.
3
Structures and Functions of Skin and Structures and Functions of Skin and AppendagesAppendages
• StructuresStructures– EpidermisEpidermis
– DermisDermis
– Subcutaneous tissueSubcutaneous tissue
– Skin appendagesSkin appendages
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
4
Structures and Functions of Skin and Structures and Functions of Skin and AppendagesAppendages
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Fig. 23-2. Structure of a nail.
5
Structures and Functions of Skin and Structures and Functions of Skin and AppendagesAppendages
• Functions of Integumentary System Functions of Integumentary System
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
6
Gerontologic Considerations: Effects Gerontologic Considerations: Effects of Aging on Integumentary Systemof Aging on Integumentary System
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Fig. 23-4. Photoaging. Irregular pigmentation and keratoses occur on sun-damaged skin on forehead.
7
Assessment of Integumentary SystemAssessment of Integumentary System
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Table 23-2. Normal Physical Assessment of Integumentary System.
8
Assessment of Integumentary SystemAssessment of Integumentary System
• Subjective DataSubjective Data– Important health informationImportant health information• Past health historyPast health history• MedicationsMedications• Surgery or other treatmentsSurgery or other treatments
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
9
Assessment of Integumentary SystemAssessment of Integumentary System
• Subjective Data, continuedSubjective Data, continued– Functional health patternsFunctional health patterns• Health perception–health management patternHealth perception–health management pattern• Nutritional-metabolic patternNutritional-metabolic pattern• Elimination patternElimination pattern• Activity-exercise patternActivity-exercise pattern• Sleep-rest patternSleep-rest pattern• Cognitive-perceptual patternCognitive-perceptual pattern
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
10
Assessment of Integumentary SystemAssessment of Integumentary System
• Subjective DataSubjective Data– Functional health patterns, continuedFunctional health patterns, continued• Self-perception–self-concept patternSelf-perception–self-concept pattern• Role-relationship patternRole-relationship pattern• Sexuality-reproductive patternSexuality-reproductive pattern• Coping–stress tolerance patternCoping–stress tolerance pattern• Value-belief patternValue-belief pattern
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
11
Assessment of Integumentary SystemAssessment of Integumentary System
• Objective DataObjective Data– Physical examinationPhysical examination
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
12
Assessment of Integumentary SystemAssessment of Integumentary System
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Table 23-5. Secondary Skin Lesions.
13
Assessment of Integumentary SystemAssessment of Integumentary System
• Objective DataObjective Data– Physical examination, continuedPhysical examination, continued• InspectionInspection
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
14
Assessment of Integumentary SystemAssessment of Integumentary System
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Table 23-7. Lesion Distribution Terminology.
15
Assessment of Integumentary SystemAssessment of Integumentary System
• Objective DataObjective Data– Physical examination, continuedPhysical examination, continued• PalpationPalpation
• Assessment of Dark SkinAssessment of Dark Skin
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
16
Assessment of Integumentary SystemAssessment of Integumentary System
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Fig. 23-5. Intertrigo. Rash in body folds with Candida infection.
17
Assessment of Integumentary SystemAssessment of Integumentary System
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Fig. 23-7. Vitiligo. Total loss of pigment in the affected area.
18
Assessment of Integumentary SystemAssessment of Integumentary System
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Fig. 23-8. Naevus of Ota. Flat gray to blue pigmentation in the upper trigeminal area, which is morecommon in dark-skinned individuals.
19
Assessment of Integumentary SystemAssessment of Integumentary System
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Fig. 23-9. Traction alopecia. Hair loss in scalp due to prolonged tension from hair rollers and braiding andstraightening combs.
20
Diagnostic Studies of Integumentary Diagnostic Studies of Integumentary SystemSystem
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Fig. 23-10. Patch test. Results from an application of possible allergens to the skin shows positive reactionsin the sites labeled “standard and shoe.”
