Integumentary System N210 Rachel Natividad RN, MSN, NP.
-
Upload
madisyn-height -
Category
Documents
-
view
224 -
download
0
Transcript of Integumentary System N210 Rachel Natividad RN, MSN, NP.
![Page 1: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/1.jpg)
Integumentary SystemIntegumentary SystemN210 Rachel Natividad RN, MSN, NPN210 Rachel Natividad RN, MSN, NP
![Page 2: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/2.jpg)
Variations across the lifespan: Variations across the lifespan: InfancyInfancy
MONGOLIAN SPOT
ACROCYANOSIS
JAUNDICE
![Page 3: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/3.jpg)
Variations across the Variations across the lifespan:lifespan:
PregnancyPregnancy AdolescenceAdolescence
Striae
Cherry AngiomaAcneLinea Nigra
![Page 4: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/4.jpg)
Variations across the lifespan: Variations across the lifespan: ElderlyElderly
Changes R/T AgingChanges R/T AgingPhysiological Physiological
changechangePhysical FindingsPhysical Findings
↓ ↓ SQ tissueSQ tissue
Loss of collagen and Loss of collagen and elastic fiberselastic fibers
↑ ↑ Capillary fragilityCapillary fragility
↓ ↓ sweat gland activity sweat gland activity
Over exposure to sunOver exposure to sun
Loss of or inefficiency Loss of or inefficiency of melanocytes of melanocytes
![Page 5: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/5.jpg)
Elderly: Seborrheic Elderly: Seborrheic keratoseskeratoses
![Page 6: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/6.jpg)
Elderly: Senile Lentigines Elderly: Senile Lentigines (Liver spots )(Liver spots )
LIVER SPOTSLIVER SPOTS
WRINKLES
PURPURA
![Page 7: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/7.jpg)
Assessing Skin TurgorAssessing Skin Turgor
![Page 8: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/8.jpg)
AssessmentAssessment
Subjective dataSubjective data Specific Skin ComplaintSpecific Skin Complaint
Objective dataObjective data Physical assessment: Inspection and Physical assessment: Inspection and
palpationpalpation Draw picture or take photo if possibleDraw picture or take photo if possible
![Page 9: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/9.jpg)
Skin Lesions TypesSkin Lesions Types Primary: (Initial lesions) Appear in Primary: (Initial lesions) Appear in
response to external or internal response to external or internal environment of skin.environment of skin.
Vesicle, Bulla
![Page 10: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/10.jpg)
Primary Lesions Primary Lesions
Papule
Nodule
Tumor
Wheal
Vesicle
Bulla
![Page 11: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/11.jpg)
Skin Lesion TypesSkin Lesion Types
Secondary Lesions: Secondary Lesions: Are a result of Are a result of trauma, trauma, chronicity, or chronicity, or infection of infection of primary lesion.primary lesion.
![Page 12: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/12.jpg)
Secondary LesionsSecondary Lesions
Keloid
Fissure
Crust
Scale
Lichenification
![Page 13: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/13.jpg)
Vascular LesionsVascular Lesions: Appear as red : Appear as red pigmented lesion. Could be indicative of pigmented lesion. Could be indicative of bleeding bleeding HemangiomasHemangiomas
port wine stain; strawberry mark-mature port wine stain; strawberry mark-mature hemangiomahemangioma
TelangiectasiasTelangiectasias spider angioma with pregnancy or liver spider angioma with pregnancy or liver
disease; venous lakedisease; venous lake Purpuric LesionsPurpuric Lesions
PetechiaePetechiae EcchymosesEcchymoses purpurapurpura
Skin Lesion TypesSkin Lesion Types
![Page 14: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/14.jpg)
Vascular Lesions- Cont.Vascular Lesions- Cont.HEMANGIOMA
TELANGIECTASIA
Spider Angioma
Petechiae
Ecchymosis
Venous Lake
![Page 15: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/15.jpg)
Vascular Lesions: Vascular Lesions: PurpuraPurpura
Bleeding disorder Minor trauma
![Page 16: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/16.jpg)
Shapes and Shapes and ConfigurationsConfigurations
![Page 17: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/17.jpg)
EXERCISEEXERCISEDocumentation of Skin Documentation of Skin
LesionsLesionsCOLOR COLOR
SHAPE/SHAPE/CONFIGURATIONCONFIGURATION
TYPETYPE
SIZE (L x W x D) in cmSIZE (L x W x D) in cm
DISTRIBUTION/DISTRIBUTION/ PATTERNPATTERN
EXUDATESEXUDATES AmountAmount Color/Color/
consistencyconsistency Serous (serum)Serous (serum) Serosanguinous Serosanguinous
(serum & blood)(serum & blood) Sanguinous Sanguinous
(bloody)(bloody) Purulent (pus)Purulent (pus)
![Page 18: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/18.jpg)
Pattern Injury from Pattern Injury from Physical AbusePhysical Abuse
Lesions due to trauma or Lesions due to trauma or abuse abuse
Bruise or wound whose Bruise or wound whose shape suggests the shape suggests the instrument or weapon that instrument or weapon that caused itcaused it
Physical signs with history Physical signs with history that does not match the that does not match the severity or type of injury severity or type of injury indicates abuseindicates abuse
Scalding injury, belt Scalding injury, belt marks, bite marks, marks, bite marks, cigarette burns, deformity cigarette burns, deformity from untreated fracturefrom untreated fracture
![Page 19: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/19.jpg)
Pattern InjuriesPattern Injuries
![Page 20: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/20.jpg)
Pattern Injury: Pattern Injury: DistributionDistribution
![Page 21: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/21.jpg)
Diagnostic TestsDiagnostic Tests
CultureCulture Skin BiopsiesSkin Biopsies
PunchPunch ShaveShave ExcisionalExcisional
Woods LightWoods Light DiascopyDiascopy Skin TestingSkin Testing
![Page 22: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/22.jpg)
Parasitic InfestationsParasitic Infestations
CORPORISCAPITIS PUBIS
![Page 23: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/23.jpg)
Infestations cont.Infestations cont.
ScabiesScabies A contagious A contagious
diseasedisease
Transmission: close Transmission: close and prolonged and prolonged contact or infected contact or infected beddingbedding
![Page 24: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/24.jpg)
Infestations Cont.Infestations Cont.
Scabies lesion Scabies lesion distributiondistribution
![Page 25: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/25.jpg)
Parasitic InfestationsParasitic Infestations
PediculosisPediculosis ScabiesScabies
CauseCause
Symptom & Symptom & Areas Areas affectedaffected
TreatmentTreatment
![Page 26: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/26.jpg)
Pressure UlcersPressure Ulcers
Tissue damage caused by the skin Tissue damage caused by the skin and underlying soft tissue are and underlying soft tissue are compressed between bony compressed between bony prominence and an external surface prominence and an external surface for an extended period.for an extended period.
![Page 27: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/27.jpg)
Pressure Ulcers Pressure Ulcers
![Page 28: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/28.jpg)
Pressure UlcersPressure Ulcers
CAUSES (6)CAUSES (6) RISKS (4)RISKS (4) PREVENTION PREVENTION (5)(5)
![Page 29: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/29.jpg)
Pressure UlcersPressure UlcersCAUSES CAUSES
(6)(6)RISKS (4)RISKS (4) PREVENTION PREVENTION
(5)(5)PressurePressure Mental StatusMental Status
Sensory PerceptionSensory Perception
Pressure ReliefPressure Relief
ShearingShearing ActivityActivity
MobilityMobility
Prevention of Prevention of contracturescontractures
FrictionFriction Friction ReliefFriction Relief
MoistureMoisture IncontinenceIncontinence Skin careSkin care
NutritionNutrition Nutritional Nutritional DeficienciesDeficiencies
Nutritional SuuportNutritional Suuport
CirculationCirculation
![Page 30: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/30.jpg)
Stage 1 Pressure UlcerStage 1 Pressure Ulcer
![Page 31: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/31.jpg)
Stage 2 Pressure UlcerStage 2 Pressure Ulcer
![Page 32: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/32.jpg)
Stage 3 Pressure UlcerStage 3 Pressure Ulcer
![Page 33: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/33.jpg)
Stage 4 Pressure UlcerStage 4 Pressure Ulcer
![Page 34: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/34.jpg)
Stage 4 with NecrosisStage 4 with Necrosis
![Page 35: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/35.jpg)
Eschar- unstageableEschar- unstageable
![Page 36: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/36.jpg)
Ulcer AssessmentUlcer Assessment Describe ulcerDescribe ulcer
Stage Stage LocationLocation SizeSize ShapeShape
AppearanceAppearance DrainageDrainage OdorOdor StageStage
Presence of infectionPresence of infection Foul smellFoul smell Purulent drainagePurulent drainage Heat, extreme redness, Heat, extreme redness,
edemaedema
![Page 37: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/37.jpg)
Stage that ulcer!Stage that ulcer!
![Page 38: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/38.jpg)
![Page 39: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/39.jpg)
![Page 40: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/40.jpg)
![Page 41: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/41.jpg)
![Page 42: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/42.jpg)
![Page 43: Integumentary System N210 Rachel Natividad RN, MSN, NP.](https://reader036.fdocuments.net/reader036/viewer/2022062407/56649cbf5503460f94985499/html5/thumbnails/43.jpg)