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
WOODS 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
ABCDs 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