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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

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integumentary system
INTEGUMENTARY SYSTEM
  • NUR 869
  • LEE ANNE WALMSLEY
slide2
SKIN
  • FIRST LINE OF DEFENSE
  • LARGEST ORGAN OF BODY
layers
LAYERS
  • EPIDERMIS
  • DERMIS
  • HYPODERMIS
epidermal appendages
EPIDERMAL APPENDAGES
  • HAIR
  • NAILS
  • GLANDS
gerontologic changes
GERONTOLOGIC CHANGES
  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
functions
FUNCTIONS
  • SURFACE BARRIER
  • PROVIDES SENSORY PERCEPTION
  • F/E BALANCE (INSENSIBLE)
  • TEMPERATURE REGULATION
  • ROLE IN BODY IMAGE AND EXPRESSION
assessment
ASSESSMENT
  • OBSERVE PATIENT THROUGHOUT EXAM
  • GENERAL APPEARANCE
  • SPECIFIC RX TO FOOD, PET DRUGS,INSECT BITES/STINGS
  • EXPOSURE TO UV LIGHT
  • DRUG HISTORY
normal assessment
NORMAL ASSESSMENT
  • SKIN:
  • NAILS:
  • HAIR:
assessing skin lesions
ASSESSING SKIN LESIONS
  • TYPE: PRIMARY OR SECONDARY
  • COLOR
  • SIZE
  • SHAPE
  • LOCATION
  • DRAINAGE
  • DISTRIBUTION
primary
PRIMARY
  • MACULE
  • PAPULE
  • NODULE
  • VESICLE
  • BULLA
  • PUSTULE
  • WHEAL
secondary
SECONDARY
  • SCALES
  • FISSURE
  • SCAR
  • EROSIONS
  • ULCERS
  • ATROPHY
  • LICHENIFICATION
  • CRUSTS
psychosocial
PSYCHOSOCIAL
  • BODY IMAGE CHANGES
  • DEPRESSION
  • ANXIETY
  • SLEEP DISTURBANCE
  • ISOLATION
nursing diagnosis
NURSING DIAGNOSIS
  • HIGH RISK FOR IMPAIRED SKIN INTEGRITY
  • PAIN/ITCHING
  • SLEEP PATTERN DISTURBANCE
  • BODY IMAGE DISTURBANCE
  • KNOWLEDGE DEFICIT
preventative measures
PREVENTATIVE MEASURES
  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
diagnostic tests
DIAGNOSTIC TESTS
  • SKIN BIOPSY
  • PATCH TESTS
  • SKIN SCRAPING
  • TZANCK SMEAR
  • WOOD’S LIGHT EXAM
  • PHOTOGRAPHS
  • KOH TEST - FUNGUS
health promotion
HEALTH PROMOTION
  • AVOID ENVIRONMENTAL HAZARDS
  • ADEQUATE REST AND EXERCISE
  • PROPER HYGIENE AND NUTRITION
  • CAUTIOUS USE OF SELF TREATMENT
environmental hazards
ENVIRONMENTAL HAZARDS
  • SUN EXPOSURE
  • IRRITANTS AND ALLERGENS
nutrition
NUTRITION
  • VIT A:
  • Vit B COMPLEX:
  • VIT C:
  • VIT K:
  • PROTEIN:
  • UNSATURATED FATTY ACIDS:
bases for topical meds
BASES FOR TOPICAL MEDS
  • POWDER
  • LOTION
  • CREAM
  • OINTMENT
  • PASTE
therapies
THERAPIES
  • DRUG THERAPY
  • PHOTOTHERAPY
  • RADIATION THERAPY
  • LASER THERAPY
drug therapy
DRUG THERAPY
  • ANTIBIOTICS
  • CORTICOSTEROIDS
  • ANTIHISTAMINES
  • TOPICAL FLUROURACIL
dx and surgical therapy
DX AND SURGICAL THERAPY
  • SKIN SCRAPING
  • ELECTRODESSICATION AND ELECTROCOAGULATION
  • CURETTAGE
  • PUNCH BX
  • CRYOSURGERY
  • EXCISION
nursing management
NURSING MANAGEMENT
  • WET DRESSINGS
  • BATHS
  • TOPICAL MEDS
  • PREVENTION OF SPREAD
  • SPECIFIC SKIN CARE
  • PSYCHOLOGICAL EFFECTS
disorders
DISORDERS
  • MALIGNANT CONDITIONS
  • NONMELANOMA SKIN CANCERS
  • BACTERIAL INFECTIONS
  • VIRAL
  • FUNGALS
  • BENIGN CONDITIONS
abcd s of melanoma
ABCD’s OF MELANOMA
  • ASYMMETRY
  • BORDER
  • COLOR
  • DIAMETER
bacterial infections
BACTERIAL INFECTIONS
  • SKIN IDEAL FOR BACTERIAL GROWTH
  • CAN OCCUR FROM BREAK IN SKIN
  • PREDISPOSING FACTORS
    • 1.
    • 2.
    • 3.
    • 4.