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Comprehensive Overview of the Integumentary System: Skin Structure, Assessment, and Management

This guide provides an extensive examination of the integumentary system, detailing its layers including the epidermis, dermis, and hypodermis, along with appendages like hair, nails, and glands. It covers essential functions such as sensory perception, temperature regulation, and the role in body image. The text addresses skin assessment techniques, psychosocial implications of skin conditions, diagnostic tests, treatment options, and nursing management strategies for effective skin care. This resource is vital for nurses and healthcare professionals in understanding and managing skin-related disorders.

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Comprehensive Overview of the Integumentary System: Skin Structure, Assessment, and Management

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  1. INTEGUMENTARY SYSTEM • NUR 869 • LEE ANNE WALMSLEY

  2. SKIN • FIRST LINE OF DEFENSE • LARGEST ORGAN OF BODY

  3. LAYERS • EPIDERMIS • DERMIS • HYPODERMIS

  4. EPIDERMAL APPENDAGES • HAIR • NAILS • GLANDS

  5. GERONTOLOGIC CHANGES • 1. • 2. • 3. • 4. • 5. • 6. • 7.

  6. FUNCTIONS • SURFACE BARRIER • PROVIDES SENSORY PERCEPTION • F/E BALANCE (INSENSIBLE) • TEMPERATURE REGULATION • ROLE IN BODY IMAGE AND EXPRESSION

  7. ASSESSMENT • OBSERVE PATIENT THROUGHOUT EXAM • GENERAL APPEARANCE • SPECIFIC RX TO FOOD, PET DRUGS,INSECT BITES/STINGS • EXPOSURE TO UV LIGHT • DRUG HISTORY

  8. NORMAL ASSESSMENT • SKIN: • NAILS: • HAIR:

  9. ASSESSING SKIN LESIONS • TYPE: PRIMARY OR SECONDARY • COLOR • SIZE • SHAPE • LOCATION • DRAINAGE • DISTRIBUTION

  10. PRIMARY • MACULE • PAPULE • NODULE • VESICLE • BULLA • PUSTULE • WHEAL

  11. SECONDARY • SCALES • FISSURE • SCAR • EROSIONS • ULCERS • ATROPHY • LICHENIFICATION • CRUSTS

  12. PSYCHOSOCIAL • BODY IMAGE CHANGES • DEPRESSION • ANXIETY • SLEEP DISTURBANCE • ISOLATION

  13. NURSING DIAGNOSIS • HIGH RISK FOR IMPAIRED SKIN INTEGRITY • PAIN/ITCHING • SLEEP PATTERN DISTURBANCE • BODY IMAGE DISTURBANCE • KNOWLEDGE DEFICIT

  14. PREVENTATIVE MEASURES • 1. • 2. • 3. • 4. • 5. • 6. • 7.

  15. CHRONIC SKIN LESIONS • 1. • 2. • 3. • 4. • 5. • 6.

  16. DIAGNOSTIC TESTS • SKIN BIOPSY • PATCH TESTS • SKIN SCRAPING • TZANCK SMEAR • WOOD’S LIGHT EXAM • PHOTOGRAPHS • KOH TEST - FUNGUS

  17. HEALTH PROMOTION • AVOID ENVIRONMENTAL HAZARDS • ADEQUATE REST AND EXERCISE • PROPER HYGIENE AND NUTRITION • CAUTIOUS USE OF SELF TREATMENT

  18. ENVIRONMENTAL HAZARDS • SUN EXPOSURE • IRRITANTS AND ALLERGENS

  19. NUTRITION • VIT A: • Vit B COMPLEX: • VIT C: • VIT K: • PROTEIN: • UNSATURATED FATTY ACIDS:

  20. BASES FOR TOPICAL MEDS • POWDER • LOTION • CREAM • OINTMENT • PASTE

  21. THERAPIES • DRUG THERAPY • PHOTOTHERAPY • RADIATION THERAPY • LASER THERAPY

  22. DRUG THERAPY • ANTIBIOTICS • CORTICOSTEROIDS • ANTIHISTAMINES • TOPICAL FLUROURACIL

  23. DX AND SURGICAL THERAPY • SKIN SCRAPING • ELECTRODESSICATION AND ELECTROCOAGULATION • CURETTAGE • PUNCH BX • CRYOSURGERY • EXCISION

  24. NURSING MANAGEMENT • WET DRESSINGS • BATHS • TOPICAL MEDS • PREVENTION OF SPREAD • SPECIFIC SKIN CARE • PSYCHOLOGICAL EFFECTS

  25. DISORDERS • MALIGNANT CONDITIONS • NONMELANOMA SKIN CANCERS • BACTERIAL INFECTIONS • VIRAL • FUNGALS • BENIGN CONDITIONS

  26. BASAL CELL CA

  27. SQUAMOUS CELL CA

  28. ACTINIC KERATOSIS

  29. MALIGNANT MELANOMA

  30. ABCD’s OF MELANOMA • ASYMMETRY • BORDER • COLOR • DIAMETER

  31. BACTERIAL INFECTIONS • SKIN IDEAL FOR BACTERIAL GROWTH • CAN OCCUR FROM BREAK IN SKIN • PREDISPOSING FACTORS • 1. • 2. • 3. • 4.

  32. IMPETIGO

  33. FOLLICULITIS

  34. FURUNCLE

  35. CARBUNCLE

  36. CELLULITIS

  37. HERPES

  38. PLANTAR WARTS

  39. FUNGAL

  40. RINGWORM

  41. PATCH TESTING

  42. CONTACT DERMATITIS

  43. URTICARIA

  44. DRUG REACTION

  45. ATOPIC DERMATITIS

  46. ACNE

  47. SEBORRHEIC KERATOSIS

  48. BENIGN SKIN TAGS

  49. VITILIGO

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