Transcript INTEGUMENTARY SYSTEM - University of Kentucky

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
 WOOD’S 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
ABCD’s 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