Skin integrity: Power Point Flashcards Preview

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Flashcards in Skin integrity: Power Point Deck (63)
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1

Purpose of Integumentary System

Protection against infection
Major organ of sense
Temperature regulation
Prevents fluid loss
Elimination of wastes
Storage and synthesis
Absorption
Psychosocial wellness

2

Puritius

Itching

3

PQRSTU

provoke, quality, radiate, severity, time, u

4

presently altering skin integrity

Demographics: age, gender, race
PQRSTU for skin!
Exposure to chemicals or irritants
Description of injury (if applicable)
Changes from baseline
Pain
Puritis
Exudate or drainage

5

health of...

Rash history
Allergy history
Scarring history
Tanning/burning history
Smoking history
Chronic illnesses (especially autoimmune)
History is usually problem based

6

Jaundice

yellow color of the skin and whites of the eyes caused by excess bilirubin in the blood

7

Bilirubin produced by

normal breakdown of red blood cells

8

bilirubin is excreted through

the liver and excreted by bile from a result of hemolysis

9

influences on the skin... there are a ton!!!

Illness
Extremes in weight
Fluid loss
Perspiration
Skin diseases
Jaundice
Decreased self care
Immobility
Poor nutrition
Dehydration
Decreased sensation
Vascular problems
Exposure to irritants
Chronic disease

10

Psychosocial factors

Culture
Socioeconomic status
Access to running water
Emotional health
Personal preferences

11

Age related changes: infancy

Infancy
Skin is delicate
More prone to infections

12

Age related changes: childhood

Childhood
Increased resistance to injury

13

Age related changes: adolescence

Adolescence
Increased secretion of sebum
Increased incidence of acne

14

age related changes: Mid to late adulthood

Skin becomes thinner
Decreases in elasticity
Less subq fat
Slower wound healing
Decreased insulating quality
Changes in pigmentation
Senile Lentigines

15

benign, localized brownish patch on the skin, often occurring in old age and usually in fair-skinned people with sun-damaged skin

age spot...Senile Lentigines

16

senile lentigines

age spots

17

a common, inflammatory skin condition that causes flaky, white to yellowish scales to form on oily areas

seborrheic ddermatitis

18

always look first

Inspection

19

skin inspection

Inspect in adequate light
Overall color
Localized variations
Presence of open areas or sores

20

Thick, leathery skin, usually the result of constant scratching and rubbing

lichenification

21

shapes of lesions

Round/Oval
Annular
Iris
Gyrate

22

patterns of lesions

Singular/discrete
Grouped/clustered
Polycyclic
Confluent
Linear
Zosteriform
Generalized

23

while palpitating notice for.... (5)

Texture
Temperature
Moisture
Skin turgor
Thickness
Callus

24

no need to.... while assessing

percussion, auscultation

25

lab/diagnostics

culture, biopsy

26

if purulent, considered...

infected

27

skin teaching/health promotion (6)

Cleanliness
Adequate hydration
Adequate nutrition
Use sunscreen
Don’t pick, lance, squeeze, or otherwise manipulate lesions
Keep open wounds covered

28

Acute Wounds (3 types)

trauma, surgery, "healing chronic wounds"

29

Traumatic Wounds: acute (5)

Contusions
Abrasions
Avulsions
Lacerations
Punctures

30

avulsions

is an injury in which a body structure is forcibly detached from its normal point of insertion by either trauma or surgery