nursing assessment: integumentary system chapter 23 overview copyright © 2011, 2007 by mosby, inc.,...
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Nursing Assessment: Integumentary System
Chapter 23 OverviewChapter 23 Overview
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
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Structures and Functions of Skin and Structures and Functions of Skin and AppendagesAppendages
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Fig. 23-1. Microscopic view of the skin in longitudinal section.
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Structures and Functions of Skin and Structures and Functions of Skin and AppendagesAppendages
• StructuresStructures– EpidermisEpidermis
– DermisDermis
– Subcutaneous tissueSubcutaneous tissue
– Skin appendagesSkin appendages
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
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Structures and Functions of Skin and Structures and Functions of Skin and AppendagesAppendages
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Fig. 23-2. Structure of a nail.
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Structures and Functions of Skin and Structures and Functions of Skin and AppendagesAppendages
• Functions of Integumentary System Functions of Integumentary System
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Gerontologic Considerations: Effects Gerontologic Considerations: Effects of Aging on Integumentary Systemof Aging on Integumentary System
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Fig. 23-4. Photoaging. Irregular pigmentation and keratoses occur on sun-damaged skin on forehead.
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Assessment of Integumentary SystemAssessment of Integumentary System
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Table 23-2. Normal Physical Assessment of Integumentary System.
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Assessment of Integumentary SystemAssessment of Integumentary System
• Subjective DataSubjective Data– Important health informationImportant health information• Past health historyPast health history• MedicationsMedications• Surgery or other treatmentsSurgery or other treatments
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Assessment of Integumentary SystemAssessment of Integumentary System
• Subjective Data, continuedSubjective Data, continued– Functional health patternsFunctional health patterns• Health perception–health management patternHealth perception–health management pattern• Nutritional-metabolic patternNutritional-metabolic pattern• Elimination patternElimination pattern• Activity-exercise patternActivity-exercise pattern• Sleep-rest patternSleep-rest pattern• Cognitive-perceptual patternCognitive-perceptual pattern
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Assessment of Integumentary SystemAssessment of Integumentary System
• Subjective DataSubjective Data– Functional health patterns, continuedFunctional health patterns, continued• Self-perception–self-concept patternSelf-perception–self-concept pattern• Role-relationship patternRole-relationship pattern• Sexuality-reproductive patternSexuality-reproductive pattern• Coping–stress tolerance patternCoping–stress tolerance pattern• Value-belief patternValue-belief pattern
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Assessment of Integumentary SystemAssessment of Integumentary System
• Objective DataObjective Data– Physical examinationPhysical examination
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Assessment of Integumentary SystemAssessment of Integumentary System
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Table 23-5. Secondary Skin Lesions.
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Assessment of Integumentary SystemAssessment of Integumentary System
• Objective DataObjective Data– Physical examination, continuedPhysical examination, continued• InspectionInspection
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Assessment of Integumentary SystemAssessment of Integumentary System
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Table 23-7. Lesion Distribution Terminology.
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Assessment of Integumentary SystemAssessment of Integumentary System
• Objective DataObjective Data– Physical examination, continuedPhysical examination, continued• PalpationPalpation
• Assessment of Dark SkinAssessment of Dark Skin
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Assessment of Integumentary SystemAssessment of Integumentary System
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Fig. 23-5. Intertrigo. Rash in body folds with Candida infection.
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Assessment of Integumentary SystemAssessment of Integumentary System
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Fig. 23-7. Vitiligo. Total loss of pigment in the affected area.
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Assessment of Integumentary SystemAssessment of Integumentary System
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Fig. 23-8. Naevus of Ota. Flat gray to blue pigmentation in the upper trigeminal area, which is morecommon in dark-skinned individuals.
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Assessment of Integumentary SystemAssessment of Integumentary System
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Fig. 23-9. Traction alopecia. Hair loss in scalp due to prolonged tension from hair rollers and braiding andstraightening combs.
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Diagnostic Studies of Integumentary Diagnostic Studies of Integumentary SystemSystem
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Fig. 23-10. Patch test. Results from an application of possible allergens to the skin shows positive reactionsin the sites labeled “standard and shoe.”