IntegumentaryAssessment专业知识课件.pptx

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2024-10-29 发布于湖北
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IntegumentaryAssessment专业知识课件.pptx

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IntegumentaryAssessmentKozierCh30

WhataretheFunctionsoftheIntegumentarySystem?

FunctionalReviewProtectorandbarrierbetweeninternalorgansandexternalenvironmentBarrieragainstforeignbodyintrusionsagainstinvadingbacteriaandforeignmatterTransmitssensation–nervereceptorsallowsforfeelingsoftemperature,pain,lighttouchandpressure

SkinFunctionsRegulatesbodytemperatureregulatesheatlossHelpsregulatefluidbalanceabsorbswaterpreventsexcessivewaterelectrolyteloss.Slowlossupto600mldailybyevaporationImmuneResponseFunctioninflammatoryprocess

SkinFunctionsVitaminproductionexposuretoUVlightallowsfortheconversionofsubstancesnecessaryforsynthesizingvitaminDNecessarytopreventosteoporosis,rickets

SkinAssessmentVisualinspectionPalpationOlfactorysensesAdequatelightingRemovenecessaryclothingwhileprovidingrespectandprivacyAppropriateclientpositionsp.568

VisualinspectionSkincolor:PalorCyanosisJaundiceErythemaHyperpigmentationHypopigmentation–vitiligo

VisiblechangesiftheSkinChangesinskincolortextureEczema,infectionsAssessthevascularityhydrationofskinEdema–swelling,pittingedema1+2mm 3+6mm2+4mm 4+8mmp.579Nails–configuration,consistency,colorp.579Hair–coloranddistribution,aloplecia,location

GerontologyConsiderationsWatchforsignificantchangesinaging:DecreaseimmunityfunctionsSusceptibilitytoinfectionsPoornutritionDecreasecollagenproduction–lossofsubcutaneousThinningofepidermalskinlayersIncreaseskinproblems

TakingmoremedicationsExcessiveenvironmentalexposureDryness,wrinklingUnevenpigmentationVariousproliferativelesionsGerontologyConsiderations

AssessinglighttodarkskinDescriptionLightskinDarkskinCyanosis-bluishBluishtingeAshengrayPallor-palenessLossofrosyglowAshengray(drkskin)Yellowishbrown(brownskin)Erythema-rednessVisiblerednessDiff