INTEGUMENTARY SYSTEM

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INTEGUMENTARY SYSTEM

• NUR 869
• LEE ANNE WALMSLEY

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SKIN

• FIRST LINE OF DEFENSE
• LARGEST ORGAN OF BODY

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LAYERS

• EPIDERMIS
• DERMIS
• HYPODERMIS

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(No Transcript)
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EPIDERMAL APPENDAGES

• HAIR
• NAILS
• GLANDS

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GERONTOLOGIC CHANGES

• 1.
• 2.
• 3.
• 4.
• 5.
• 6.
• 7.

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FUNCTIONS

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

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ASSESSMENT

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

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NORMAL ASSESSMENT

• SKIN
• NAILS
• HAIR

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ASSESSING SKIN LESIONS

• TYPE PRIMARY OR SECONDARY
• COLOR
• SIZE
• SHAPE
• LOCATION
• DRAINAGE
• DISTRIBUTION

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PRIMARY

• MACULE
• PAPULE
• NODULE
• VESICLE
• BULLA
• PUSTULE
• WHEAL

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SECONDARY

• SCALES
• FISSURE
• SCAR
• EROSIONS
• ULCERS
• ATROPHY
• LICHENIFICATION
• CRUSTS

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PSYCHOSOCIAL

• BODY IMAGE CHANGES
• DEPRESSION
• ANXIETY
• SLEEP DISTURBANCE
• ISOLATION

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NURSING DIAGNOSIS

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

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PREVENTATIVE MEASURES

• 1.
• 2.
• 3.
• 4.
• 5.
• 6.
• 7.

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CHRONIC SKIN LESIONS

• 1.
• 2.
• 3.
• 4.
• 5.
• 6.

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DIAGNOSTIC TESTS

• SKIN BIOPSY
• PATCH TESTS
• SKIN SCRAPING
• TZANCK SMEAR
• WOODS LIGHT EXAM
• PHOTOGRAPHS
• KOH TEST - FUNGUS

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HEALTH PROMOTION

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

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ENVIRONMENTAL HAZARDS

• SUN EXPOSURE
• IRRITANTS AND ALLERGENS

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NUTRITION

• VIT A
• Vit B COMPLEX
• VIT C
• VIT K
• PROTEIN
• UNSATURATED FATTY ACIDS

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BASES FOR TOPICAL MEDS

• POWDER
• LOTION
• CREAM
• OINTMENT
• PASTE

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THERAPIES

• DRUG THERAPY
• PHOTOTHERAPY
• RADIATION THERAPY
• LASER THERAPY

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DRUG THERAPY

• ANTIBIOTICS
• CORTICOSTEROIDS
• ANTIHISTAMINES
• TOPICAL FLUROURACIL

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DX AND SURGICAL THERAPY

• SKIN SCRAPING
• ELECTRODESSICATION AND ELECTROCOAGULATION
• CURETTAGE
• PUNCH BX
• CRYOSURGERY
• EXCISION

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NURSING MANAGEMENT

• WET DRESSINGS
• BATHS
• TOPICAL MEDS
• PREVENTION OF SPREAD
• SPECIFIC SKIN CARE
• PSYCHOLOGICAL EFFECTS

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DISORDERS

• MALIGNANT CONDITIONS
• NONMELANOMA SKIN CANCERS
• BACTERIAL INFECTIONS
• VIRAL
• FUNGALS
• BENIGN CONDITIONS

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BASAL CELL CA
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SQUAMOUS CELL CA
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ACTINIC KERATOSIS
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MALIGNANT MELANOMA
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ABCDs OF MELANOMA

• ASYMMETRY
• BORDER
• COLOR
• DIAMETER

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BACTERIAL INFECTIONS

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

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IMPETIGO
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FOLLICULITIS
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FURUNCLE
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CARBUNCLE
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CELLULITIS
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HERPES
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PLANTAR WARTS
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FUNGAL
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RINGWORM
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PATCH TESTING
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CONTACT DERMATITIS
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URTICARIA
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DRUG REACTION
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ATOPIC DERMATITIS
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ACNE
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SEBORRHEIC KERATOSIS
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BENIGN SKIN TAGS
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VITILIGO
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DIABETES
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DIABETES
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NECROTIZING FASCIATIS
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STEVENS JOHNSON SYNDROME