A 52 year old patient was referred to hospital for widespread tense, serous fluid filled blisters with an inflammatory base in the skin. Discuss the integumentary assessment for this patient? Integumentary Assessment: An examination of the integumentary requires some understanding of the structure and function of the system. There also needs to be an awareness of the appearance of the skin in healthy and diseased states.Prior to performing a physical assessment of the skin, a health history should be obtained. The following data should be gathered from the patient and/or family members when performing a health history about the integumentary system. ASSESSMENT OF SKIN-SUBJECTIVE DATA -Past health history-- indicates …show more content…
biopsy, cosmetic surgery) -Health practices related to integumentary system (ex. hygiene, sun protection). i.Nutritional-metabolic pattern: indicates changes in the skin, hair, nails and mucous membranes and whether they are related to dietary changes. ii.Elimination pattern-ask patient about conditions of the skin such as dehydration, edema, and pruritus iii.Activity-Exercise pattern- environmental hazards (ex. carcinogens, allergens) iv.Sleep-Rest pattern- disturbances in sleep caused by a skin condition v.Cognitive-Perceptual pattern- patient 's perception of the sensations of heat, cold, pain, and touch. vi.concept pattern- feelings related to the patient 's skin condition. vii. Role-relationship pattern- how the skin condition affects relationships with family members, peers and work associates. viii.Sexuality-reproductive pattern- effect of the patient 's skin condition on sexual activity ix.Coping-Stress Tolerance pattern- the role that stress may play in creating or exacerbating the skin condition. ASSESSMENT PROCEDURE OF INTEGUMENTARY SYSTEM. -CLIENT PREPARATION To prepare for the skin examination, ask the client to remove all clothing and jewelry and put on an examination …show more content…
Keep in mind that some clients have sun tanned areas, freckles, or white patches known as vitiligo. The variations are due to different amounts of melanin in certain areas. A generalized loss of pigmentation is seen in albinism. Dark-skinned clients have lighter-colored palms, soles, nail beds, and lips. Freckle like or dark streaks of pigmentation are also common in the sclera and nail- beds of dark-skinned clients. i. Inspect for Skin Integrity Check skin integrity, especially carefully in pressure point areas (e.g., sacrum, hips, elbows). If any skin break- down is noted, use a scale to document the degree of skin breakdown. ii.Inspect for Lesions Observe the skin surface to detect abnormalities If you observe a lesion, note its location, distribution, and conﬁguration. -SKIN PALPATION Palpate Skin to Assess
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Rosacea 1 Ashley Vera GS101 Career Development Amy Smith Rosacea 10/27/2015 Miller-Motte College Rosacea 1 Rosacea is known to be a poorly understood chronic dermatitis (inflammation of the skin) characterized by redness, flushing, pustules, and papules that normally occurs on the facial skin. This condition can be easily mistaken for eczema, or acne due to its texture and appearance in some cases. According to the American academy of Dermatology, the United States Government says an estimated amount of at least 14 million Americans are affected by Rosacea, and a vast majority of these individuals are not aware they have it. It is found to be more common in those with highly sensitive skin with a Fitzpatrick skin type
This papers serves as a compilation of research for understanding the complexities of this particular skin disorder. I will explore the causations of the disorder. Additionally, I will explore the effects of the disorder, as well as treatment and prevention of the disorders. Lastly I will explore and highlight breakthrough research for the relatively unknown disorder, and how this research is expected to affect those who
Osteopathic Assessment : Listen with your body Ever wondered why an osteopath can say a lot about you even though you just met? Do osteopath’s read your minds? What kind of assessments do osteopaths do? Why do we notice habits that even you do not notice? Why can an osteopath tell a lot about you after your first session?
Choose five pathological conditions of the skin or Integumentary system. Describe each condition including symptoms; and cite treatment for each condition. Pemphigus is an unusual disorder characterized by sores in the mouth and on the skin. These blisters are painful and exude fluids with an unpleasant smell.
Understanding and following facility’s policies concerning the physician during a skin examination is also very important. The number one professionalism is always having respect not just for the patient but also for the physician and yourself. I personally have sensitive skin. With my skin I have cystic acne, which
MeniscocyLosis (Sickle Cell Anemia) The severe pain in the patient’s joint were described as being on fire times 100. She was fatigued and could barely move. As a result of this erratic unbalanced physical condition, the patient came into the hospital emergency last month complaining of abdominal pain along with spiking body temperatures ranging between 99.0 to 102.0 degrees Fahrenheit.
The first step of the eight step process is development of The Treatment Protocol, which addresses the most common areas of the body prone to skin breakdown and provides guidelines for treatment. The second step is The Treatment Record, which contains skin interventions from the nurse’s document. The third step is A Physician Sticker, which is a sticker that notifies the physician of skin breakdown. The sticker also describes the skin breakdown stages. The fourth step is The Radar Screen, which is a nurse worksheet that is double sided and makes the nurses aware of patients at high risk for skin breakdown.
Thank you for your detailed illustration of peripheral arterial disease (PAD). The point of view that I will be sharing with you is the postoperative intervention and rehabilitation of PAD in the acute care setting. Mahameed (2009) describes the indication for invasive revascularization surgery in individuals who failed conservative claudication therapies; acute or critical limb ischemia and lifestyle-limiting claudication. The surgical procedures that are most commonly performed are carotid endarterectomy and lower extremities bypass grafting.
Nursing Interventions to Reduce Risk of Impaired Skin Integrity Tierra Henderson Alcorn State University Nursing Interventions to Reduce Risk of Impaired Skin Integrity Holistic nursing care is the mainstay of each nurse’s professional responsibility. The nurse should pay special attention to every aspect of the person’s biological, physical, and psychological needs.
Eczema Skin Disease Eczema alludes to an unending incendiary skin condition, described by dry skin, with patches that are red and seriously irritated. These patches of eczema may overflow, turn out to be textured, crusted, or solidified. Side effects can run from mellow to extreme, and the condition can contrarily affect personal satisfaction. Dermatitis can happen anyplace on the skin and is normally found on the flexors. There are numerous sorts of eczema, with the most widely recognized one being atopic dermatitis.
Whether you are performing a comprehensive / general survey assessment or a focused assessment, there are four basic tools employed which includes inspection, auscultation, percussion, and palpation (Jarvis, 2008). These methods recommended to be utilized in a well arranged manner from least disturbing or invasive to most invasive to the patient (Jarvis, 2008). Inspection is the first and most commonly used and during this assessment, the provider is striving to identify conditions that can be seen with eyes, ears, or nose such as skin color, bruises or rash, size of body parts, hair, ear, eyes and abnormal findings, sounds, and smell etc (Javier, 2015). For instance, Baid Heather 2006, suggested that if a patient walked into the room or facility, gait maybe observed, if on wheelchair or bed rest, posture issue will be noted while listening to the patient tone of voice or breathing will indicate neurological issues such as dizziness, inability speaking, difficulty swallowing, headache, head injury , vision issue, discharge from ear etc and respiratory issues hence this assessment is vital as it can lead to more evaluation and findings (Jarvis, 2015). Another is Auscultation which succeeds inspection, especially with abdominal assessment which is required to be auscultated prior percussion or palpation to curb production of false bowel sound because the assessment requires quiet to prevent false sounds and done over bare skin, listening to one sound at a time
Opinion Working night shifts, I do not see doctors and therapists, thus I go by what was written on the resident’s chart. When it comes to therapists working with residents, I could say that they follow the reporting guideline of skin issues observed to the nurses in-charge of the resident. Doctors are made aware of the skin issues and sometimes they would give orders to change the treatment of the wound and lab tests when they deemed necessary. Based on my interview of the nursing staff, I have learned that nurses’ aides have not seen nor read the wound assessment guideline. They do not know where to find it either.