ppt课件-integumentarysystem-universityofkentucky.pptVIP

INTEGUMENTARY SYSTEM NUR 869 LEE ANNE WALMSLEY SKIN FIRST LINE OF DEFENSE LARGEST ORGAN OF BODY LAYERS EPIDERMIS DERMIS HYPODERMIS EPIDERMAL APPENDAGES HAIR NAILS GLANDS GERONTOLOGIC CHANGES 1. 2. 3. 4. 5. 6. 7. FUNCTIONS SURFACE BARRIER PROVIDES SENSORY PERCEPTION F/E BALANCE (INSENSIBLE) TEMPERATURE REGULATION ROLE IN BODY IMAGE AND EXPRESSION ASSESSMENT OBSERVE PATIENT THROUGHOUT EXAM GENERAL APPEARANCE SPECIFIC RX TO FOOD, PET DRUGS,INSECT BITES/STINGS EXPOSURE TO UV LIGHT DRUG HISTORY NORMAL ASSESSMENT SKIN: NAILS: HAIR: ASSESSING SKIN LESIONS TYPE: PRIMARY OR SECONDARY COLOR SIZE SHAPE LOCATION DRAINAGE DISTRIBUTION PRIMARY MACULE PAPULE NODULE VESICLE BULLA PUSTULE WHEAL SECONDARY SCALES FISSURE SCAR EROSIONS ULCERS ATROPHY LICHENIFICATION CRUSTS PSYCHOSOCIAL BODY IMAGE CHANGES DEPRESSION ANXIETY SLEEP DISTURBANCE ISOLATION NURSING DIAGNOSIS HIGH RISK FOR IMPAIRED SKIN INTEGRITY PAIN/ITCHING SLEEP PATTERN DISTURBANCE BODY IMAGE DISTURBANCE KNOWLEDGE DEFICIT PREVENTATIVE MEASURES 1. 2. 3. 4. 5. 6. 7. CHRONIC SKIN LESIONS 1. 2. 3. 4. 5. 6. DIAGNOSTIC TESTS SKIN BIOPSY PATCH TESTS SKIN SCRAPING TZANCK SMEAR WOOD’S LIGHT EXAM PHOTOGRAPHS KOH TEST - FUNGUS HEALTH PROMOTION AVOID ENVIRONMENTAL HAZARDS ADEQUATE REST AND EXERCISE PROPER HYGIENE AND NUTRITION CAUTIOUS USE OF SELF TREATMENT ENVIRONMENTAL HAZARDS SUN EXPOSURE IRRITANTS AND ALLERGENS NUTRITION VIT A: Vit B COMPLEX: VIT C: VIT K: PROTEIN: UNSATURATED FATTY ACIDS: BASES FOR TOPICAL MEDS POWDER LOTION CREAM OINTMENT PASTE THERAPIES DRUG THERAPY PHOTOTHERAPY RADIATION THERAPY LASER THERAPY DRUG THERAPY ANTIBIOTICS CORTICOSTEROIDS ANTIHISTAMINES TOPICAL FLUROURACIL DX AND SURGICAL THERAPY SKIN SCRAPING ELECTRODESSICATION AND ELECTROCOAGULATION CURETTAGE PUNCH BX CRYOSURGERY EXCISION NURSING MANAGEMENT WET DRESSINGS BATHS TOPICAL MEDS PREVENTION OF SPREAD SPECIFIC SKIN CARE PSYCHOLOGICAL EFFECTS DISORDERS MALIGNANT CONDITIONS NONMELANOMA SKIN CANCERS BACTERIAL INFECTIONS VIRAL FUNGA