Integumentary SystemMed Surg CertificationAmy Dunbar RN, MSN, CWOCN          6-2-05
ObjectivesIdentify the functions of the skinIdentify the nursing assessment of theskinIdentify common pathophysiologiceven...
Layers of SkinEpidermisDermis
AppendagesHairSebaceous glandsExocrine GlandsAprocrine GlandsNails
Changes with AgingEpidermal turnover increasesSkin is drierDecreased skin elasticityChanges in thermoregulationDecreased m...
Skin AssessmentItchingPainRashDry, rough, scalyBlistersHot/cold spots
ObjectivesInspection            Palpation *color                   *turgor *hair                    *moisture *lesions    ...
PsoriasisNo cureTreated withtopical steroidsand phototherapy
SclerodermaUsually treatedwith steroidsand cholinergics
ShinglesContagiouswhen exudatefrom blisters ispresentMay benefitfrom antiviral
Skin CancerMalignantmelanoma canmetastasizePrevention
Rule of 9’s -Head = 9 -Each arm = 9 -Front of trunk = 18 -Back of trunk = 18 -Each leg = 18
Concernsimpaired gas exchangefluid replacement
InterventionsSkin Grafts-may be autologous-additional wound will be presentFasciotomy-relieves pressure when edema is extr...
Stage I Pressure Ulcer
Stage II Pressure Ulcer
Stage III Pressure Ulcer
Stage IV Pressure Ulcer
Unstageable Pressure Ulcer
Post Operative considerations       Stoma appearance       Pouch maintenance         Releasing gas        Pouch emptying
Stoma Appearance
Pouch Maintenance
Releasing Gas
Pouch Emptying
SummarySkin/Wound is complexNursing assessment and interventioncrucialOstomy care is daily
Skin
Skin
Skin
Skin
Upcoming SlideShare
Loading in...5
×

Skin

559

Published on

Published in: Health & Medicine, Business
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
559
On Slideshare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
13
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Skin

  1. 1. Integumentary SystemMed Surg CertificationAmy Dunbar RN, MSN, CWOCN 6-2-05
  2. 2. ObjectivesIdentify the functions of the skinIdentify the nursing assessment of theskinIdentify common pathophysiologicevents associated with skinDetermine ostomy care
  3. 3. Layers of SkinEpidermisDermis
  4. 4. AppendagesHairSebaceous glandsExocrine GlandsAprocrine GlandsNails
  5. 5. Changes with AgingEpidermal turnover increasesSkin is drierDecreased skin elasticityChanges in thermoregulationDecreased melanocytes
  6. 6. Skin AssessmentItchingPainRashDry, rough, scalyBlistersHot/cold spots
  7. 7. ObjectivesInspection Palpation *color *turgor *hair *moisture *lesions *temperature
  8. 8. PsoriasisNo cureTreated withtopical steroidsand phototherapy
  9. 9. SclerodermaUsually treatedwith steroidsand cholinergics
  10. 10. ShinglesContagiouswhen exudatefrom blisters ispresentMay benefitfrom antiviral
  11. 11. Skin CancerMalignantmelanoma canmetastasizePrevention
  12. 12. Rule of 9’s -Head = 9 -Each arm = 9 -Front of trunk = 18 -Back of trunk = 18 -Each leg = 18
  13. 13. Concernsimpaired gas exchangefluid replacement
  14. 14. InterventionsSkin Grafts-may be autologous-additional wound will be presentFasciotomy-relieves pressure when edema is extreme
  15. 15. Stage I Pressure Ulcer
  16. 16. Stage II Pressure Ulcer
  17. 17. Stage III Pressure Ulcer
  18. 18. Stage IV Pressure Ulcer
  19. 19. Unstageable Pressure Ulcer
  20. 20. Post Operative considerations Stoma appearance Pouch maintenance Releasing gas Pouch emptying
  21. 21. Stoma Appearance
  22. 22. Pouch Maintenance
  23. 23. Releasing Gas
  24. 24. Pouch Emptying
  25. 25. SummarySkin/Wound is complexNursing assessment and interventioncrucialOstomy care is daily
  1. A particular slide catching your eye?

    Clipping is a handy way to collect important slides you want to go back to later.

×