Pauls Power Point
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The document summarizes various types of integumentary wounds and their causes. It describes wounds resulting from vascular compromise like pressure ulcers and venous insufficiency wounds in the lower leg. It also discusses traumatic wounds including abrasions, avulsions, degloving injuries, and puncture wounds. Neuropathic ulcers caused by loss of sensation are also described. The examination and assessment of different wound types and etiologies is outlined.
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This document provides information on wound classification and assessment. It discusses the different types of wounds including pressure ulcers, vascular wounds, neuropathic wounds, skin tears, and moisture-associated dermatitis. Pressure ulcer staging is explained, with stages ranging from I to IV. Key factors for assessing and documenting wounds are wound size, depth, tissue type, edges, infection signs and undermining/tunneling. Selecting appropriate dressings depends on wound characteristics and patient condition. Comprehensive wound assessment and risk assessment are important for effective care planning.
Dupuytren disease
Dupuytren's disease is a proliferative fibroplasia of the subcutaneous palmar tissue that causes flexion contractures of the finger joints. It typically affects middle-aged males of European descent. Treatment options include collagenase injections, radiation therapy, anti-inflammatory drugs, surgery such as fasciectomy or dermofasciectomy, and needle aponeurotomy. Surgical treatment aims to remove the diseased fascia while protecting neurovascular structures and allowing for adequate wound healing and mobility.
Dr Nzau Skin Lesions.ppt
This document discusses the clinical presentation and diagnosis of various skin lesions. It describes key characteristics of macules, papules, plaques, nodules, vesicles, pustules, wheals, erosions, cysts, scaling, crusting, and other lesions. Highlighted are examples like iris-type lesions seen in conditions like erythema multiforme and granuloma annulare. The document emphasizes the importance of assessing lesion type, distribution, evolution over time, and correlating physical exam findings with patient history for accurate diagnosis of skin conditions.
skinintegrityandwoundcareautosaved-130319145813-phpapp02.pdf
This document discusses skin integrity and wound healing. It begins by outlining learning objectives related to factors affecting skin health, pressure ulcer risk and stages, and wound healing phases. The skin's functions are described, along with factors influencing integrity like age, health conditions, and activity level. Wound types include accidental injuries and surgical wounds, which are classified. Pressure ulcer stages and risk factors are then defined in detail.
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Pauls Power Point
- 2. - ARTERIAL INSUFFICIENCIES : most commonly situated on the foot, but may occur in other locations. -Caused by primary loss of vascular flow to an anatomical site, which leads to tissue death. - VENOUS INSUFFICIENCY : generally in the lower portion of the leg and can lead to ulceration of the skin. -Venous stasis may result from venous hypertension, venous thrombosis, varicose veins, or obstruction of a portion of the venous system. -Precise cause of ulcers caused by venous stasis has not been determined. - FIBRIN CUFF FORMATION is one theory- caused by increased capillary leakage of fibrinogen as a result of venous hypertension. - WHITE CELL TRAPPING – venous hypertension decreases capillary flow and removal of WBC. Trapped cells occlude capillaries leading to ischemic damage. PAGLIARULO
- 11. - ABRASIONS are integumentary wounds caused by scraping away skin through contact with a rough object or surface. - AVULSION INJURIES include those injuries which much if not all of the skin and generally the subcutaneous tissue are separated from the underlying tissue. - DEGLOVING INJURIES result from avulsion injuries that occurrs on the hand or foot. - PUNCTURE WOUNDS is a hole in the skin created by a pointed object. - BURN INJURIES include electrical, flame, chemicals, and scalding. - ISCHEMIC SKIN DAMAGE may result in truama from loss of sensory feedback. Decreased sensation prevents a person from making appropriate adjustments to damaging situations. PAGLIARULO
- 15. - INFLAMMATORY SKIN DISEASES are usually patchy sites of either acute or chronic inflammation referred to as dermatitis, includes itching and some scaling. Certain viruses can lead to warts or rashes. Bacteria, foreign bodies, and plugged sebaceous glands are causes of acne and other skin abscesses. - NEOPLASTIC SKIN DISEASES (skin cancer) includes basal cell carcinoma, squamous cell carcinoma , and malignant melanoma Three most common types of cancer associated with the integument. - Exposure to sunlight is most common etiology for each of these cancers. PAGLIARULO
- 20. NUROPATHIC (NEUROTROPHIC) ULCERS: - Ischemic injury can take place as a result of loss of sensory feedback. -An ulcer secondary to insensitivity is called a neuropathic ulcer . - Decreased sensation in the soles of the feet caused by diabetes mellitus may result in a patient who may not sense a pebble in their shoe. Blood flow to the area is reduced because of the pebble. - Pressure ulcers can also be the result of loss of sensory feedback, as in the case of spinal chord injury. -May also result from motor neuropathy, leading to anatomical deformity that cause pressure points. PAGULIARULO
- 28. -Physicians carry out diagnosis and primary treatment of skin disease. -PTs and APTs need to recognize signs and symptoms of skin cancer so that they provide prompt medical referral. - Key warning signs for skin cancer : new skin growth, a sore that does not heal within 3 months, or a bump that is getting larger. - Melanoma detection is detected by alterations of growth in the skin or in a mole and may include changes in size, color, shape, elevation, surface appearance, or sensation. PAGLIARULO