Integumentary Disorders Fall07eb

Nursing Care of the Client with Integumentary Disorders

Functions of the Skin in General  Protection  Homeostasis  Thermoregulation  Sensory

Reception

Specific Structures and Functions of Skin    

Epidermis Dermis Subcutaneous Fat Epidermal Appendages 1. 2. 3. 4. 5.

Eccrine glands Apocrine glands Sebaceous glands Hair and hair follicles Nails

Effects of Aging on the Skin  Adolescence  Adulthood  Older

Adulthood

Assessment of the Integumentary System 

History



Physical Exam 1. Hair/Scalp 2. Skin

Diagnostic Tests      

KOH Culture Tzanck Mineral oil slides Wood’s Light Biopsy 1. Shave 2. Punch 3. Incision 4. Excision

Types of Lesions  Primary

 Secondary

Primary Lesions      

Macule and Patch Papule and Plaque Vesicle and Bulla Pustule Nodule, Tumor, and Cyst Wheal

Secondary Lesions  Scale  Crust  Fissure  Ulcer  Lichenification

Pruritis 

Itch-scratch-itch cycle



Medication Vehicles Powders 2. Lotions/Creams 3. Ointments 4. Emollients 1.

Eczematous Disorders Atopic Dermatitis

Eczematous Disorders Contact Dermatitis

Eczematous Disorders Stasis Dermatitis

Eczematous Disorders

Intertrigo

Eczematous Disorders Psoriasis Vulgaris

Bacterial Skin Infections Cellulitis

Bacterial Skin Infections Erysipelas

Bacterial Skin Infections Impetigo

Viral Skin Infections Herpes Zoster

Fungal Infections of Skin  Candidiasis

Fungal Infections of the Skin Tinea Corporis

Fungal Infections of the Skin  Tinea Capitis

Fungal Infections of the Skin  Tinea Cruris

Fungal Infections of the Skin  Tinea Pedis

Parasitic Infestations of the Skin 

Pediculosis (Lice)

Parasitic Infestations Scabies

Blistering Skin Conditions 

Phemphigus

Blistering Skin Conditins Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis

Tumors  Actinic

Keratosis

Treatment of Actinic Keratosis   

Deep Chemical Peel Topical Antimetabolite Surgery 1. 2.

3. 4.

Cryotherapy Curettage and electrodesiccation (C&D) Shave or Excisional Moh’s micrographic surgery

Basal Cell Carcinoma

Squamous Cell Carcinoma

Malignant Melanoma

ABCDS of Melanoma 

Asymmetry – one side does not look like the other side



Border Irregularity – edges are ragged or uneven



Color – more than one color present- streaks of tan, brown, black, red, blue, white



Diameter – larger than size of a pencil eraser (6 mm) or has changed shape



Treatment