63-166 SkinHairNails abbreviated student notes 2015 - The...

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The Integumentary AssessmentWeek 51
ReferencesAmerican Academy of Dermatology (AAD) 73rd Annual Meeting (2015). Sun Exposure in Adulthood Can Be Risky: Abstract F025. Presented March 20, 2015. Amor Khachemoune, A. & Ehrsam, E. (2005). Assessing malignant melanoma: a case study. Dermatology Nursing, 17 (3), 188 – 190Barclay, L. (2011). USPSTF Updates Skin Cancer Prevention Counselling Guidelines. Canadian Dermatology Association (CDA) website http://Centers for Disease Control http:///Health Canada Website http://Jones, S.E. et al. (2012). Trends in Sunscreen Use Among U.S. High School Students: 1999–2009. Journal of Adolescent Health 50 (3), 304 – 307. DOI: Lewis, r (1998). Recognizing Neoplastic Skin Lesions: A photo guide. American Family Physician 58 (4): 873-884.Ribero, S., Zugna, D., Osella-Abate, S. et a., (2015). Prediction of high naevus count in a healthy UK population to estimate melanoma risk. British Journal of DermatologyDOI: 10.1111/bjd.14216Stephen, T.C., Skillen, D.L., Day, R.A. & Bickley, L.S. (2010). Canadian Bates’ guide to health assessment for nurses. Philadelphia, PA: Wolters Kluwer Health/ Lippincott Williams & Wilkins.Wolters Kluwer Health & Lippincott Williams & Wilkins (2010). The point. Retrieved from: 2
Background, Structure and Function (blackboard pre-class notes)Subjective Data—Health History QuestionsObjective Data—The Physical Exam (General survey and vital signs)Abnormal Findings Health PromotionToday’s Agenda
Objectives – by the end of today you should be able toIdentify components of the integument system - skin, hair, nails, and sweat glands and describe how they functionExplain how the integument system provides vital information about the patient’s health statusAssess the patient’s hydration and nutrition status by examining the integument systemList the components of a skin, hair and nail assessment Differentiate between sweat and sebaceous glandsIdentify the different types of skin cancer and screening4
Vital Information About Patient Health StatusIndicates health of:EndocrineRespiratoryCardiovascularGastrointestinal – liver Findings reflectUrinary Immune Thermoregulatory Neurological 5HydrationNutritionOxygenationCirculationAge Emotional status
Lifespan Considerations - AgingGradual loss elastin, collagen & subcutaneous fatOverall thinning, decreased resilience, sagging & wrinkling, increased visibility & fragility of superficial vascular structuresIncreased risk for bruising & shearing injuryTurgor decreases – also effected byhydration statusReplacement of epidermal layer decreases resulting in rougher skin texture & longer wound healing6
Lifespan Considerations – Aging (cont.)Thermoregulation is affectedEccrine & apocrine action decreasesDecreased melanin production in hair matrix & epidermis

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