Nursing Assessment: Integumentary System Chapter 23 Overview Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Structures and Functions of Skin and Appendages Fig. 23-1. Microscopic view of the skin in longitudinal section. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Structures and Functions of Skin and Appendages Epidermis Dermis Subcutaneous tissue Skin appendages Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Structures and Functions of Skin and Appendages Fig. 23-2. Structure of a nail. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Structures and Functions of Skin and Appendages Functions of Integumentary System Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Gerontologic Considerations: Effects of Aging on Integumentary System Fig. 23-4. Photoaging. Irregular pigmentation and keratoses occur on sun-damaged skin on forehead. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Assessment of Integumentary System Table 23-2. Normal Physical Assessment of Integumentary System. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Assessment of Integumentary System Subjective Data Important health information Past health history Medications Surgery or other treatments Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Assessment of Integumentary System Subjective Data, continued Functional health patterns Health perception–health management pattern Nutritional-metabolic pattern Elimination pattern Activity-exercise pattern Sleep-rest pattern Cognitive-perceptual pattern Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Assessment of Integumentary System Subjective Data Functional health patterns, continued Self-perception–self-concept pattern Role-relationship pattern Sexuality-reproductive pattern Coping–stress tolerance pattern Value-belief pattern Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Assessment of Integumentary System Objective Data Physical examination Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Assessment of Integumentary System Table 23-5. Secondary Skin Lesions. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Assessment of Integumentary System Objective Data Physical examination, continued Inspection Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Assessment of Integumentary System Table 23-7. Lesion Distribution Terminology. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Assessment of Integumentary System Objective Data Physical examination, continued Palpation Assessment of Dark Skin Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Assessment of Integumentary System Fig. 23-5. Intertrigo. Rash in body folds with Candida infection. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Assessment of Integumentary System Fig. 23-7. Vitiligo. Total loss of pigment in the affected area. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Assessment of Integumentary System Fig. 23-8. Naevus of Ota. Flat gray to blue pigmentation in the upper trigeminal area, which is more common in dark-skinned individuals. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Assessment of Integumentary System Fig. 23-9. Traction alopecia. Hair loss in scalp due to prolonged tension from hair rollers and braiding and straightening combs. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Diagnostic Studies of Integumentary System Fig. 23-10. Patch test. Results from an application of possible allergens to the skin shows positive reactions in the sites labeled “standard and shoe.” Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.