1. Assessment of the Skin, Hair , and Nails
NUR 206
Health Assessment
Dr. Issa M. Hweidi, RN, DNSc.
Fall, 2016

2. Structure & Function Skin Appendages Function Epidermis Dermis
SC tissue
Appendages
hair
Sebaceous glands
Sweat glands
Nails
Function

3. Focused History Previous history of skin disease
Change in pigmentation
Change in mole
Excessive dryness/moisture
Pruritus
Excess bruising
Rash or lesion
Medications
Hair loss
Change in nails
Environmental or occupational hazards
Self-care behaviors

4. The Physical Exam Inspection and palpation of the skin Color
Temperature
Moisture
Texture
Thickness
Edema
Mobility & turgor
Vascularity and bruising
Lesions (color, elevation, pattern/shape, size, location, distribution, exudates)

5. Common Shapes & Configuration

6. Common Shapes & Configuration

7. Common Shapes & Configuration

8. continued Inspection and palpation of the hair
Color
Texture
Distribution
Lesions
Inspection and palpation of the nails
Shape and contour

9. Other Nursing Considerations
Skin cancer risk assessment
Occupational hazards
Light skin
> 40 years
Increased sun exposure
Teaching skin self exam
Purpose
Frequency
Technique