1. Nursing Assessment: Integumentary System
Chapter 23 Overview
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2. Structures and Functions of Skin and Appendages
Fig Microscopic view of the skin in longitudinal section.
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3. Structures and Functions of Skin and Appendages
Epidermis
Dermis
Subcutaneous tissue
Skin appendages
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4. Structures and Functions of Skin and Appendages
Fig Structure of a nail.
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5. Structures and Functions of Skin and Appendages
Functions of Integumentary System
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6. Gerontologic Considerations: Effects of Aging on Integumentary System
Fig Photoaging. Irregular pigmentation and keratoses occur on sun-damaged skin on forehead.
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7. Assessment of Integumentary System
Table Normal Physical Assessment of Integumentary System.
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8. Assessment of Integumentary System
Subjective Data
Important health information
Past health history
Medications
Surgery or other treatments
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9. 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
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10. 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
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11. Assessment of Integumentary System
Objective Data
Physical examination
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12. Assessment of Integumentary System
Table Secondary Skin Lesions.
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13. Assessment of Integumentary System
Objective Data
Physical examination, continued
Inspection
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14. Assessment of Integumentary System
Table Lesion Distribution Terminology.
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15. Assessment of Integumentary System
Objective Data
Physical examination, continued
Palpation
Assessment of Dark Skin
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16. Assessment of Integumentary System
Fig Intertrigo. Rash in body folds with Candida infection.
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17. Assessment of Integumentary System
Fig Vitiligo. Total loss of pigment in the affected area.
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18. Assessment of Integumentary System
Fig Naevus of Ota. Flat gray to blue pigmentation in the upper trigeminal area, which is more
common in dark-skinned individuals.
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19. Assessment of Integumentary System
Fig Traction alopecia. Hair loss in scalp due to prolonged tension from hair rollers and braiding and
straightening combs.
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20. Diagnostic Studies of Integumentary System
Fig Patch test. Results from an application of possible allergens to the skin shows positive reactions
in the sites labeled “standard and shoe.”
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