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What is Integumentary System?
T he integumentary system is an organ system consisting of the skin, hair, nails, and exocrine glands. The skin is only a few millimeters thick yet is by far the largest organ in the body. The average person’s skin weighs 10 pounds and has a surface area of almost 20 square feet. Skin forms the body’s outer covering and forms a barrier to protect the body from chemicals, disease, UV light, and physical damage. Hair and nails extend from the skin to reinforce the skin and protect it from environmental amage. The exocrine glands of the integumentary system produce sweat, oil, and wax to cool, protect, and moisturize the skin’s surface.
Basic Nursing Interventions and Assessments:
- Past health history indicates previous trauma, surgery, or disease that involves the skin. (ex. Cyanosis, respiratory disorder)
- Surgery or other treatments (ex. biopsy, cosmetic surgery)
- Health practices related to integumentary system (ex. hygiene, sun protection)
- Nutritional-metabolic pattern, changes in the skin, hair, nails and mucous membranes and whether they are related to dietary changes.
- Elimination pattern, ask patient about conditions of the skin such as dehydration,edema, and pruritus (itching).
- Activity-Exercise pattern, environmental hazards (ex. carcinogens, allergens)
- Sleep-Rest pattern, disturbances in sleep caused by a skin condition
-Cognitive-Perceptual pattern, patient's perception of the sensations of heat, cold, pain, and touch.
-Self-perception-self concept pattern, feelings related to the patient's skin condition.
-Role-relationship pattern, how the skin condition affects relationships with family members, peers and work associates.
-Sexuality-reproductive pattern, effect of the patient's skin condition on sexual activity
-Coping-Stress Tolerance pattern, the role that stress may play in creating or exacerbating the skin condition.
Assessment of Integumentary System- Objective Data
Physical Examination - INSPECTION
Begin inspection of patient
- Begin by inspecting all exposed areas of the patient's skin
- Pay particular attention to areas associated with the patient's chief complaint and other clinical findings
- Look for skin pigmentation, complexion, areas of skin breakdown, lesions, rashes, and wounds
- Inspect any area that may be excoriated or infected from incontinence, heavy perspiration, and lack of exposure to air
* Beneath the breast, in the axillae
* Between the thighs, in the gluteal fold
* abdominal apron
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"When I was assigned the case study analysis of integumentary system patient I had no clue as to where to reach out for help. Luckily I bumped into HwA and was astonished to find that they have specific integumentary system related section". -Hilary Smith
"I got very solid advice on the primary intervention and assessment of the skin of a burn victim from the experts here on HwA. Since then I always take their help". -Esther Gibson
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