At the end of the chapter, the learner will: Show
I. Overview of Assessment of the Integumentary SystemThe assessment of the integumentary system which includes the skin, hair and nails is an important element of the nurse’s assessment of the patient’s health status. These body structures do have specific functions but they also reflect functions or dysfunctions of other body systems as well. This chapter presents important concepts that will prepare the nurse to assess the patient’s integumentary system. II. Review of Anatomy and PhysiologyIn the following video, structures and functions of the integumentary system are reviewed. Knowledge of anatomy and physiology of the body systems is essential to the assessment process as the nurse compare normal expected findings and patient manifestations. III. Medical Terminology:
IV. Step by Step AssessmentSafety considerations:
Note: Click all hyperlinks to access more details. Copyrighted materials used with permission of the author, A. Chandrasekhar, Loyola University Medical Education Network. The Braden scale is an evidence-based assessment tool frequently used in health care to identify patients who are at risk for pressure injuries, and then to provide early interventions to prevent or reduce the injuries. The tool includes assessment in 6 categories that may potentially cause pressure injuries: sensory perception, moisture, activity, mobility, nutrition, and shear/friction. It will generate a total risk score ranging from 6 to 23. The lower the score, patients will be more likely to increase the risk of developing pressure injuries. Click on the link to access detailed description of The Braden Scale. More integumentary system health assessment open educational resources are available with a click: Nursing Skills – Integumentary Assessment. V. DocumentationSkin warm, dry/clean/intact, color appropriate for ethnicity. Well hydrated with normal skin turgor. Full hair distribution on scalp, and normal hair distribution on arms and legs. Nails neatly trimmed, 160-degree angle at base. Capillary refill < 3 sec. Denies skin itchiness. No lesions noted. VI. Related Laboratory Tests and Diagnostic ProceduresSome diagnostic tests may be done to assist in diagnosing integumentary concerns.
VII. Learning Activities:VIII. Citations and Attributions
What are the 4 techniques used in a physical exam?WHEN YOU PERFORM a physical assessment, you'll use four techniques: inspection, palpation, percussion, and auscultation. Use them in sequence—unless you're performing an abdominal assessment.
Which are physical examination techniques select all that apply?The four basic methods or techniques that are used for physical assessment are inspection, palpation, percussion and auscultation.
What are the 4 techniques used in a physical exam quizlet?Physical examination requires the sequential use of what four assessment techniques? inspection, palpation, percussion, and auscultation.
Which method is the most commonly used during physical assessment quizlet?Inspection is the only technique that is used when assessing every body part and system. Palpation is the use of touch to assess texture, temperature, moisture, size, shape, location, position, vibration, crepitus, tenderness, pain, and edema.
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