Assessing the Integumentary System Flashcards
What are we inspecting for?
color, vascularity, integrity, continuity, lesions
What are we palpating for?
temp, moist, texture, tugor, edema (0-4)
Scale to determine if the patient is at risk for skin breakdown
Braden Scale
What does the Braden Scale assess?
Sensory perception, moisture, activity, mobility, nutrition, friction/shear.
When we are observing the skin, we look for…
Observe:
size, shape, depth, location, presence of drainage or odor, body piercings, tattoos, scars, rashes.
When observing the skin, we measure…
rashes
When measuring rashes, we look for…
type, size, elevation, color
What do we do when we see changes in the skin?
DOCUMENT THEM!
When assessing the head, we look for…
color, texture, distribution
When assessing the scalp we look for…
color, dryness, scaliness, lumps, lesions, lice, or nits
When assessing the nails, we look for…
color, texture, shape, angle
As we age, the elasticity in our skin…
decreases
As we age, the texture of our skin becomes…
Dry/Scaly
As we age, our hair begins to…
Thin (also called Alopecia)
As we age, our hair begins to lose its…
pigementation
