Integumentary Flashcards
What are three difference in skin of older adults?
- Drier (oil and sweat gland activity decreases)
- Epidermis becomes thinner
- Dermis becomes less elastic and shrinks (wrinkles and loss of turgor)
What is the normal nail base angle? what is angle of clubbing?
160; 180+
What is clubbing associated with?
Respiratory and CV diseases (often seen in CF)
In a Semmes-Weinstein monofilament test, what is the common threshold indicating disease?
5.07
What are the S&S of skin disease?
- Pruritus (itching)
- Urticaria (hives)
- Rash
- Blister
- Xeroderma (rough, dry skin)
- Unusual spots, moles nodules, cysts
- Changes in appearance of nails
- changes in skin color, turgor, texture
What should be included in documentation of skin lesions?
- Size
- Pattern,
- Pain
- Tenderness
- Itching
- Area of the body
- Drainage (color, amount)
- Temp of the skin
General term to describe superficial inflammation of the skin; can be acute, subacute, or chronic stages
Dermatitis
Type of dermatitis with superficial inflammation of the skin
Eczema
Type of dermatitis due to something physical causing the symptoms; exposure to chemicals
Contact dermatitis
Type of dermatitis that is chronic
Atopic dermatitis
Chronic facial disorder; variation of acne; occurs on cheeks, nose and chin; possibly linked to GI bacteria
Rosacea
What are the types of skin infection?
- Bacterial
- Viral
- Fungal
- Parasitic
Superficial skin infection caused by staph or strep; spread by direct contact or environmental contamination; symptoms include macule –> Vesicles –> Pustules, which creates a thick yellow crust
Impetigo (treated with oral antibiotics)
What are the 2 common bacterial skin infections?
- Impetigo
2. Cellulitis
Acute inflammation of skin and underlying tissue with skin infection; spreads rapidly, often in extremities; usually staph; occurs in older adults. diabetes, malnutrition, steroid therapy, presence of wounds; erythema, edema, tenderness symptoms
Cellulitis (treated with IV antibiotics)