Skin Assessment - Unit 2 Flashcards
What is some of the subjective data for health history questions?
Previous history of skin disease, change in pigmentation, change in mole (size or color), excessive dryness or moisture, excessive bruising, itching, hair loss, self care behaviors, etc.
Pruritus - def
Itching.
Objective Data - what do we look for?
Color (general pigmentation, widespread color change), temp, moisture, texture.
Skin Color - assess areas ___ exposed to sun and assess for ___ pigmentation.
NOT exposes/even pigmentation.
What is skin color influenced by?
Amount of melanin, oxygen content in blood, level of exposure to sun, etc.
Dark skin - large or little amounts of melanin?
Large amounts!
Light skin - large or little amounts of melanin?
Little!
Asian skin - large amount of carotene. T/F?
True!
What are some of the variations of the skin color/tone?
Pinkish tan to ruddy dark tan, light to dark brown, may have yellow or olive overtones, pink, tan, brown or black.
Dark skin people - normally have areas of lighter pigmentation on palms, nail beds & lips. T/F?
True!
Where are some good areas to asses changes in coloration for darker skinned people?
Under the tongue, buccal mucosa (cheek), conjunctivae (eyelids), sclera (white part of eyes)
Cyanosis - def
mottled blue color in skin.
Cyanosis - increased amount of ____ ___ causing inadequate tissue perfusion.
Unoxygenated hemoglobin.
Cyanosis - what color?
Blueish color!
Pallor - def and what causes it?
loss of color because there is an absence of oxygenated Hbg.
Light skin - pallor - lose __ tone.
Rosy
Pallor - skin with natural yellow tone becomes more…
Yellow, which is why it can be mistaken for jaundice.
Dark skin - pallor - loses healthy ___.
Glow.
Pallor - black skin - loses __ undertones and appears __ __ and ___.
Red/ash grey and dull.
Pallor - brown skin - appears ___ ____ and ___.
Yellow brown/dull.
Jaundice - yellow undertone caused by increased ___ in blood.
Bilirubin
Erythema (redness) - what is it?
Light skin = red, bright pink and with dark, it’s a purplish tint.
What is the normal temp of skin?
Warm.
Skin temp - varies depending on circulation and limbs? T/F?
True!
Skin moisture - usually __ with moisture in axilla, skin folds and in response to activity or anxiety/emotional state.
Dry!
Turgor (elasticity) - indicator of total body ___.
Hydration.