Skin integrity Flashcards
The process of keeping the skin healthy and free from injury, infection, or breakdown.
Skin Integrity
A condition where the skin is damaged, often involving the loss of the epidermis or dermis.
Skin Breakdown
Preventing skin injury or damage
Skin Protection (sun block)
The first stage of wound healing, where the body stops bleeding and begins to repair the injured blood vessels.
Hemostasis
The state of the skin when it is inflamed, broken, or damaged, often due to friction, moisture, or pressure.
Compromised Skin Integrity
The phase of healing where new tissue is formed, and the wound begins to close.
Proliferative Phase
The phase of healing where the wound matures, and the new tissue gains strength and flexibility.
Maturation (Remodeling) Phase
What does cyanosis (bluish skin) suggest during skin inspection?
Reduced oxygen levels in the blood, often related to respiratory or cardiovascular issues.
What does jaundice (yellowing of the skin) suggest during the inspection phase?
Inflammation, infection, or increased blood flow.
What is a primary concern when inspecting skin over bony prominences in immobile patients?
Pressure ulcers (skin breakdown).
What should the nurse look for in areas of the skin that are moist?
Maceration, which is skin softening and breakdown.
What should the nurse note about lesions during skin inspection?
What should the nurse note about lesions during skin inspection?
