Assessment of Skin, Hair and Nails
Transcript of Assessment of Skin, Hair and Nails
Assessment of Skin, Hair and Nails
By: Faridokht Yazdani Faculty of Nursing-IAUN
Skin structure. Three-dimensional view of the skin, subcutaneous tissue, glands, and hairs.
Visible changes
Palpation of Turgor
Nursing Process Care: in Skin Lesions
1. Assessment: descriptions; pt. history, causative factors
2. Evaluation of skin identify problem
3. Nursing Diagnosis
4. Interventions for skin care to promote healing and prevent further injury
- Pain management & comfort
-Infection control
1. Nursing evaluation & reassessment
Abnormal Skin Findings Primary and secondary lesions
Vascular lesions
Purpuric lesions
Infections
Malignant lesions
ABCDE Criteria
ABCDE Criteria for Melanoma Assessment
Skin Lesions Tinea
Measles
Varicella
Herpes
Psoriasis
Dermatitis
Eczema
Impetigo
Tinea corporis.
Measles (rubeola).
German measles (rubella).
Chickenpox (varicella).
Herpes simplex.
Herpes zoster (shingles).
Psoriasis.
Contact dermatitis.
Eczema (atopic dermatitis).
Impetigo.
Malignant Lesions Basal cell carcinoma
Squamous cell carcinoma
Malignant melanoma
Basal cell carcinoma.
Squamous cell carcinoma.
Malignant melanoma.
Abnormal Hair Findings Seborrhea
Tinea capitis
Infection
Folliculitis
Furuncles
Hirsutism
Seborrheic dermatitis (cradle cap).
Tinea capitis (scalp ringworm).
Folliculitis.
Furuncle/abscess.
Hirsutism.
Nails Assessment
Abnormal condition of nail
Ano nychia:
Platu nychia:
Koilo nychia:
Racket nail:
Onycholysis
Melano nychia:
Paro nychia:
Leuconychia
Nailfold erythema
CRF, cirrhosis
Nail clubbing