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Transcript of CNA 2 OSBN Curriculum v/flash/flvplayer/movie.php?m ovie= m/flv/78724r_sec01_300k.flv&...
Integumentary System
CNA 2 OSBN Curriculum
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Anatomy & PhysiologyConsists of
◦Skin◦Hair◦Nails◦Glands
Group of TissuesLargest Organ
Epidermis◦Outer Layer
Dermis◦Inner Layer◦Connective Tissue◦Oil Glands◦Sweat Glands
Help Regulate Body Temp
◦Blood Vessels/Nerves
Structure of the skin
ProtectionExcretionTemp. RegulationSensory Sensation/PerceptionTakes Vit. D
Functions
Reveals General Body Health Fever = Hot, Dry, Skin Strenuous Activity = Red/Flushed Pallor Oxygen Content in the /Blood
General Health
Excessive Pressure on Tissue Decreased Blood Circulation Damage to Skin and Underlying Structures
Pressure Ulcers
Regular Skin Inspection Frequent Turning of Immobile Pt.s Protection to Bony Parts Pressure Reducing Mattress Lifting Devices Reduction of
◦ Moisture◦ Soiling
Frequent Skin Care
Prevention & Treatment
Check Skin◦Bathing/Dressing/Transferring /Etc◦Applying TEDs/SCDs◦Where:
Boney Prominences
What to Look For◦Changes in
Color/Temp/Rashes Odor/Sores/Pain
Observation & Reporting
Report Abnormals to NurseKeep Skin
◦Clean and Dry◦Barrier Cream
Frequently Turn/Re-PositionDaily Skin Inspections
CNA 2 Actions
Inflammatory Rash Itchy & Red Venous Stasis Dermatitis Treatment
◦ Avoid Irritant◦ Keep Clean
DO NOT Apply Prescription ◦ Lotions◦ Ointments◦ Creams
Dermatitis
Worsening of Dermatitis◦Severe Itching◦Pain
Infection◦Warmth◦Redness◦Swelling
Elevated Temp
Observation & Reporting
Report Abnormals to Nurse Remove Irritating Agent as Directed
CNA 2 Actions
Common: Redness/Irritation Scales Hereditary Exacerbations and Remissions Trigger Attack
◦ Stress◦ Injury◦ Medications
Goal of Treatment◦ Control Sx’s◦ Prevent Infections
Medical Emergency◦Covering Much of Body
Psoriasis
Pinkish Red Patches of Skin Dry Patches w/Silvery Flaky Skin Thick Patches of Skin Pain Severe Itching Joint Pain/Aching Nail Changes
◦ Thickening◦ Yellow-Brown Spots◦ Dents◦ Separation from the base
Observation & Reporting
Report Abnormals to NurseAssist w/Bathing Daily
◦Do NOT ScrubObserve for Spreading ScalesEmotional Support
CNA 2 Actions
Shingles Varicella Virus Elderly Stressed Immune Compromised 10 Days-2 Weeks Painful Blisters Along Nerve Tracks Neuralgia Long After Outbreak Cleared
Herpes Zoster
Flu-Like Sx’s◦ Fever◦ Headache◦ Fatigue
Rash: ◦ Red/Sensitive/Sore Skin
Pain◦ Buring/Throbbing/Ithcing/Tingling
Light Sensitivity Swollen/Dry Eyes Blurred Vision Diplopia
Observation & Reporting
Report Abnormals to NurseFollow Contact Precautions
CNA 2 Actions
Purpura◦ Purplish, Hemorrhagic Spots◦ Near the Surface of the Skin
Small = PetechiaeLarge = EcchymosisAppears in Very Sick Patients
Purpura
Report to Nurse Stat
CNA 2 Actions
Lice/Parasites Infest
◦ Scalp◦ Pubic Hair◦ Full Body
Eggs Attach to◦ Hair Shafts◦ Clothing◦ Furniture
Spread◦ Clothing◦ Furniture◦ Bed Linen◦ Shared Hats◦ Hairbrushes
Treated w/Shampoos & Creams
Pediculosis
Itching of ScalpNits Attached to HairLice ObservedOutbreak
Observation & Reporting
Report Abnormals to NurseContact Precautions
◦Use Gloves Isolation
◦Until 24 hrs. after Tx. BeganTreatment
◦Apply Lotion to Dry Hair & Saturate◦Set 10 min◦Rinse◦Repeat in 1 Week
CNA 2 Actions
Itch Mite Burrows Under the SkinHighly Itchy Rash w/TracksSame HouseholdPhysical ContactShared
◦Clothing/Towels/BeddingTreat Immediately
Scabies
Intense ItchingSkin Irritations
◦Hives/Insect Bites/Blister◦Btwn: Finger/Armpits/Creases
Fever/Red Streaks/Pain/SwellingSores
◦Get Worse◦Do Not Heal
Observation & Reporting
Report Abnormals to Nurse USE GLOVES Contact Precautions Skin-Skin Transmission Isolation 24 Hrs after Tx
CNA 2 Actions
This project was funded $3,000,000 (100% of its total cost) from a grant awarded under the Trade Adjustment Assistance Community College and Career Training Grants, as implemented by the U.S. Department of Labor’s Employment and Training Administration. Rogue Community College is an equal opportunity employer/program. Auxiliary aids and services, alternate form and language services are available to individuals with disabilities and limited English proficiency free of cost upon request.
This work is licensed under a Creative Commons Attribution 4.0 International License.