Nursing Care of

the Client with

Integumentary
Disorders
Functions of the Skin in
General
 Protection

 Homeostasis

 Thermoregulation

 Sensory Reception
 Specific Structures and
Functions of Skin
 Epidermis
 Dermis
 Subcutaneous Fat
 Epidermal Appendages
1. Eccrine glands
2. Apocrine glands
3. Sebaceous glands
4. Hair and hair follicles
5. Nails
Effects of Aging on the Skin
 Adolescence

 Adulthood

 Older Adulthood
 Assessment of the
Integumentary System
 History

 Physical Exam
1. Hair/Scalp

2. Skin
 Diagnostic Tests
 KOH
 Culture
 Tzanck
 Mineral oil slides
 Wood’s Light
 Biopsy
1. Shave

2. Punch

3. Incision

4. Excision
 Types of Lesions
 Primary

 Secondary
 Primary Lesions

 Macule and Patch

 Papule and Plaque
 Vesicle and Bulla
 Pustule
 Nodule, Tumor, and Cyst
 Wheal
 Secondary Lesions
 Scale

 Crust

 Fissure

 Ulcer

 Lichenification
 Pruritis
 Itch-scratch-itch cycle

 Medication Vehicles
1. Powders
2. Lotions/Creams

3. Ointments

4. Emollients
 Eczematous Disorders

Atopic Dermatitis
Eczematous Disorders
Contact Dermatitis
 Eczematous Disorders

Stasis Dermatitis
 Eczematous Disorders
Intertrigo
Eczematous Disorders
Psoriasis Vulgaris
Bacterial Skin Infections

Cellulitis
Bacterial Skin Infections

Erysipelas
Bacterial Skin Infections

Impetigo
Viral Skin Infections
Herpes Zoster
Fungal Infections of Skin
 Candidiasis
 Fungal Infections of the
Skin
Tinea Corporis
 Fungal Infections of the
Skin
 Tinea Capitis
 Fungal Infections of the
Skin
 Tinea Cruris
 Fungal Infections of the
Skin
 Tinea Pedis
 Parasitic Infestations of
the Skin
 Pediculosis (Lice)
Parasitic Infestations
Scabies
 Blistering Skin
Conditions
 Phemphigus
Blistering Skin Conditins
Stevens-Johnson
Syndrome and Toxic
Epidermal Necrolysis
 Tumors
 Actinic Keratosis
 Treatment of Actinic
Keratosis
 Deep Chemical Peel
 Topical Antimetabolite
 Surgery
1. Cryotherapy
2. Curettage and
electrodesiccation (C&D)
3. Shave or Excisional
4. Moh’s micrographic surgery
Basal Cell Carcinoma
Squamous Cell
Carcinoma
Malignant Melanoma
 ABCDS of Melanoma
 Asymmetry – one side does
not look like the other side

 Border Irregularity – edges

are ragged or uneven

 Color – more than one color

present- streaks of tan,
brown, black, red, blue,
white

 Diameter – larger than size

of a pencil eraser (6 mm) or
has changed shape

 Treatment