integumentary Function

Question 1

age-related changes that affect integumentary function

Answer 1

• reduced epidermal proliferation
• thinner dermis, flattened dermal-epidermal junction
• decreased moisture content
• decreased sweat glands and sebaceous glands

Question 2

risk factors

Answer 2

• exposure to UV light
• adverse med effects
• personal hygiene practices
• conditions that increase risk for pressure ulcers, skin tears

Question 3

negative functional consequences

Answer 3

• dry wrinkly skin
• slower wound healing
• reduced sweating, shivering, tactile sensitivity
• increased susceptibility for skin cancer
• increased susceptibility to burns, bruises, skin breakdown

Question 4

basal cell carcinoma

Answer 4

• most common type
• 90% of all cancers in Can
• often on head + neck
• diagnosed and treated early = cure rate 100 %
• left untreated = invades surrounding tissue

Question 5

basal cell carcinoma look

Answer 5

flat, firm, and pale or small, pink or red, or translucent, shiny or waxy appearance
- bleeds easily, w/ or w/o oozing or crusting areas
- abnormal blood vessels may be visible
- depression in center
- blue, brown or black patches

Question 6

squamous cell carcinoma

Answer 6

• 2nd most common
• head, neck, forearms, and dorsal side of the
• early detection and treatment is imperative

Question 7

squamous cell carcinoma look

Answer 7

• firm, red nodule
• flat sore w/ scaly crust
• new sore or raised area on an old scar or ulcer
• rough, scaly patch on your lip > > evolve to open sore
• red, raised patch or wart-like sore on or in the anus or on the genitals

Question 8

melanoma

Answer 8

• most serious type
• more prevalent in M
  risk factors:
• light hair
• family hx
• fair skin
• sunburn susceptibility
• multiple severe sunburns
• multiple nevi on extremities

Question 9

melanoma look

Answer 9

A > asymmetry
B > border
C > color
D > diameter (>6mm)
E > evolving

Question 10

pressure ulcers

Answer 10

Braden Scale

Question 11

nursing interventions to promote skin wellness

Answer 11

teach prevention
- limited exposure
- UV protection, SPF at least 30, long sleeves, hats
- hydration (skin/internal)
teach self monitoring
- regular inspection for changes
wound care
- prevent and manage
- pressure ulcers and skin tears
- refer to wound care nurse early