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PART 2: Activity: Examination and Evaluation of Integumentary Integrity,…

- - - - 2 Questions:
        
        Any Hx of skin cancer?
        
        Do you lay out in the sun? Tan? sunbath?
        
        Additional
        
        when you do go out in the sun, do you wear any sunscreen?
        
        After: make the patient comfortable by lying on his back and legs elevated.
        
        Check for any abnormal skin color throughout the whole body (Anterior and Posterior)
        
        Pallor (paleness)
        
        Jaundice (yellow)
        
        Cyanosis (blue)
        
        Erythema (Redness)
        
        Temperature:
        
        Warm
        
        Dry
        
        Texture:
        
        Smooth
        
        Thin
        
        Thick - palms of hands and soles of feet
        
        Mobiliy & Turgor
        
        1 more item...
        
        Check hair
        
        Color
        
        Texture
        
        Distribution (symmetrical/asymmetrical)
        
        1 more item...
        
        Nails
        
        Nail bed should be PINK
        
        Nail shape
        
        Pressing onto the nail should feel firm not spongy
        
        1 more item...
  - - - A - Asymmetry
      - B - Borders
      - C - Color
      - D - Diameter
- - - - Magnifying glass
      - Episcope
      - Ruler
      - Camera w/ good close-up capabilities
        
        for baseline and follow -up ax
      - Fungus deterrent
      - GLOVES
        
        Visible Lesion
  - - - Ask them to remove their socks and shoes and sit on the exam table facing you.
  - - - Looking at fingernails and toenails
        
        Examine shape
        
        Examine color
        
        Check Cuticle
        
        Look at lunula
        
        no lunula at pinkie = normal
        
        no lunula = often protein deficiency
        
        Check nail strength (flexibility)
        
        1 more item...
- - - - Proper lighting
      - Good eyesight
      - sense of touch (fingers)
      - Gloves
      - Ruler
      - Camera
      - Magnifying
      - Potassium Hydroxide
        
        and 2 slides
        
        For Fungus
      - Proper Draping (for comfort)
        
        Inspect the skin while the patient is:
        
        Sitting
        
        Lying
        
        Standing
      - Demo:
        
        Ask Concerns about Skin
        
        noticed any roughness or dryness?
        
        noticed any changes in any moles or freckles in on your skin
        
        Ask if taking any supplements, Essential fats or oils and vitamins
        
        Examin the soles of the feet
        
        1 more item...