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Acne 7c25bc9e2487447baf82c15b93deebc2 - Coggle Diagram
Acne
Definition
Is the inflammatory skin disorder characterized by by eruptions of pustules.
It's in two types(vulgaris and rosacea)
Causes
Bacteria
Hair follicle clogged by oil and dead skin cell
Excess oil production
Inflammation
Clinical manifestation
Pimples
Papules
Nodules
Inflammatory lesions
Pathophysiology
is a multifactorial inflammatory disease affecting pilosebaceous follicles
Then a microcomedo is created
An increase in circulating androgens at the onset of puberty occurs
These events trap bacteria to multiply themselves
Resulting in various inflammatory molecules and chemotactic factors
And then induce keratinocyte hyperproliferation
Then stimulate the production of sebum into the pilosebaceous unit
That initiate and perpetuate the local inflammatory response
(Dréno, B., 2017)
Nursing care plan
Diagnosis
Impaired skin integrity
Disturbed body image
Risk of infection
Interventions
Assess skin, noting color, moisture, texture, temperature,edema, tenderness and lesions
Identify signs of itching and scratching
Identify skin damage
Assess the patient’s behavior related to appearance
Assist patients in identifying ways to enhance their appearance e.g clothes
Assess for signs of infection
Encourage the patient to use appropriate hygiene methods
Evaluation
Verbalizes negative feelings about skin condition
Patient remains free of secondary infection.
No further damage to the skin
Diagnostic test
Hyperandrogenism
Culture for sensitivities
Clinical appearance
Skin biopsy
Medical management
Administer oral antibiotics
Apply topical lubricants immediately after bathing
Topical therapy e.g benzoyl peroxide and antibiotics
Retiniods
Incision and drainage
Corticosteroids injection
(Maranda, E.L., Simmons, B.J., Nguyen, A.H., Lim, V.M. and Keri, J.E., 2016)