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Chapter 6

The integumentary system compose of skin, nails, hair, sweat and oil glands
functions of the integumentary system are to protect the body, eliminate wastes through the sweat gland, regulate temp., produce vitamin D
epidermis outer layer of skin (skin you see)
dermis the second layer of skin, made up of new cells that replace discarded cells from the epidermis
What is under the dermis? fatty tissue
benefits of fat body's insulator, and add padding to the body
What happens when blood vessel dilate (become larger) the body temp. is reduced
What happens if blood vessel becomes smaller? body temp. increase
appendages attachments of the skin
podiatrist foot specialist
erythema redness of the skin can mean increased body temperature, prolonged pressure, infection or injury
cyanosis blue/gra color of the skin, lips, and nailbeds, indicating lack of oxygen
eschar a black or scablike skin area.
pale or white color of skin can mean circulatory problems related to shock
pressure ulcers (decubitus ulcers or bed sores) an inflammation, sore, or culer in the skin.
How does pressure ulcer develop? pressure on an area of skin prevents the flow of blood, resulting in dead tissue that comes off and leaving an open sore.
Areas most likely to break down are back of the head, rim of the ears, shoulder blades, spine, shoulders, elbow, hip, kneeds, ankles, heels and toes
shearing when skin moves one way whil the bone and tissue under the skin moves another way
anemia not enough red blood cells
stages of developing pressure uclers 1. sking becomes redden - tender and warm to touch. 2 development of a blister - breaks open leaving an ulcer 3. eschar can cover the sore - prevents healing and must be remove with sugery or medication
debridgement removal of dead or unhealthy tissue
Ways to prevent pressure ulcers keep the skin clean and dry, provide lotion and gentle massage, protect the skin from scratching, rubbing, etc.
When should a resident position be changed? at least every 2 hours. Resident require frequent position changes
partial bath bathing only parts of the body, include face, underarms, hands, and perineal area.
perineal area area (female) between the vagina and anus (male) area between scrotum and anus)
always dress the affect side () and undress it () first, last
heat is used to speed up the healing process, decrease swelling, or to relieve pain
When heat is applied to the skin, the blood vessel dilate (open)
cold is used to preven swelling, control bleeding, relieve pain, or lower body temp.
When cold is applied, the blood vessel contract (narrow)
moist application includes soaks (warm or cold), compress (warm or cold), tub, alcohol sponge bath, sithz bath, cool wet packs
dry applications include ice pack and ice collar, warm water bottle, heat lamp, aquamatic K-pad
moist application water touches the skin
dry application water does not touch the skin
Created by: Tiffastic
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