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NSG 101 Exam 1 Skin, Hair and nails + physical assessment.
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NSG 101 Exam 1 Skin, Hair and nails + physical assessment.
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NSG 101 Exam 1 Skin, Hair and nails +physical assessment
Documentation Must Be
complete
accurate
descriptive
Assessment types
comprehensive
problem based/ focus
episodic/follow-up
shift
screening
/
0:15
Techniques of Physical Assessment
1. Inspection
2. Palpation
3. Percussion
4. Auscultation
Pain Types
Acute
chronic
referred
phantom
Acute Pain
Recent onset
Ends with healing
Ex: surgery
Chronic Pain
lasts more than 6 months
intermittent or continuous
Ex: back pain, rheumatoid arthritis
reffered pain
, pain that feels as if it is coming from some part of the body other than the part being
stimulated
phantom pain
pain or discomfort felt in an amputated limb
Recognize In Pain Assessment
onset
location
duration
characteristics
aggravating factors
alleviating factors
What are the three layers of skin?
epidermis, dermis, subcutaneous
Purpose of subcutaneous layer
provide insulation, storage of caloric reserves, cushions against external forces, contributes
to skin's mobility
Cyanosis
bluish discoloration of the skin
can be seen on fingers, toes, lips
concerning because there is a decreased blood flow or blood oxygenation
Pallor
decreased arterial blood flow of arterial insufficiency
a decrease in color, the conjunctiva is pale
maybe caused by anemia
Jaundice
yellow-orange skin discoloration
skin, sclera or buccal mucosa maybe yellow
sign of liver disease like cancer, failure, or hepatitis
hard to tell in darker-skinned people, check soles of feet and palms.
Erythema
red discoloration of the skin
easily blushes, blood comes to surface quickly
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