
Primaris MO-08-09-PU 2008-2025 free printable template
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— A comprehensive skin assessment is a very important piece to quality patient care An assessment should have redone anytime a patient is admitted to your facility transfers unit-to-unit is high-risk such as an ICU patient or is a terminal patient such as a hospice patient A skin assessment includes both palpation and inspection And there are certain points that you need to keep in mind for a minimum assessment These include the skins' temperature is it warm or cold Moisture is it clammy is it dry is it too moist Turgor of the skin and color of the skin And finally integrity of the skin are there any open areas or areas of redness or concern that we need to report and have further information or testing available to determine the cause Once we've decided to go in and begin our skin assessment we need to talk to the patient and tell them what were going to do We want to make sure thatchers adequate privacy and that we expose no areas that we don't need to for patient modesty and comfort As were looking at the skin if we find any problems we need to make sure were explaining to the patient what they are where they are and what were seeing We need to be sure behave adequate lighting because shadowing can hide problem areas that we might not be able to see Once we know exactly what we want to assess were going to go and star tour actual skin assessment It's a top to the bottom assessment starting with the head working our way down the body to the feet We need to keep in mind that sometimes we need people to help us re-position the patient if they're unable to move by themselves or have serious contractures that make turning very difficult While doing a head-to-toe assessment sounds simplistic certainlyinspectionpalpation don't sound too complicated this is one of the most important things you're going to do for your patient in terms of planning care preventing pressure ulcers in your facility and allowing communication between you and your patient in an intimate setting When we do a head-to-toe skin assessment we literally start at the head of the patient and work our way down tithe feet of the patient We're going to start by looking at her hair growth patterns We're going to look for the coloration of her face her eyebrows her eyes Because any skin or eye discolorations that you notice could be the sign of either skin cancers' vitamin deficiencies or other underlying pathologies such as liver issues if her eyes are discolored We're going to look behind her ears And around her ears And well talk about this with tubing also We're going to look at her lips her teeth her mouth And it's especially important to note any sties around her eyes or any abnormalities in her ear as often these are signs of skin cancer, and it's the first time that they're noticed Next were going to look at the patients neck And the neck becomes particularly important if the person has oxygen tubing or a mask And its especially important if they have a cervical collar When we...
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