Health Assesment

SKIN, NAILS, AND HAIR

Ratna (Nana)
 Structure

Skin structure
(Weber&Kelley, 2012)

Ratna (Nana)
 Structure

Nail structure
(Weber&Kelley, 2012)

Ratna (Nana)
 Structure

Hair structure

Ratna (Nana)
 SKIN
Skin is the heaviest single organ...
Skin is the largest single organ
Skin is the bravest single
organ....?????

Ratna (Nana)
 SKIN FUNCTION

Protection
Prevent penetration
Perception
Temperature regulation
Identification

Ratna (Nana)
 SKIN FUNCTION

Communication
Wound repair
Absorption and excretion
Production of vitamin D

Ratna (Nana)
 Special Occasion
Infants and children
Pregnant woman
Aging people

Ratna (Nana)
 Subjective data
Interviewer must ask:
When first learned of the skin problem (duration
and intensity)
Have there any previous
Are there other symptoms
Where is the place first exposed
How rash or lesion is visible when it appeared for
the first time
Where and how fast the spreading
Is there an itching, burning, tingling or creeping
Ratna (Nana)
Is any of your family members are experiencing
skin problems
Is there a problem arise after certain foods
What medication do you take
What do you do for a living
if there is hair loss
whether there are changes in the nails
how do you take care of the skin, nails and hair

Ratna (Nana)
 Or......

Weber & Kelley, 2012

Ratna (Nana)
 EXAMINATION PREPARATION

- Self Preparation
- Patient Preparation
- Environment Preparation
- Equipment Preparation

Ratna (Nana)
 OBJECTIVE DATA
Equipment and supplies
Examination light
Penlight
Mirror for clients self-examination of skin
Magnifying glass
Centimeter ruler
Gloves
Woods light
Examination gown or drape (Weber&Kelley, 2012)

Ratna (Nana)
 KEY ASSESSMENT POINTS

Inspect skin color, temperature, moisture,

texture
Check skin integrity
Be alert for skin lesions
Evaluate hair condition; loss or unusual
growth
Note nailbed condition and capillary refill
(Weber&Kelley, 2012)
Ratna (Nana)
 INSPECTION
Colour
Pigmentation
Vascularity or bruising
Lesions (colour, elevations pattern, shape, size,
location, exudate)
Hair distribution
Nails shape and countour

Ratna (Nana)
 PALPATION
Temperature (use your dorsa)
Moisture
Texture
Thickness
Edema
Turgor
Nails Consistency
Capillary refill
Ratna (Nana)
Abnormal Findings
(Weber&Kelley, 2012)

Ratna (Nana)
Ratna (Nana)
Ratna (Nana)
Ratna (Nana)
Ratna (Nana)
Ratna (Nana)
Ratna (Nana)
Ratna (Nana)
Ratna (Nana)
Ratna (Nana)
Ratna (Nana)
Ratna (Nana)
Ratna (Nana)
Ratna (Nana)
Ratna (Nana)
Ratna (Nana)
 SELF SKIN EXAMNINATION

Mirror, huge mirror that can examine your

whole body
1. start with forearm
2. face mirror, bend arms at elbow
3. examine entire front body at mirror
4. examine left side and right side of body
5. examine back area, thighs, buttocks,
lower legs
Ratna (Nana)
 SELF SKIN EXAMNINATION
6. use hand-heeld mirror and examine
upper back body
7. use hand-held mirror and hair dryer to
examine the scalps
8. sit on chair, examine inside of legs, and
use hand-held mirror to examine soles of
feet.

Ratna (Nana)
PRACTICE SELF SKIN EXANMINATION

Ratna (Nana)
Ratna (Nana)
Ratna (Nana)
THANK YOU

Ratna (Nana)