Gerontologic considerations : Burn
Gerontologic considerations : Burn 150 150 Tony Guo

Gerontologic considerations Normal aging puts the patient at risk for injury because of the possibility of Unsteady gait Limited eyesight Diminished hearing The fact that wounds take longer to heal Emotional needs of patient and family Self-esteem may be adversely affected Address spiritual and cultural needs Issue of sexuality must be met with honesty Family…

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Phases of burn management
Phases of burn management 150 150 Tony Guo

Phases of burn management Emergent (resuscitative) Phase is the time required to resolve the immediate, life-threatening problems resulting from the burn injury Acute (wound healing) Begins with mobilization of extracellular fluid and subsequent diuresis Concludes when Partial thickness wounds are healed and/or Full thickness burns are covered by skin grafts Pathophysiology Diuresis from fluid mobilization…

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Classification of burn injury
Classification of burn injury 150 150 Tony Guo

Classification of burn injury Severity of injury is determined by Depth of burn Burns have been defined by degrees (first, second, third, and fourth) ABA advocates categorizing burn according to depth of skin destruction Partial-thickness burn Superficial partial-thickness burn Involves epidermis Deep partial-thickness burn Involves dermis Full-thickness burn Involves all skin elements, nerve endings, fat,…

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Burns 150 150 Tony Guo

Burns Occur when there is injury to tissues of body caused by heat, chemicals, electrical current, or radiation Should be viewed as preventable Types of burn injury Thermal burns Caused by lame, lash, scald, or contact with hot objects Chemical burns Contact with acids, alkalis, and organic compounds Alkali burns (from cement, oven and drain…

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Skin Cancer : Nursing Management
Skin Cancer : Nursing Management 150 150 Tony Guo

Nursing Management Prevention of spread Prevention of secondary infections Specific skin care Wet compresses Baths Topical medications Control of pruritus Break the itch/scratch cycle Cool environment Hydration, wet compresses, moisturizers Topical drugs Cosmetic procedures Topical procedures Injection Elective surgery Laser surgery Face lift Liposuction Nursing management Preoperative management Informed consent Patient teaching Postoperative management Pain…

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Skin Cancer : Non-melanoma Skin cancers
Skin Cancer : Non-melanoma Skin cancers 150 150 Tony Guo

Non-melanoma Skin cancers Actinic keratosis Premalignant skin lesions Basal cell carcinoma Most common type of skin cancer Least deadly Squamous cell carcinoma Potential to metastasize Pipe, cigar, and cigarette smoking Immunosuppression leads to a dramatic increase in the incidence Malignant melanoma Cause unknown Environmental factors Genetic factors Risk factors Red or blonde hair Light-colored eyes…

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Skin Cancer : Assessment abnormalities
Skin Cancer : Assessment abnormalities 150 150 Tony Guo

Assessment abnormalities Alopecia Loss of hair (localized or general) Heredity, friction, rubbing, traction, trauma, stress, infection, inflammation, chemotherapy, pregnancy, emotional shock, tinea capitis, immunologic factors Angioma Tumor consisting of blood or lymph vessels Normal increase in incidence with aging, liver disease, pregnancy, varicose veins Carotenemia (carotenosis) Yellow discoloration of skin, no yellowing of sclerae, most…

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Skin Cancer : Health promotion
Skin Cancer : Health promotion 150 150 Tony Guo

Health promotion Avoiding environmental hazards Adequate hygiene and good nutrition Skin self-examination Periodic professional exams for areas difficult to see Environmental Hazards Sun exposure Ultraviolet (UV) rays- UVA- tanning UVB- sunburn Other factors include high altitude, being in snow, and tanning booths Sun safety Irritants and allergens Radiation Sleep Adequate rest increases the patient’s ability…

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Skin Cancer and Other Skin Problems
Skin Cancer and Other Skin Problems 150 150 Tony Guo

Skin Cancer and Other Skin Problems Lesion distribution terminology Annular – Circular, begins in center and spreads to periphery (e.g., tinea corporis [ringworm]) Asymmetric – Unilateral distribution Confluent – Merging together (e.g., urticaria [hives]) Discrete – Distinct individual lesions that remain separate (e.g., acne) Gyrate – Twisted, coiled spiral, snakelike Grouped – Clusters of lesions…

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