Nursing 1160A/B Lecture Notes - Lecture 12: Coagulation, Itch, Axilla
8 Dec 2016
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What are you noticing when you first walk in. Loc: lethargy/groggy maybe resp, appropriateness of demeanor/responsiveness neuro/mental, appearance. Sdoh: gait/posture msk, pain (hard with babies and someone with cognitive impairments) . New terminology: leads to a lot of assessments. Integument another thing a nurse is noticing of a client"s integument and of factors or abnormalities that may indicate or. Integumentary system assessment: an investigation of the general condition: includes: skin, hair, scalp, nails, sebaceous glans, sweat glands, put gloves on to assess scalp (bruise, itching could be dry scalp etc. ) contribute to a dermatologic disorder. Petechia(e): little red dots, something is wrong with blood coagulation. Exudate: drainage from a wound, blister, etc: document amount, odour, colour, consistency. S data: the history findings in more depth. You want to know the norms for client. Presentation may include pruritus, burning, pain, rash, wound, dryness, excessive moisture/perspiration (diaphoresis s&o data). Then : new soap, new detergent, new food, new tattoos, ask what kind.
