ASSESSMENT &
REASONING
INTEGUMENTARY
SYSTEM
PETER DAHLBERG, 68
YEARS OLD
Assessment &
Reasoning
Arianne Ocera
CO-VN-2020-
Integumentary System
63
Ms. Smriti
Sharma
Peter Dahlberg, 68 years old
Suggested Integumentary Nursing Assessment Skills to Be Demonstrated:
- Inspect head and scalp for color, hair distribution, lesions, and hair texture
- Inspect scalp for infestations
- Inspect and palpate skin for texture, moisture, and temperature
- Pinch skin folds over clavicle to check skin turgor and mobility
- Note body hair distribution on legs
- Assess any wounds or lesions (Note: color, shape, configuration, size, location, and distribution)
- Inspect for edema
- Inspect nails of feet and hands (Note: shape, contour, consistency, and color)
- Check for clubbing
- Check cap refill
- Inspect skin on posterior surfaces
- Check blanching on any reddened areas/bruising/vascularity
- Note appearance of IV sites
Make Learning Active!
Copyright © 2019 Keith Rischer, d/b/a KeithRN. All Rights
reserved.
, Role play or go through the interview/body assessment process – student to student or as a group.
Review the case study as an application exercise in small groups or together as a class.
Depending on your program some of this content in the case study may not have been taught. Do not let
that prevent you from utilizing this case study! Instead, use it to promote learning by having students
identify what they do not yet know and provide guidance to where they can find the information in the
textbook or on the internet to address knowledge gaps. This is educational best practice and another way
to scaffold knowledge!
Copyright © 2019 Keith Rischer, d/b/a KeithRN. All Rights
reserved.
REASONING
INTEGUMENTARY
SYSTEM
PETER DAHLBERG, 68
YEARS OLD
Assessment &
Reasoning
Arianne Ocera
CO-VN-2020-
Integumentary System
63
Ms. Smriti
Sharma
Peter Dahlberg, 68 years old
Suggested Integumentary Nursing Assessment Skills to Be Demonstrated:
- Inspect head and scalp for color, hair distribution, lesions, and hair texture
- Inspect scalp for infestations
- Inspect and palpate skin for texture, moisture, and temperature
- Pinch skin folds over clavicle to check skin turgor and mobility
- Note body hair distribution on legs
- Assess any wounds or lesions (Note: color, shape, configuration, size, location, and distribution)
- Inspect for edema
- Inspect nails of feet and hands (Note: shape, contour, consistency, and color)
- Check for clubbing
- Check cap refill
- Inspect skin on posterior surfaces
- Check blanching on any reddened areas/bruising/vascularity
- Note appearance of IV sites
Make Learning Active!
Copyright © 2019 Keith Rischer, d/b/a KeithRN. All Rights
reserved.
, Role play or go through the interview/body assessment process – student to student or as a group.
Review the case study as an application exercise in small groups or together as a class.
Depending on your program some of this content in the case study may not have been taught. Do not let
that prevent you from utilizing this case study! Instead, use it to promote learning by having students
identify what they do not yet know and provide guidance to where they can find the information in the
textbook or on the internet to address knowledge gaps. This is educational best practice and another way
to scaffold knowledge!
Copyright © 2019 Keith Rischer, d/b/a KeithRN. All Rights
reserved.
