In order to understand further how pressure ulcers can be form, we need to understand the structure of the skin. The system that involved are integumentary system. Integumentary system is makes up about 16 percent of our total body weight. This shows that even a healthy person can develop pressure ulcers if they are left in only one position for long time period. The integumentary system is place where inside of our body and outside world meet. It works as a barriers and known as body’s first line of defense against an often hostile environment. The integumentary system divided into 2 parts which are cutaneous membrane and accessory structures that include the hairs, nails and exocrine glands. Moreover, blood vessels and nerve fibers also support
1. describe the anatomy and physiology of the skin in relation to skin breakdown and the development of pressure sores
Pressure ulcers are one of the most common problems health care facilities often face which causes pain and discomfort for the patient, cost effective to manage and impacts negatively on the hospital (Pieper, Langemo, & Cuddigan, 2009; Padula et al., 2011). The development of pressure ulcers occur when there is injury to the skin or tissue usually over bony prominences such as the coccyx, sacrum or heels from the increase of pressure and shear. This injury will compromise blood flow and result in ischemia due to lack of oxygen being delivered (Gyawali et al., 2011). Patients such as those who are critically ill or bed bounded are at high risk of developing pressure ulcers (O'Brien et
The skin is the largest organ of the body and it acts as a waterproof protector for all of the internal organs, it is comprised of several layers including the Epidermis which is the outer layer and is a protective multi-layered self renewing structure which varies in thickness depending on which part of the body it covers. Under this is the Dermis, this is a layer of connective tissue which provides the skins elasticity and strength, it also contains sensory nerve endings, blood and lymph vessels, sebaceous and sweat glands. Under this layer is the Subcutaneous fat layer, this layer separates the skin from the underlying bone and muscle with a rich blood supply it also serves as an insulator and energy store. Pressure ulcers develop
A pressure ulcers is ‘ a localised area of cellular damage resulting from direct pressure on the skin causing ischawmia, or from shearing or friction forces causing mechanical stress on the tissues’ (Chapman and Chapman 1981). Common places for pressure ulcers to occur are over bony prominences, such as the sacral area, heels, hip, and elbow. (NICE 2005)
Agrawal, K., & Chauhan, N. (2012). Pressure ulcers: Back to the basics. Indian Journal Of Plastic Surgery, 45(2), 244-254.
A pressure ulcer is a localized injury to the skin usually over bony prominence, as a result of pressure, or pressure in combination with shear. It is estimated that 5 to 10 percent of patient admitted to the hospital acquire a pressure ulcer and it result in increased suffering, morbidity and mortality. The policy titled Pressure Ulcer Prevention and Managing Skin integrity provides direction for the nurses to prevent the development of pressure ulcer. It
Identify at least five organ systems in this region of the arm that the surgeon would have
Pressure Ulcer is a breakdown of skin appears on the skin over a very thin or bony prominence
When we find an enclosed damage to our skin as well as tissue that is usually over the skeletal protuberance caused by some sort of pressure, we call it a pressure ulcer. This may be caused by some sort of pressurized rubbing or cut. This type of ulcer is of chronic type that inherently carries impaired healing at physiological level. In this paper I am going to discuss the prevention measures of this ulcer and treatment options.
The National Pressure Ulcer Advisory Panel defines pressure ulcer as “localized injury to skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear.” Pressure ulcers are caused by unrelieved pressure usually located over bony prominences and are localized area of tissue injury. Agency of Healthcare Research & Quality has an effective vision regarding pressure ulcers: If you can’t measure it, you can’t improve it. To determine the severity of a pressure ulcer, an assessment of the lack of skin integrity is categorized according to severity by stages to reflect level of tissue injury or damage . Variations in the breakdown of skin are staged to correspond to the level of wound severity and the extent of tissue involvement which can range from mild reddening of skin to severe tissue damage to muscle and bones. Pressure ulcers can also result in severe infection.
A pressure ulcer is localized in some part of the skin that break down when it stays in a same position because is pressing the skin or rubbing with something for a long time. Pressure ulcers have symptoms but it depends on the category, first category looks redness at the skin and the skin is not yet broken, second starts to look pink, like a blister and break the skin, the third may have some parts badly damaged that look yellowish, and fourth in the ulcers can have dead skin can be dark color that can expand to the bone and requires surgery to move the damaged parts. A patient that suffer pressure ulcer describe the color of the ulcer, how feel around the area and if they have a little bit of pain. Some patients say that ulcer look horrible,
Pressure Ulcer is localized injury to skin and underlying tissue over bony prominence due to pressure or combination of shear and friction. Pressure ulcer not only extends hospital stay but also causes serious complication for example; pain, delay in functional recovery, serious infection, sepsis and mortality. Pressure ulcer is preventable but the problem is rising in health care facilities. Thus identifying patients at risk and implementing preventive strategies is important aspect.
When people think of the largest organ of the body, they tend to think of the liver. However, the largest organ of the human body is the skin. The skin covers your literally your entire body. There are many aspects of the Integumentary System as well. Not only that, an abundance of skin illness that not only affect the outer layer of the skin, but in all the lower layers as well.
My discussion paper for the Integumentary System was on Vitiligo. In this article, 75 people participated in a clinical study to develop self-help for social anxiety associated with vitiligo. Vitiligo is a skin disorder from the destruction of melanin producing cells that produce white patches on the skin. The point of this study was to see if assisting in teaching self-help intervention could reduce the psychological distress caused from this disease like social anxiety, anxiety and depression. The participants were emailed self-help leaflets, which was a part of an intervention, which discussed psychoeducation, relaxation and attentional refocusing. The first part of the Intervention was asking a series of questions before they were offered
-Most of the functions of the integumentary system primarily involves defending your body and managing certain internal functions.