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Pa Skin Hair and Nails

Patient D is a 30-year-old female who presented with the chief complaint of excessive hair fall. Upon assessment of her integumentary system, the nurse found her skin, scalp, hair and nails to be generally normal, except for experiencing abnormal hair fall likely due to nutritional deficiencies.
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0% found this document useful (0 votes)
12 views3 pages

Pa Skin Hair and Nails

Patient D is a 30-year-old female who presented with the chief complaint of excessive hair fall. Upon assessment of her integumentary system, the nurse found her skin, scalp, hair and nails to be generally normal, except for experiencing abnormal hair fall likely due to nutritional deficiencies.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Our Lady of the Pillar College-Cauayan

Cauayan City, Isabela

College of Nursing and Midwifery


HEALTH ASSESSMENT

INTEGUMENTARY SYSTEM PHYSICAL ASSESSMENT

Name of Patient: Patient D Age: 30 years old Gender: Female Birthday: April 11, 1993
Address: Lalog 1, Luna, Isabela Occupation: BFP Civil Status: Married
Chief Complaints: Patient D experience excessive hair fall

Assessment Technique Actual Findings Analysis/ Interpretation


Skin

 Odor Inspection  No unusual odor Normal

 Color Inspection  Skin is color brown Normal

 Presence of skin Inspection  No presence of scratch Normal


breakdown mark

 Presence of lesions Inspection  No presence of lesions Normal

 Texture Palpation  Skin is intact Normal

 Temperature Palpation  Warm Normal


 36.9 Degree Celsius
(axillary thermometer)
 Thickness Palpation  Skin thickness appears Normal
normal without any signs
of thickening
 Skin Turgor Palpation  Good elasticity Normal

 Presence of Edema Palpation  No signs of edema Normal

Scalp and Hair Normal

 Color Inspection  Hair color is natural black

 Amount and Distribution Inspection  Experience hair fall Abnormal


Due to nutritional deficiencies
 Thickness Palpation  Normal thickness Normal

 Texture Palpation  Smooth and consistent Normal


throughout the scalp
 Oiliness Palpation  Does not appear Normal
excessively oily or greasy.
 Presence of lesions Palpation  No lesions Normal

 Presence of Parasites Palpation  No evidence of parasitic Normal


infection
Nails Normal

 Grooming Inspection  Well-groomed

 Color and Markings Inspection  Nail color is natural Normal


 No discolorations
 Shape Inspection  Natural shape Normal

 Texture and Consistency Palpation  Smooth and without any Normal


cracks
 Capillary Refill Test Palpation  Normal Range Normal

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