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    Care of The Child With An Integumentary Disorder: Nursing 346

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    Glory Mimi
    This document discusses the nursing care of common pediatric integumentary disorders. It covers conditions such as dermatitis, atopic dermatitis, acne, poison ivy/oak/sumac, bacterial and viral skin infections, fungal infections, and burns. For each condition, it discusses the pathophysiology, diagnosis, and nursing management with a focus on assessment, education, treatment, and prevention of spread. Burn care is emphasized including classification, stabilization, infection prevention, pain management, and rehabilitation. The nursing role involves thorough assessment, providing treatment and education to support healing and prevent complications.

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    Care of The Child With An Integumentary Disorder: Nursing 346

    Uploaded by

    Glory Mimi
    13 views15 pages
    This document discusses the nursing care of common pediatric integumentary disorders. It covers conditions such as dermatitis, atopic dermatitis, acne, poison ivy/oak/sumac, bacterial and viral skin infections, fungal infections, and burns. For each condition, it discusses the pathophysiology, diagnosis, and nursing management with a focus on assessment, education, treatment, and prevention of spread. Burn care is emphasized including classification, stabilization, infection prevention, pain management, and rehabilitation. The nursing role involves thorough assessment, providing treatment and education to support healing and prevent complications.

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    This document discusses the nursing care of common pediatric integumentary disorders. It covers conditions such as dermatitis, atopic dermatitis, acne, poison ivy/oak/sumac, bacterial and viral skin infections, fungal infections, and burns. For each condition, it discusses the pathophysiology, diagnosis, and nursing management with a focus on assessment, education, treatment, and prevention of spread. Burn care is emphasized including classification, stabilization, infection prevention, pain management, and rehabilitation. The nursing role involves thorough assessment, providing treatment and education to support healing and prevent complications.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    13 views15 pages

    Care of The Child With An Integumentary Disorder: Nursing 346

    Uploaded by

    Glory Mimi
    This document discusses the nursing care of common pediatric integumentary disorders. It covers conditions such as dermatitis, atopic dermatitis, acne, poison ivy/oak/sumac, bacterial and viral skin infections, fungal infections, and burns. For each condition, it discusses the pathophysiology, diagnosis, and nursing management with a focus on assessment, education, treatment, and prevention of spread. Burn care is emphasized including classification, stabilization, infection prevention, pain management, and rehabilitation. The nursing role involves thorough assessment, providing treatment and education to support healing and prevent complications.

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    Care of the Child With an

    Integumentary Disorder

    Nursing 346

    Skin
    Differences
    General Care
    Conditions

    Bacterial
    Fungal
    Contact
    Insect bites
    Acne
    Burns

    Common Skin Disorders


    Dermatitis is a common concern.
    Dermatitis results in an inflammatory response.
    Wide variation
    Generally will resolve without complications
    Management will vary depending on cause.
    Topical management

    Dermatitis
    Contact

    Inflammatory response of the skin


    Due to exposure to chemical substance
    Pruritic
    Can be primary or sensitizing

    Diaper dermatitis
    Nursing care is aimed at
    Prevent further exposure
    May need topical or oral corticosteroid
    Symptomatic relief

    ATOPIC DERMATITIS
    AD has an association with allergy with an
    inherited tendency (atopy)
    Diagnosis is made by history and findings
    Management
    Hydration
    Relieve itching
    Prevent infection

    Nursing focus
    assessment
    Education
    Bathing, clothing, environment, laundry

    Support

    ACNE

    Poison Ivy, oak or sumac


    Oil from the plant that affects dermal layer.
    Immune response leads to blisters about 2 days
    after contact.
    Very itchy
    Management is clean skin before urushiol attaches
    Lesions are treated with topical solutions and
    lotions
    Nursing
    Use cold water to neutralize the oil
    Prevent scratching
    PREVENTION BY EDUCATION

    INFECTIONS
    Bacterial
    Impetigo

    Viral
    Warts

    Dermatophytoses
    Tinea

    IMPETIEGO
    Staphylococcus typical cause.
    Begins as a macule to vesicle. Ruptures leaving a
    moist erosion.
    Exudates dries and forms the characteristic
    honey colored crusts. Pruritic.
    Treated with local antibiotic and softening of
    crusts with a Burrows solution removal prior to
    application of antibiotic
    Oral antibiotics if larger spread
    Nursing major focus is prevent spread of
    infection, teach family to administer medications

    Warts
    Verruca usually caused by Human papilomavirus
    Grey or brown circumscribed papules. Rough
    surface
    Can be difficult to treat. Local destructive therapy
    Can disappear on own
    Can inoculate self. Avoid scratching and picking.
    Can increase in size.

    Dermatophytoses

    Tinea (AKA ringworm) name will


    depend on area found.
    Spreads from person to person or by
    animal to person
    Treatment will depend on location
    For scalp use of 1% selenium sulfide
    shampoo three times a week.
    If oral griseofulvin is ordered,
    administer with high fat foods to
    increase absorption. Will need
    monitoring of liver and renal function
    as well as WBC.
    Want to encourage no sharing

    Burns
    Pathophysiology
    Therapeutic management
    Nursing

    Assessment
    Exam
    Diagnostics
    Management
    Dependent on extent
    Stabilization is key

    Classification of burns
    Superficial: involve only epidermal injury; heal without
    scarring in 4 to 5 days
    Partial thickness: involve epidermis and portions of
    dermis; heal with minimal scarring in about 2 weeks
    Deep partial thickness: take longer to heal; may scar;
    result in changes in nail, hair, and sebaceous gland
    function
    Full thickness: result in significant tissue damage and
    extend through epidermis, dermis, and hypodermis;
    extensive scarring results; significant time to heal needed

    Burns

    Nursing interventions for extensive


    burns
    Promoting oxygenation and ventilation
    Restoring and maintaining fluid volume
    Preventing hypothermia
    Cleansing the burn
    Preventing infection
    Managing pain with a-traumatic care
    Treating infected burns
    Providing burn rehabilitation

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