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A SKIN ASSESSMENT captures the patient's general physical condition, based on careful inspection and palpation of the skin and documentation of your findings.
A comprehensive examination of the older person's skin will help identify existing damage to the skin, pressure injuries or skin tears and evaluate changes to the skin.
Skin assessment is used to predict the development of pressure ulcers, and therefore is an extremely useful preventative tool.
A comprehensive holistic skin assessment is essential for identifying skin changes that may result in an early diagnosis for a patient with a skin concern or condition. Developing skills in skin assessment will also ensure that a patient is appropriately referred for diagnosis, investigation and treatment.
Inspection should include assessment of the skin's colour, temperature, texture, moisture, integrity and include the location of any skin breakdown or wounds.
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There are five key areas to note during a focused integumentary assessment: color, skin temperature, moisture level, skin turgor, and any lesions or skin breakdown.
As discussed above, one purpose of comprehensive skin assessment is to identify visible changes in the skin that indicate increased risk for pressure ulcer development. However, factors other than skin changes must be assessed to identify patients at risk for pressure ulcers.
The scientific term for well-balanced skin is eudermic. The T-zone (forehead, chin and nose) may be a bit oily, but overall sebum and moisture is balanced and the skin is neither too oily nor too dry. A velvety, soft and smooth texture is a sign for a healthy and radiant skin.
If the person has a wound it is important to assess the surrounding skin. This helps you decide if the wound is improving, stalled or deteriorating. Determine if the skin shows blanching, blistering, dryness, ecchymosis or erythema surrounding it.
If the person has a wound it is important to assess the surrounding skin. This helps you decide if the wound is improving, stalled or deteriorating. Determine if the skin shows blanching, blistering, dryness, ecchymosis or erythema surrounding it.

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