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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.
A skin assessment in adults should take into account: any pain or discomfort reported by the patient. skin integrity in areas of pressure. colour changes or discoloration. variations in heat, firmness and moisture (for example because of incontinence, oedema, dry or inflamed skin).
Skin inspection involves data collection related to skin changes based on visual observation. A complete skin inspection must be completed by trained staff upon admission (for baseline data) and daily. It is important to inspect all of the skin from head to toe (WOCN, 2010).
The Norton Plus scale uses five criteria to score patients: physical condition, mental condition, activity, mobility, and incontinence.
In the healthcare setting, a comprehensive skin assessment is a process in which the entire skin of a patient is examined for abnormalities. It requires looking at and touching the skin from head to toe, with a particular emphasis on bony prominences and skin folds.
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Screening and assessment tools Braden Scale for Predicting Pressure Sore Risk (Braden Scale) ... Norton Scale. ... Waterlow Scale6.
Skin color also can be assessed through digital image analysis or measured with such instruments as a spectrophotometer or colorimeter. These techniques generally are used in research, to collect forensic evidence, or during dermatologic procedures.
This includes assessment of skin color, moisture, temperature, texture, mobility and turgor, and skin lesions. Inspect and palpate the fingernails and toenails, noting their color and shape and whether any lesions are present.
The Braden scale is used both in research and clinic settings. This scale assesses risks in six categories: sensory perception, activity, mobility, nutrition, moisture level, and friction/shear (three point scale). The maximum score is 23. A score of 18 indicates increased risk for elderly patients.
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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