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Expanded Topics

Integument and Wound Care Tutorial

 

Unit 1: Structures of the Integumentary System

This unit is broken into four sections: 

  1. Epidermis
  2. Dermis
  3. Subcutaneous Tissue
  4. Derivative Structures 

Section 1. Epidermis

This section discusses the epidermis including its charteristics, layers, and cells. A discussion of pathophysiology covers various types of lesions and malignant melanoma.

 

Section 2. Dermis

This section covers the two layers of the dermis. The sample pathophysiology discussed is scleroderma.

 

Section 3. Subcutaneous Tissue

This section discusses the structure of the subcutaneous tissue. A discussion of subcutaneous injections is used as a clinical application.

 

Section 4. Derivative Structures

This final section of Unit 1 covers the hair, nails, and glands. The makeup and purpose of each of these structures are discussed. Clinical examples include alopecia, nail fungus, and acne vulgaris.

 

Unit 2: Functions of the Integumentary System

This unit covers 7 functions of the integumentary system: body image and communication, excretion, immune response, protection, sensation, temperature regulation, and vitamin production.

Each of these functions is related to a clinical application including burns, atopic dermatitis, aging skin, heat stroke, and rickets and osteomalacia. A video clip shows a nurse performing an assessment of the sensory function of the skin.

 

Unit 3: Types of Wounds and Wound Care

Unit 3 covers the following four areas related to wounds:

  1. Types of Wounds
  2. Wound Assessment
  3. Wound Healing
  4. Nursing Care 

Section 1. Types of Wounds

Included in this section are explanations of accidenttal, physiological, and surgical wounds. Specific types of wounds covered include shear wounds, diabetic ulcers, pressure ulcers, arterial ulcers, and venous ulcers. Etiology, pathology, wound characteristics, and treatments are included.

 

Section 2. Wound Assessment

This section covers three types of wound classifications:color, staging, and thickness. It then goes on to explain specific wound data a nurse should collect including acute versus chronic, color, exudate, level of tissue involvement, location, pain, periwound skin, size, undermining/tracts, an the wound edge.

 

Section 3. Wound Healing

This section covers the three phases of the healing process: Inflammatory, proliferative, and maturation. It then covers the types of wound healing: primary intention, secondary intention, and tertiary intention. Local and systemic factors that affect wound healing and complications of wound healing are then discussed. The section concludes with a description of the four types of debridement.

 

Section 4: Nursing Care

  • Cleanse the wound
  • Control odor
  • Debride the wound
  • Eliminate dead space
  • Manage exudate
  • Prevent/manage infection
  • Protect the wound and periwound skin 

The discussion concludes with an example procedure for wound care.

 

Unit 4: Test Bank for Self Test

This unit consists of a test bank covering all the information presented in the program. The test bank contains thirty-two items broken into the following 3 tests:

  1. Structures of the Integumentary System
  2. Functions of the Integumentary System
  3. Types of Wounds and Wound Care  

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Questions?

Contact  Gail McPike at (800) 290-4474 or see  Info on Ordering