Integumentary System

Body Systems Integumentary System
Skin/Wounds overview

Integumentary System

Skin, wound, and pressure injury conditions, evidence, coding, and nursing diagnoses.

Conditions

Major skin/wounds conditions

Skin/Wounds 6 sections

Pressure Injury

Pressure injuries: localized skin/tissue damage from sustained pressure, friction, or shear. NPUAP staging I-IV + unstageable + deep tissue injury. Braden scale for risk. Repositioning q2h is standard.

pressure injury pressure ulcer decubitus ulcer
Skin/Wounds 6 sections

Cellulitis

Cellulitis is non-purulent spreading bacterial infection of dermis and subcutaneous tissue. Most common: S. aureus and Group A Strep. Classic: erythema, warmth, swelling, tenderness. Mark borders to monitor spread.

cellulitis erysipelas skin infection
Skin/Wounds 6 sections

Necrotizing Fasciitis

Necrotizing fasciitis (NF) is rapidly spreading infection of fascia and subcutaneous tissue — surgical emergency. LRINEC score. Severe pain out of proportion, crepitus, skin necrosis. Surgical debridement within 12-24 hours.

necrotizing fasciitis NF flesh-eating disease
Skin/Wounds 6 sections

Burns

Burn severity: depth (superficial, partial, full thickness), TBSA (rule of nines), location. Parkland formula for fluid resuscitation in first 24h. Inhalation injury significantly increases mortality.

burns thermal injury burn injury
Skin/Wounds 6 sections

DFU

Diabetic foot ulcers affect 15-25% of people with diabetes. Wagner classification guides management. Neuropathy (most common), ischemia, and infection are the key factors. Leading cause of non-traumatic amputation.

DFU diabetic foot ulcer neuropathic ulcer
Nursing diagnoses & care plans

Related nursing diagnoses

NANDA Care plans

Nursing Diagnoses & Care Plans

Open the NANDA tool to review nursing diagnoses and care-plan concepts related to skin/wounds conditions.