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Aging

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Support for this project provided to School of Nursing, University of Washington ... vascularity, nerve endings. 5/30/05 draft. Aging & Integumentary Changes. Nails ... – PowerPoint PPT presentation

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Title: Aging


1
Aging the Integumentary System
Content for this module provided by The John A.
Hartford Foundation, Institute for Geriatric
Nursing, Online Gerontological Nursing
Certification Review Course http//www.nyu.edu/edu
cation/nursing/hartford.institute/course/
Support for this project provided to School of
Nursing, University of Washington by the John A.
Hartford Foundation, Geriatric Nursing Education
Grant and Nursing School Geriatric Investment
Program Grant.
2
Aging Integumentary Changes
  • Skin
  • ? epidermal dermal thickening contact area
  • Flattening of epidermal/dermal junction
  • ? subcutaneous fat
  • ? connective tissue
  • ? elasticity (thinning, loose skin, wrinkles)
  • ? of melanocytes

3
Aging Integumentary Changes
  • Skin
  • ? hair follicle density
  • ? sebaceous sweat gland activity
  • ? melanin
  • ? immune cells
  • ? vascularity, ? nerve endings

4
Aging Integumentary Changes
  • Nails
  • Alternating hyperplasia (nail thickening) and
    hypoplasia
  • ? growth rate
  • Longitudinal ridges
  • Thinner, more brittle

Dermatology Image Atlas http//dermis.multimedica.
de/doia
5
Aging Integumentary Changes
  • Physiological changes
  • Loss of body hair
  • Loss of skin pigment (? melanin)
  • ? sweating
  • Dry skin
  • Puritis of skin (itching)
  • Graying thinning hair

6
Aging Integumentary Changes
Functional implications
  • ? susceptibility to
  • skin tears
  • bruising
  • shearing
  • pressure damage
  • blunt trauma
  • ? risk of heat stroke hypothermia
  • Slower healing
  • ? barrier protection
  • Delayed absorption of medications
  • ? UV protection
  • ? vulnerability of pressure points

7
Aging Integumentary Changes
  • Dermis
  • Paler skin color, uneven pigmentation
  • age spots (liver spots)
  • Skin tags, xerosis (? moisture),
  • actinic seborrheic keratosis
  • ? wrinkling
  • ? loose/slack skin, due
  • to loss of connective tissue
  • Fragile skin that looks paper-thin

Photo provided by the Administration on Aging at
http//www.aoa.gov/press/multimed/photos/2002/01_J
an/images_aging/photo_images_aging.asp
8
Aging Integumentary Changes
  • Nursing assessment
  • Medical surgical hx
  • Co-morbid illness/intrinsic factors
  • (i.e. anemia, hypoxia, peripheral vascular
    disease, low albumin)
  • Risk assessment Braden scale
  • Nutritional status Nutrition scale
  • Hydration status
  • Functional status Katz scale
  • Environment

9
Aging Integumentary Changes
  • Nursing considerations
  • Potential for altered topical medication
    absorption
  • Prevention 1st-line strategy for pressure ulcer
    care
  • ? incidence of benign malignant growths
  • Hydration, moisturizing, sun protection
  • Keep dressing tape to a minimum

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