Nursing Care Plan

Integument System (Contact Dermatitis)

By. Group 5-A1/2015

Group 5
1. Malinda Kurnia Putri 131511133017
2. Nyuasthi Genta S. 131511133018
3. Tyas Dwi Rahmadhani 131511133019
4. Unza Noor Ramadhanti 131511133020
5. Rizky Sekartaji 131511133028
6. Itsnaini Lina K. 131511133029
7. Ima Matul K. 131511133030
Definition of Integument System

The integument
system consist of
the skin, hair,
Integument nails, the
system is the subcutaneous
organ system tissue below the
that protects the skin, and
body from assorted glands.
various kinds of
damage, such as
loss of water or
abrasion from
Function of Integument System

Protection against injury and

infection
Regulates body temperature
Sensory perception : Nervous
system
Regulates water loss

Chemical synthesis
Skin

Skin is one of
The outer layer is
the called the epidermis; it
integument is a tough protective
layer.
system. Skin
is made up of The second layer
two layers (located under the
epidermis) is called
that cover a the dermis; it contains
third fatty nerve endings, sweat
glands, oil glands, and
layer. hair follicles.
The Epidermis of Skin

The epidermis is a
statified, squamous
epithelium layer that is
composed primarily of
two types of cells :
1. Keratinocytes
2. Dendritic cells
The Epidermis of Skin
There are 2 types of
skin in the epidermis.
They are :

Thin
skin

Thic
k
skin
The Epidermis of Skin

1-2 mm on most of the Up to 6 mm thick on

body and 0.5 mm in
eyelids
Hairy
Covers all part of the
body, except palms of
hands and soles of feet
Thin epidermis and lacks
palms of hands and soles
of feet
Hairless
Covers palms of hands
and soles of feet
Thick epidermis and a
distinct stratum lucidum

Thick
stratum lucidum Epidermis ridges are
Thin

Lacks dermal papillae present due to well

Has more sebaceous developed, numoreous
glands dermal papillae
Fewer sweat glands, Lacks sebaceous gland,
sensory receptors than has more sweat glands
thick skin Sense receptors are also
more densely packed
The Dermis of Skin

The dermis comprises the

bulk of the skin and
provides its pliability,
elasticity, and tensile
strength. It protects the
body from mechanical
injury, binds water, aids in
thermal regulation, and
includes receptors of
sensory stimuli.
Contact Dermatitis

Contact dermatitis (CD) is defined

as any skin disorder caused by
contact with an exogenous
substance that elicits an allergic.

Irritant Contact Dermatitis (ICD) :

Allergic Contact Dermatitis (ACD) :
This happens when the skin comes
Allergic contact dermatitis occurs
in contact with a toxic material,
when the skin develops an allergic
and can occur when the skin comes
reaction after being exposed to a
in contact with less irritating
foreign substance.
materials like soap.
Etiology of Contact Dermatitis

Etiology of
Allergic Contact
Etiology Dermatitis
Contact
Dermatitis Etiology of
Irritant Contact
Dermatitis
Etiology of Allergic Contact Dermatitis

Plant
Cloth
es
Cosm Drugs
and
shoes etics
and
skin
care
produ
Metal cts
s
Etiology of Irritant Contact Dermatitis

Solve
nt

Hydro
fluoric
Sodiu acid
m
lauryl
sulfat
e
Pathofisiology of Contact Dermatitis

Irritant contact dermatitis resulting from repeated skin

exposure to low-grade cutaneous irritants, particularly soaps,
water, and detergents.

Solvents cause cutaneous irritation because they remove

essential fats and oils from the skin, which increases
transepidermal water loss and renders the skin susceptible to
the increased direct toxic effects of other previously well-
tolerated cutaneous exposures.

Excerbation or irritant contact dermatitis may reflect

development of allergic contact dermatitis to topical creams,
medication, or rubber gloves.
WOC
Sign and Symptoms of Contact Dermatitis

Irritant Contact Dermatitis

Dry, scaly, flaky skin Blistering
Allergic Contact

Hives Cracking skin due to

Oozing or dry extreme dryness
Dermatitis

blisters Swelling
Skin redness Skin that feels stiff
Skin that appears or tightened
darkened or leathery Ulcerations
Skin that burns with Open sores that
or without sores form crusts
Extreme itching
Sun sensitivity
Swelling, especially
in the eyes, face, or
groin areas
Allergic Contact Dermatitis

Swelling
Hives
Face

Skin Skin that Appears

Redness Darkened
Irritant Contact Dermatitis

Blistering Cracking Skin

Open Sores that Form

Crusts
Treatment of Contact Dermatitis

Most cases of contact dermatitis will go away on their own and

arent cause for concern. However, seek medical attention if
the rash is close to eyes or mouth, covers a large area of the
body, or does not improve with at-home treatment.
Complication of Contact Dermatitis
Assessment
Nursing Diagnoses
INTERVENTION
Evaluation
THANKYOU

Question Part
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