皮肤：告诉我如何保持完整.pdf

1、Skin:Show me how to keep it intactCarolyn Crumley DNP RN ACNS-BC CWOCNSaint Lukes East Hospital Lees Summit,MOJournal of Wound,Ostomy&Continence NursingFinancial DisclosuresThe speaker has no financial disclosures.Learning Objectives1st Learning Objective:Describe a basic understanding of skin anato

2、my&physiology in relation to maintaining skin integrity.2nd Learning Objective:Differentiate the varied components of moisture associated skin damage.3rd Learning Objective:Discuss treatment of impaired skin integrity around feeding tubes and ostomies.Skinhttps:/my.clevelandclinic.org/health/body/21

3、901-epidermisEpidermis-avascular,average-0.07-0.12 mmDermis-vascular,Average 1-4 mmSkin-FunctionsThermoregulationRegulation of cutaneous blood flowInsulationImmunityImmune surveillance-cell mediated immunitySensory perception-touch,pressure,temperature,pain&itchBarrier function/protection-protective

4、“acid mantle”(ph 4-6.5)Vitamin D synthesisMufti,Ayello&Sibbald 2016 Skin Care ProductspH balanced to maintain the“acid mantle”Avoid hot water and overbathing-dehydration of stratum corneum&depletion of normal lipid levelsApply moisturizing products immediately after bathing while skin is wet Mufti,A

5、yello&Sibbald 2016 Skin Care ProductsEmollientsSoftening&moisturizing Silicone Dimethicone Lanolin CeramidesHumectantsActively attract water to skin Urea Lactic acid Glycerin Alpha Hydroxy acids Mufti,Ayello&Sibbald 2016 pH of Common Soaps Neutrogena Extra Gentle Cleansing Bar,pH 6-7.5 Dove Beauty b

6、ar,pH 7 Neutrogena Cleansing Bar for Acne-Prone Skin,pH 8.7-9.2 Dial soap,pH 9.5 Camay soap,pH 9.5 Lux supreme cream bar soap,pH 10 Zest soap,pH 10.0 Lifebuoy soap,pH 11-11.25 Johnsons baby soap,pH 11.9http:/www.honestyforyourskin.co.uk/ph-of-soap/#:text=Dial%20soap%2C%20pH%209.5,Pears%20soap%2C%20p