A 30-year-old patient has been diagnosed with hypothyroidism. What should the nurse expect to assess in this patient's integumentary system? Show
2 When assessing a 73-year-old female patient, the nurse found wrinkles, sagging breasts, and tenting of the skin, gray hair, and thick brittle toenails. The nurse knows that what normal changes of aging occur that can cause these changes in the integumentary system? 1 Students also viewed 27 November, 2017 By The skin performs several key functions that are increasingly impaired in ageing. This article describes skin ageing, its mechanisms and effects, and the essentials of looking after older people’s skin Abstract Citation: Nigam Y, Knight J (2017) Anatomy and physiology of ageing 11: the skin. Nursing Times [online]; 113: 12, 51-55. Authors: Yamni Nigam is associate professor in biomedical science; John Knight is senior lecturer in biomedical science; both at the College of Human Health and Science, Swansea University.  To continue reading this clinical article please log in or subscribe. Subscribe for unlimited access
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Review Structural and functional changes of normal aging skinN A Fenske et al. J Am Acad Dermatol. 1986 Oct. AbstractSolar-induced cutaneous changes are more prevalent and profound in older persons and, thus, are often inappropriately attributed to the aging process, per se. Structural and functional alterations caused by intrinsic aging and independent of environmental insults are now recognized in the skin of elderly individuals. Structurally the aged epidermis likely becomes thinner, the corneocytes become less adherent to one another, and there is flattening of the dermoepidermal interface. The number of melanocytes and Langerhans cells is decreased. The dermis becomes atrophic and it is relatively acellular and avascular. Dermal collagen, elastin, and glycosaminoglycans are altered. The subcutaneous tissue is diminished in some areas, especially the face, shins, hands, and feet, while in others, particularly the abdomen in men and the thighs in women, it is increased. The number of eccrine glands is reduced and both the eccrine and apocrine glands undergo attenuation. Sebaceous glands tend to increase in size but paradoxically their secretory output is lessened. The nail plate is generally thinned, the surface ridged and lusterless, and the lunula decreased in size. There is a progressive reduction in the density of hair follicles per unit area on the face and scalp, independent of male-pattern alopecia. The hair shaft diameter is generally reduced but in some areas, especially the ears, nose, and eyebrows of men and the upper lip and chin in women, it is increased as vellus hairs convert to cosmetically compromising terminal hairs. Functional alterations noted in the skin of elderly persons include a decreased growth rate of the epidermis, hair, and nails, delayed wound healing, reduced dermal clearance of fluids and foreign materials, and compromised vascular responsiveness. Eccrine and apocrine secretions are diminished. The cutaneous immune and inflammatory responses are impaired, particularly cell-mediated immunity. Clinical correlates of these intrinsic aging changes of the skin include alopecia, pallor, xerosis, an increased number of benign and malignant epidermal neoplasms, increased susceptibility to blister formation, predisposition to injury of the dermis and underlying tissues, delayed onset and resolution of blisters and wheals, persistent contact dermatitis, impaired tanning response to ultraviolet light, increased risk for wound infections, prolongation of therapy necessary for onychomycosis, and thermoregulatory disturbances. Similar articles
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Which change can be observed in the integumentary system as a result of aging quizlet?With aging, the number of melanocytes decreases, causing a decrease in melanin production. An increase in the number of melanocytes causes an increase in the production of melanin, which is characterized by tanning of skin and darkening of hair.
What changes in the integumentary system occur with aging?Your skin is thinner, more fragile, and you lose some of the protective fat layer. You also may be less able to sense touch, pressure, vibration, heat, and cold. Rubbing or pulling on the skin can cause skin tears. Fragile blood vessels can break easily.
Which of the following are signs of aging in the integumentary system?Changes in the integumentary system that occur with aging include: -Thinning and wrinkling skin due to decreased amounts of collagen and elastin in the dermis. -Decreased number of cells that produce pigment, or melanocytes, which protect against ultraviolet light.
What is an integumentary system age related change quizlet?Age related changes to the Integumentary system. lack in pigment in hair, thinning hair and baldness, less collagen & elasticity in skin, wrinkling occurs, age spots appear, thinning of the epidermis & reduced numbers of oil & sweat glands, increased fragility of blood vessels, resulting in ecchymosis.
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Which change can be observed in the integumentary system as a result of aging?
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