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Color
The skin tone is consistent with genetic background it varies from pinkish to ruddy dark tan, or from light to dark brown, it may have yellow or olive overtones.
Dark skinned people normally have areas of lighter pigmentation on the palms,nail beds,lips. General pigmentation in sun-exposed areas. |
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Temperature
Use the backs(dorsal) of your hands and palpate bilaterally. The skin should be warm with equal temperature bilaterally. Hands and feet may be slightly cooler in a cool environment. |
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Moisture
Perspiration appears normally on the face,hands,axilla, and skin folds in response to activity, a warm environment or anxiety.
Diaphoresis or profuse perspiration, accompanies and increased metabolic rate, such as occurs in heavy activity of fever.
Look dehydration in the oral mucous membranes. Normally there is none, in the mucous membranes look smooth and moist.
Beware that dark skin may normally look dry and flaky, but that this does not necessarily indicate systemic dehydration. |
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Turgor/mobility
Pinch up a large fold of the skin on the anterior chest under the clavicle.
Mobility: the skin's easy rising,
Turgor: the skin's ability to return to place promptly when released. |
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Skin Intergrity
Incisions
lesions
pressure ulcers |
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skin sensations
numbness,tingling itching |
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Edema
Fluid accumulating in the inter cellular spaces. It is normally present. |
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Texture
Normal skin feels smooth and firm, with an even surface. |
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Thickness
The epidermis is uniformly thin over most of the body. |
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