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10/3/2020

Outlines
NUR157
• What is the Skin?
BASIC SURGICAL AND • Function of the Skin
INTEGUMENTARY • Epidermis
NURSING • Dermis
• Subcutaneous layer
Siti Munirah Abdul Wahab • Skin and Wound

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What is the Skin? What is the Skin?(Con’t)


• The outer covering of the body and thus • Dynamic organ in a constant of change;
provides protection. the outer layers are continuously shed &
• It is the largest organ in our body in term replaced by the inner cells moving to the
of weight and surface areas. surface.
• Its thickness ranges from 0.5 to 4.0 mm • The skin consists of 3 principal layers
depending on location.
• It consists of different tissues that are
joined together to perform several
essential functions.

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Function of the Skin Epidermis


- Avascular labile tissue which continuously
- Body temperature regulation regenerates.
- Protection - It receives nutrients from the dermis below.
- Sensation - Comprised of stratified squamous epithelium
and contains 4 principal types of cells.
- Excretion
• Keratinocytes
- Immune function • Melanocytes
- Blood reservoir • Langerhan Cell
- Synthesis of Vitamin D • Meckel’s Cell

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Dermis Dermis (Con’t)


- Second principal layer of skin.
- Composed of connective tissue containing
collagen, elastic fibers which provides strength,
extensibility, and elasticity.
- Thickness depending on the anatomical site.
- Contains nerves, glands, hair follicles and also
receptors for heart, cold, pain, pressure, itch and
tickle.
- Consists rich blood supply from a vascular
plexus in the deep dermis.

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Subcutaneous Layer Skin and Wound

- The deepest layer of skin, also known as - Superficial wound: damage the epithelium only,
subcutis or hypodermis. can be heal by epithelial regeneration and may
- It varies in thickness and depth. have little scar formation.
- Comprised of adipose tissue, connective tissue
and blood vessels. Forms a network of collagen - Deeper wound: incisional and excisional skin
and fat cells. wounds that damage the dermis will heal
- Responsible for conserving the body’s heat and through the formation of a collagen scar.
protects body organs from pressure injury.

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Skin and Wound Skin and Wound

Superficial wound Deeper wound - Regeneration requires an intact connective


tissue scaffold.

- Scar formation occur if the extracellular matrix


framework is damaged, causing alteration of the
tissue architecture.

- Epidermis appendages do not regenerate and


there remains as connective tissue scar.

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Thank You!

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