Our Lady of the Pillar College-Cauayan

Cauayan City, Isabela

College of Nursing and Midwifery

HEALTH ASSESSMENT

INTEGUMENTARY SYSTEM PHYSICAL ASSESSMENT

Name of Patient: Patient D Age: 30 years old Gender: Female Birthday: April 11, 1993
Address: Lalog 1, Luna, Isabela Occupation: BFP Civil Status: Married
Chief Complaints: Patient D experience excessive hair fall

Assessment Technique Actual Findings Analysis/ Interpretation

Skin

 Odor Inspection  No unusual odor Normal

 Color Inspection  Skin is color brown Normal

 Presence of skin Inspection  No presence of scratch Normal

breakdown mark

 Presence of lesions Inspection  No presence of lesions Normal

 Texture Palpation  Skin is intact Normal

 Temperature Palpation  Warm Normal

 36.9 Degree Celsius
(axillary thermometer)
 Thickness Palpation  Skin thickness appears Normal
 normal without any signs
of thickening
 Skin Turgor Palpation  Good elasticity Normal

 Presence of Edema Palpation  No signs of edema Normal

Scalp and Hair Normal

 Color Inspection  Hair color is natural black

 Amount and Distribution Inspection  Experience hair fall Abnormal

Due to nutritional deficiencies
 Thickness Palpation  Normal thickness Normal

 Texture Palpation  Smooth and consistent Normal

throughout the scalp
 Oiliness Palpation  Does not appear Normal
excessively oily or greasy.
 Presence of lesions Palpation  No lesions Normal

 Presence of Parasites Palpation  No evidence of parasitic Normal

infection
Nails Normal

 Grooming Inspection  Well-groomed

 Color and Markings Inspection  Nail color is natural Normal

 No discolorations
 Shape Inspection  Natural shape Normal

 Texture and Consistency Palpation  Smooth and without any Normal

cracks
 Capillary Refill Test Palpation  Normal Range Normal