Saint Mary’s University

Bayombong, Nueva Vizcaya

School of Health & Natural Sciences

NURSING DEPARTMENT
NCM 101 Lab
ACTIVITY – SKIN ASSESSMENT
NAME: MESSAKARAENG, RENEE DWI PERMATA L. BSN 1-C

Look for anyone in the household for the performance of skin assessment.
Prepare the materials needed.
Clean gloves
Small ruler
Penlight or flashlight
Ballpen & sample assessment form.

Fill out the sample skin assessment form & upload in PDF form in the LMS.
 Saint Mary’s University
Bayombong, Nueva Vizcaya
School of Health & Natural Sciences

NURSING DEPARTMENT

NCM 101 Lab

SKIN ASSESSMENT

Patients’ Initial: S. Batara_____ Age: 18____ Date/Time of Assessment: 02/23/22(10:00 am)

Nursing Interview Guide to Collect Subjective Data from the Client

QUESTIONS FINDINGS Documentation

Current Symptoms:

1. Presence of the following skin

problems.
(Rashes, lesions, dryness, oiliness,
drainage, bruising, swelling,
pigmentation)

Skin moisture is normal but small

bruising and discoloration in the arms
can be seen.

2. Are there lesions appearance

changes? No lesions can be seen.

3. Feeling changes (pain,

pressure,itch,tingling) No pain or itch are felt by client.

4. Body odor problems. Client has no evident odor of

perspiration

5. Presence of tattoos or piercings.
Past History:
1. Previous problems with skin like
surgery or previous treatment.
2. Allergic reactions.
Family History:
1. Family history of skin problems or
skin cancer.
Lifestyle & Health Practices:
1. Exposure to sun or chemicals.
2. Daily skin care.
3. Usual diet & exercise.
4. Sources of stress.
Saint Mary’s University
Bayombong, Nueva Vizcaya
Variations of ear piercings are present
in client; tragus, rook, and upper lobe
of the ear.
No past surgeries and previous
treatments have been done by client.
Client has no evident allergies and no
allergic reactions at present.
Parents and other family members
have no history of skin problems or
skin cancer history.
Client mostly exposed to sun due to
frequent beach trips but no evident
skin damage due to UV rays can be
seen.
No other skin care than washing face
with soap (Safeguard).
Client tries to maintain a healthy
plate each meal with the correct
calorie intake and has frequent
schedules of exercise specifically
cardio.
Client is currently a student and her
current source of stress is
academically.
 Nursing Interview Guide to Collect Subjective Data from the Client

PROCEDURE FINDINGS Documentation

1. Gather the materials.

2. Wash hands & put-on gloves.

3. Explain the procedure to the

client.

4. Let the client wear a

gown/bathrobe or duster.

5. Note the clients skin color. The skin color of client is moderate
brown and evenly colored except in
areas exposed much to sunlight like
arms. Slight bruising can also be seen
in arms both left and right.
6. Inspect for general color Assessment reveals evenly colored
variations. skin tones with minimal bruising in
arms.
7. Inspect for skin breakdown. Skin is intact and no reddened areas
seen.
8. Inspect for primary, secondary &
vascular lesions.
(Note for size,shape,location).

No lesions are seen.

9. Palpate lesions.

Smooth without any lesions. Several

moles are seen on face but without
anything abnormal.
10. Palpate texture (rough,
smooth) using palmar surface of
the 3 middle fingers.

Skin is smooth and even.

11. Palpate temperature (cool,

warm,hot) and moisture
(dry,sweaty,oily) using the dorsal
side of the hand.

Skin is normal and warm

temperature; skin’s moisture also
varies depending on the area
assessed, since recent activity may
have increased moisture.

12. Palpate mobility & turgor

by pinching up skin over clavicle.

Pinching the skin is simple and

returns to its normal place quickly.

13. Palpate for edema by

pressing the thumbs over feet or
ankles.

When pressure is lifted, the skin

rebounds and does not remain
indented.