B.

HAIR & SCALP

 Wear gloves ELDERS
 Inspect hair (natural color)  There may be loss of scalp, pubic &
AbN: axillary hair
 Patchy Gray Hair – nutritional  Hairs of the eyebrows, ears &
deficiency. nostrils become bristle –like and
 Copper-red Hair – in African- coarse
American children caused by severe
malnutrition. PROCEDURE: ASSESSING THE SKIN
 Alopecia – hair loss which may be  1.Assemble equipment and
diffuse patchy or total supplies
 Sparse Hair – hypothyroidism  2. Do handwashing
 Fine, Silky Hair – hyperthyroidism  3. Provide privacy
TERMS
 Alopecia Areata – round/oval ASSESSING THE HAIR:
patches of hair loss  1. Inspect the evenness of growth
 Trichotillomania – hair loss due to over the scalp
pulling, plucking or twisting hair  2. Inspect hair texture and oiliness
 Excessive hair loss d/t infection,  3. Note presence of infections or
nutritional deficiency, hormonal infestations by parting the hair in
disorders, thyroid or liver diseases, several areas and checking behind
drug toxicity, hepatic or renal the ears and along the hairline at
failure; or radiation therapy, the neck
chemotherapy.  4. Inspect amount of body hair.
 Patchy hair loss – infection of the
scalp, SLE
Note presence of infection/infestation
by parting the hair
N:
- Scalp free from flaking, with no
signs of mits/lice
AbN:
- excessive scaliness (dermatitis)
- raised lesions (tumor or infection)
- inspect amount of body hair
N:
- characteristic hair distribution over
body association with gender &
physiologic function
AbN:
- Hirsutism : excessive hairiness in
female d/t imbalance in adrenal
hormones

LIFESPAN CONSIDERATIONS
INFANTS
 It is normal for infants to have
either very little or a great deal of
body and scalp hair
 Lifespan considerations
CHILDREN
 As puberty approaches, axillary and
pubic hair will appear