AFAMS Master Lesson Plan (MLP) Nursing Program Integumentary System Instructor Serial/Semester Location Start/Finish Time Date LESSON OBJECTIVE Performance: Describe the structure and function of the skin and its epidermal derivatives, including hair, skin, glands, and nails. Conditions: The student will be presented a powerpoint presentation by the instructor and will have all necessary references made available to him/her. Standard: 1. The student will be expected to describe the below information included within the teaching points to the instructor at the end of the lesson and in a written exam. TEACHING POINTS 1. Describe the structure of the skin. 6. 2. 3. Describe the accessory structures of the skin. Define the functions of the skin. 7. 8. 4. Describe the two kinds of wound healing. 9. 5. Describe the development to the Integumentary system. Describe the effects of aging on the Integumentary system. Define the homeostatic imbalance disorders. Define the role of the integumentary system in maintaining homeostasis throughout the body. Define medical terminology associated with the integumentary system. INSTRUCTIONAL STRATEGY Interactive Lecture Method: Instructor and Print (including PowerPoint Presentation) Media: Classroom Environment: OTHER LESSON SPECIFICATIONS Knowledge Lesson Type of Lesson: 1/50 Ratio: Resources: Power point handouts. End of Lesson Test: None Minutes Instructional Time: 215 Reference(s): Tortora, Grabowski: Principles of Anatomy and Physiology, 9th Edition. Chapter 5. LESSON PLAN APPROVAL Signature of Standards Officer Date AFAMS Master Lesson Plan (MLP) Nursing Program Integumentary System INTRODUCTION Allocated Time: Review: 5 Minutes You have had previous lectures on anatomy and physiology during the Combat medic course, this lecture will built upon what you have already learned. Objective: This chapters presents the structure and function of the skin and its epidermal derivatives, including hair, skin, glands, and nails. Factors contributing to skin color and skin superficial and deep wound healing are also discussed. A comparison of the structural and functional differences in thin and thick skin is discussed. The effects of aging on the integumentary system and developmental anatomy of the system are also included. Clinical applications that are described include skin grafts, psoriasis, skin color as a diagnostic clue, acne, impacted cerumen, transdermal drug administration, and photodamage. Importance: Nurses work in different health care setting so it is important to gain an understainding of this subject as it will apply to clinical setting. Fit: This is the fifth chapter on anatomy and physiology. Approach: You will be presented the subject in a lecture format and will be tested using a written exam at a later date. Control Statement: If you have any questions during the lesson please feel free to ask. BODY 1. Teaching Point: Describe the structure of the skin. Minutes Allocated Time: We will now go over the structure of the skin. Introduction: Learner Participation: Knowledge Lesson Please follow along with your handouts and take notes. Skill Lesson Powerpoint presentation with associated handouts. Learning Support: 1. Briefly list the functions of the integumentary system. 2. Describe the two principal parts of the skin. 3. Discuss the structure and function of the subcutaneous layer. Epidermis 4. Name the four principal types of cells found in the epidermis and their roles. 5. List the layers of the epidermis. Stratum Basale 1 AFAMS Master Lesson Plan (MLP) Nursing Program Integumentary System 6. Describe the features of the stratum basale. 7. Discuss the use of skin grafts in epidermal injury. Stratum Spinosum 8. Describe the features of the stratum spinosum. Stratum Granulosum 9. Describe the features of the stratum granulosum. Stratum Lucidum 10. Describe the features of the stratum lucidum. Stratum Corneum 11. Describe the features of the stratum corneum. Keratinization and Growth of the Epidermis 12. Describe the process of keratinization and the role of hormones in the process. 13. Discuss the events of psoriasis and list the various treatments for this problem. Dermis 14. Discuss the two layers of the dermis in terms of the connective tissue cells and matrix, as well as the host of sensory receptors, immune cells, adipocytes, and functional extensions of the epidermis. 15. Discuss the appearance, development, and uniqueness of the epidermal ridges. 16. Discuss the appearance, development, and uniqueness of the epidermal ridges. 17. Discuss the effects of exposure to the sun on the skin. The Structural Basis of Skin Color 17. Explain the basis for skin color function and variation. 18. Discuss the use of skin color as a diagnostic clue for certain conditions. Types of Skin 19. Compare the structural and functional differences between thick and thin skin. Knowledge Lesson: Skill Lesson: Check on Learning In a knowledge lesson, pose questions to the class. In a skill lesson, provide practice and watch students perform a skill. 2. Teaching Point: Describe the accessory structures of the skin. 2 AFAMS Master Lesson Plan (MLP) Nursing Program Integumentary System Minutes Allocated Time: We will now go over the accessory structures of the skin. Introduction: Learner Participation: Knowledge Lesson Please follow along with your handouts and take notes. Skill Lesson Powerpoint presentation with associated handouts. Learning Support: 20. Explain what is meant by epidermal derivative, and the organs that are in this category. Hair 21. Discuss the location of hair in the adult. Anatomy of a Hair 22. Describe the cell types involved in production of the hair root and follicle, and how they are related to the structures of the sheath layers. 23. List the accessory structures (nerves, erector pilli muscle, sebaceous gland, etc.) and their functional relation to the hair follicle. 24. Compare and contrast the function of a depilatory and electrolysis in hair removal. Hair Growth 25. Discus the growth and resting stages of the hair cycle. Hair Color 26. Discuss the role of melanin in hair color. Functions of Hair 27. List and describe the functions of hair. 28. Discuss the role of hormones in the growth and loss of hair. Skin Glands 29. List the different types of skin glands. Sebaceous Glands 30. Explain the distribution and size of glands over the body, as well as the content, function, and dysfunction of the sebum secretion. 31. Describe the cause, location, and possible outcome of acne. Sudoriferous Glands 32. Discuss the different structures, locations, and secretions of the two types of sudoriferous glands. 3 AFAMS Master Lesson Plan (MLP) Nursing Program Integumentary System Ceruminous Glands 33. Discuss the specialized location of ceruminous glands and the difference in purpose between cerumin and sebum. 34. Discuss the effect of impacted cerumen on hearing and the treatment for the condition. Nails 35. Describe the components of the fingernails and toenails and their growth pattern. Knowledge Lesson: Skill Lesson: Check on Learning In a knowledge lesson, pose questions to the class. In a skill lesson, provide practice and watch students perform a skill. 3. Teaching Point: Define the functions of the skin. Minutes Allocated Time: We will now go over the functions of the skin. Introduction: Learner Participation: Knowledge Lesson Please follow along with your handouts and take notes. Skill Lesson Powerpoint presentation with associated handouts. Learning Support: 36. List the functions of skin. Thermoregulation 37. Explain the role of the skin in helping to maintain the homeostasis of normal body temperature. Protection 38. Describe the role of the skin in providing a physical, chemical, and biological barrier for protection. Cutaneous Sensations 39. Briefly discuss the types of cutaneous sensations that are associated with the skin. Excretion and Absorption 40. Discuss the role of the skin in excretion of substances from the body and in absorption. Synthesis of Vitamin D 41. Discuss the role of the skin in vitamin D synthesis. 42. Discuss the process of transdermal drug administration. 4 AFAMS Master Lesson Plan (MLP) Nursing Program Integumentary System Knowledge Lesson: Skill Lesson: Check on Learning In a knowledge lesson, pose questions to the class. In a skill lesson, provide practice and watch students perform a skill. 4. Teaching Point: Describe the two kinds of wound healing. Minutes Allocated Time: We will now go over the the two kind of wound healing. Introduction: Learner Participation: Knowledge Lesson Please follow along with your handouts and take notes. Skill Lesson Powerpoint presentation with associated handouts. Learning Support: 43. List the two kinds of skin wound healing, based on the depth of the injury. Epidermal Wound Healing 44. Outline the causes, description, and steps involved in epidermal wound healing. Deep Wound Healing 45. Outline the causes, description, and steps involved in deep wound healing. Knowledge Lesson: Skill Lesson: Check on Learning In a knowledge lesson, pose questions to the class. In a skill lesson, provide practice and watch students perform a skill. 5. Teaching Point: Describe the development of the integumentary system. Minutes Allocated Time: We will now go over the development of the integumentary system. Introduction: Learner Participation: Knowledge Lesson Please follow along with your handouts and take notes. Skill Lesson Powerpoint presentation with associated handouts. Learning Support: 46. Describe the development of the epidermis, its derivatives, and the dermis. 6. Teaching Point: Describe the effects of aging on the integumentary system. Minutes Allocated Time: Introduction: We will now go over the effects of aging on the Integumentary system. Learner Participation: Knowledge Lesson Please follow along with your handouts and take notes. Skill Lesson Powerpoint presentation with associated handouts. Learning Support: 5 AFAMS Master Lesson Plan (MLP) Nursing Program Integumentary System 47. Describe the causes and effects for the following skin disorders: burns, sunburn, skin cancer, acne, and pressure sores. 48. Discuss the effect of overexposure to the sun on the skin. 7. Teaching Point: Define the homeostatic imbalance disorders. Minutes Allocated Time: Introduction: We will now go over the homeostatic imbalance disorders. Learner Participation: Knowledge Lesson Please follow along with your handouts and take notes. Skill Lesson Powerpoint presentation with associated handouts. Learning Support: Skin Cancer 49. Discuss the types of skin cancer and the risk factors for skin cancer. Burns 50. Distinguish between the characteristics of first, second, and third degree burns, and their treatment. Pressure Sores 51. Discuss the cause of pressure sore. 8. Teaching Point: Define the role of the integumentary system in maintaining homeostasis throughout the body. Minutes Allocated Time: We will now go over the integumentary system in maintaining homeostasis Introduction: throughout the body. Learner Participation: Knowledge Lesson Please follow along with your handouts and take notes. Skill Lesson PowerPoint presentation with associated handouts. Learning Support: 52. Examine the role of the integumentary system in maintaining homeostasis throughout the body. 9. Teaching Point: Define medical terminology associated with the integumentary system. 4 Minutes Allocated Time: We will now go over the medical terminology associated with the Introduction: integumentary system. Learner Participation: Knowledge Lesson Please follow along with your handouts and take notes. Skill Lesson Powerpoint presentation with associated handouts. Learning Support: 6 AFAMS Master Lesson Plan (MLP) Nursing Program Integumentary System 53. Define medical terminology associated with the integumentary system. Knowledge Lesson: Skill Lesson: Check on Learning In a knowledge lesson, pose questions to the class. In a skill lesson, provide practice and watch students perform a skill. END OF LESSON TEST Allocated Time: Instructions: Test Questions or Performance Expected: Test Key: 0 Minutes You will tested on this subject at a later date. You will be expected to review and study the material taught in this section in order to pass the associated written test. If you have difficulty with the material please see me so we can review together. CONCLUSION Allocated Time: Summary: 5 Minutes Review and re-emphasize the difficult Teaching Points below. 1. 2. 3. 4. 5. 6. 7. 8. 9. Describe the structure of the skin. Describe the accessory structures of the skin. Define the functions of the skin. Describe the two kinds of wound healing. Describe the development to the Integumentary system. Describe the effects of aging of the Integumentary system. Define the homeostatic imbalance disorders. Define the role of the integumentary system in maintaining homeostasis throughout the body. Define medical terminology associated with the integumentary system. Closing Statement: Nurses work in different health care setting so it is important to gain an understainding of this subject as it will apply to clinical setting. Re-motivating Statement: You will be able to utilize this information taught today in all clinical settings. 7