Why is this information important A recent study showed 51 of undergraduate college students have something pierced besides their ears A 1999 study found only 6 of 28 emergency physicians were able to describe proper removal techniques ID: 494708
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Slide1
Body ArtSlide2
Why is this information important?
A recent study showed 51% of undergraduate college students have something pierced besides their ears.
A 1999 study found only 6 of 28 emergency physicians were able to describe proper removal techniques.
Body art in the form of tattoos and piercing have become main stream to our culture for all age groups.
DeBoer, S., Amundson, T., & Angel, E. (2006). Managing body jewelery in emergency situations: Misconceptions, patient care, and removal techniques.
Journal of Emergency Nursing
, 159-164.Slide3
Patients seek our help as healthcare providers and expect us to be knowledgeable.Many nurses who wouldn’t think of judging a patient based on race or religion feel differently when it comes to judging patients who display some types of body art
In order to provide quality patient care we need to have a working knowledge of body artSlide4
history
Since the beginning of human history, people have embellished their bodies for many reasons
There is no known culture in which people do not paint, pierce, tattoo, reshape, or simply adorn their bodies
Body Art: Marks of identity
. (n.d.). Retrieved March 5, 2008, from American museum of natural history: http://www.amnh.org/exhibitions/bodyart/Slide5
Whether with permanent marks like tattoos or scars, or temporary decorations like makeup, clothing, and hairstyles, body art is a way of signaling an individual's place in society, marking a special moment, celebrating a transition in life or simply following a fashion
Body modification ancient and modern
. (n.d.). Retrieved March 5, 2008, from University of Pennsylvania Museum of Archaeology and Anthropology : http://www.museum.upenn.edu/new/exhibits/online_exhibits/body_modification/bodmodintro.shtmlSlide6
Body art in all cultures changes. It is an ideal canvas for individual creativity and self-reinvention. It can also be a way for people to challenge social values and cultural assumptions about beauty, identity, and the body itself. Slide7
Self-love, self-hate, considered a true art.Many people get pierced to be in style, and others to flaunt tradition or assert their individuality.Many adolescents report getting pierced because they want to look cool or different, and some say they do it to emulate their favorite pierced celebrities.Slide8
Types:
Body Painting
Body Shaping
Henna
Scarification
Tattooing
PiercingSlide9
History of body painting
People of ancient civilizations used natural plant dyes for body painting. The Celts used “Woad” a plant similar to indigo as body paint as depicted in the movie Braveheart featuring Mel Gibson.Slide10
History of body painting
Mel Gibson as William Wallace in the movie
BraveheartSlide11
Body Painting Today
How many of you put on make-up this morning?
Online advertisement for SephoraSlide12
Paint your face for the buckeyes!!Slide13
Body Shaping Slide14
Foot binding
The practice of foot binding began in the Sung dynasty (960-976 BC), reportedly to imitate an imperial concubine who was required to dance with her feet bound. By the 12th century, the practice was widespread and more severe--girls' feet were bound so tightly and early in life that they had difficulty walking. The tiny “lotus” feet were a sign of wealth and chastity.Slide15
Foot-Binding Custom has caused severe life-long disability for many millions of elderly women, even in today's China. Slide16
Head flattening, also called head binding, head shaping or head moulding was common practice in many tribal cultures in North America, Australia and Africa.
A person with a finely elongated head was considered to be more intelligent, of higher status, and closer to the world of the spirits.Slide17
Head shaping
Painting by
Paul Kane
Slide18
Waist training
Victorian Era corsets were laced tightly for “waist training”. A small waist was highly desirable. A tightly laced corset was known to cause breathing difficulties, even to the point of swooning. Police constables would carry salts made from a strong ammonia solution, in a whistle-sized container, to wake them up. Slide19
Victorian corsets/Waist trainingSlide20
Body shaping today
Online advertisement for Lipfusion-lip plumperSlide21
Henna
Used for personal adornment, especially for special occasions like weddings
.Slide22
Scarification
Scarification, the act of creating designs out of scar tissue by cutting the skin or branding it with heated metal.
Branding- uses heated metal or cautery pen
Can also carve the skin with a scalpelSlide23
Tattoos
Tattoos traced back over 5000 years ago
Sailors and fisherman were the first to popularize tattoos to the Western world
Brought back from the South Pacific in the 1700’sSlide24
To mark a special occasion or as right of passageA source of power in a difficult situation; death of a loved one, a break-up or overcoming a disease
Many women find the experience an "important step in reclaiming their bodies”
Some reasons people choose tattoos:Slide25
How are tattoos done
Ink is pushed down into the dermis layer of the
skin with a needle
that punctures up 3
thousand times per
minute.Slide26
REACTIONS to tattoo pigments
Allergic reactions are more common in
red
and
yellow
pigments
Some of the
purples
/
magentas
are photo-reactive and lose their color with prolonged exposure to light
The plastic-based pigments produce
intense colors
but have a higher rate of reported reactions
Pigments that
glow in the dark
or in response to black (ultraviolet) light are notoriously risky for toxicitySlide27
Carrier
Safe
commonly used carriers
Unsafe
commonly used carriers
Ethyl alcohol (ethanol)- Vodka
Denatured alcohol-can burn the skin
Purified water
Other alcohols-isopropyl,
rubbing alcohol, methanol-toxic
Witch hazel
Ethylene glycol
(antifreeze)-toxic
Listerine
Aldehydes
such as formaldehyde and
gluteraldehyde
(highly toxic)
Propylene glycol
Various surfactants
Glycerine
(glycerol)
Various detergentsSlide28
Infections and tattoos
Lax sterilization procedures can lead to cross contamination and infection
Possible pathogens include staph aureus- MRSA
Hepatitis BHepatitis C-(it is estimated that 70% of carriers do not know they are infected)Tuberculosis, syphilis, and HIVSlide29
Blood donation
Must wait 12 months after a tattoo before you are eligible to donate blood.Slide30
Current Ohio law for tattoo & piercing
Must apply for an operating permit and pay a fee
Must pass a health department inspection prior to opening
Parents must accompany a minor and sign a consentAssure the individuals at adequately trainedComply with safety and sanitation requirementsSlide31
Tattoos and Pregnancy
Most tattoo artists will not tattoo a woman who is pregnant.
Fear of rejection if an infection develops.
Suggest waiting eighteen months after childbirth to get a tattoo.
(
www.midwiferytoday.com
)Slide32
Tattoos and Breastfeeding
Local and systemic infections are at an increased risk.
Human milk banks will not accept donations from a woman who has had a tattoo within the last twelve months.
Allergic reactions from the ink.
Overall, there is no evidence to imply that tattoos would alter the woman’s milk or ability to breastfeed
.
(La Leche League, 2008)Slide33
Some new trends in tattoosSlide34
Tattoos as a post-mastectomy optionSlide35
Piercing
Navel
Nipples
Genitals
Ears
Nose, septum, bridge
Oral, tongue, tongue web, lip web
Labret, lips, chin, Monroe
SurfaceSlide36
Body Piercing in Pregnancy
Association of Professional Piercers (AAP) have developed position statements.
Piercing not recommended in pregnancy due to the risk of infection.
Three areas of concern during pregnancy and postpartum- navel, genitals, and nipples.(
www.midwiferytoday.com
)Slide37
Number one site for infection and poor healing……..
Think about it…
It’s warm, It’s moist, It’s dark and it even collects lint.
This site receives a lot of friction and is not highly vascular……….Slide38
NavelSlide39
Navel Piercings
Advised to wait until after pregnancy or wait one year after piercing to get pregnant.
Jewelry can migrate to the skin surface, especially with a pregnancy, causing scarring.
Options include leaving piercing in or removing during pregnancy.
If piercing becomes uncomfortable can replace with a piece of flexible plastic, called Tygon.
(
www.midwiferytoday.com
)Slide40
The famous nipple
Can You Guess Who????Slide41
http://www.janetjacksonflash.com/Slide42
Nipples
Barbells
Nipple ringsSlide43
What about breastfeeding?Slide44
Nipple Piercings
Piercings take two to four months to heal completely.
There is no evidence that suggests difficulty with a woman’s ability to breastfeed after having a nipple piercing.
The APP and La Leche League recommend removing the piercing before breastfeeding for obvious choking risks.
(www.midwiferytoday.com)Slide45
This type of piercing has a high infection rate. Any woman wishing to have a nipple piercing should wait at least three months after discontinuing breastfeeding.These sites may leak milk and women are encouraged to use an insertion taper to maintain piercing.
Lactation consultants who have had clients keep their piercings in while breastfeeding report: difficulties with poor latch-on, babies frequently coming on/off breast, slurping, gagging, and leaking of milk from the baby’s mouth.Slide46
Reasons for Genital piercing
Also called “intimate piercings”
Same reasons as given for other types of body art
Sexual stimulation and increased ability to have an orgasmMakes one more interested in their genitals and therefore more interested in sex.Visually stimulating to self and partnersA sense of feeling more attractiveSlide47
Female Genitals
Vertical and Horitzonal Clitoral hood
http://www.body-piercing.com.au/body_piercing_gallery.htm#healthySlide48
Female Genitals
Outer and inner labia
http://www.infinitebody.com/index2.htmlSlide49
Genital Piercings
Recommended to remove before delivery in order to decrease chance of tearing the tissue or causing trauma to the baby during delivery.
If a woman opts to keep the jewelry in, it should be small enough to avoid catching and large enough to tolerate engorgement and swelling after delivery.
Women should be advised to speak with their physician or midwife before delivery.
(www.midwiferytoday.com)Slide50
Ears
Tragus, cartilage, lobes, and lobes with rivetsSlide51
Nose, septum, bridgeSlide52
There are not many scientific studies of piercings, but looking through the information that is available:The nose is highly innervated :more painful than other piercings
Nasal piercings take longer to heal completely, especially the nasal septumSlide53
Reports of severe damage the cartilage of the nose and long-term problems with appearance and breathing. Maintaining hygiene is more difficult than with other piercings. Many people are nasal carriers of Staphylococcus. Slide54
Tongue piercingSlide55
Because a piercing is essentially an open wound, it gives bacteria a pathway into the bloodstream. Bacteria that travel through the bloodstream to the heart can cause an infection called endocarditis. People with heart defects are particularly susceptible to this. Slide56
Ludwig's angina
Ludwig's angina is an infection in the floor of the mouth which is characterized by swelling of the mouth and throat. At first, this might be mistaken for the normal swelling associated with a piercing, but it can progress quickly and cause the airway obstruction. There is one fatally reported in the literature.Slide57
OralSlide58
Lip, Labret, Monroe, or MadonnaSlide59
SurfaceSlide60
complications
Piercings can cause scarring, cysts, bacterial infections, and dermatitis
People with allergies to nickel or other metals are especially susceptible.
Keloids
-- raised blisters of scar tissue that appear in or around a piercing -- are common, and sometimes have to be removed surgically.
The Centers for Disease Control and Prevention has a similar warning: People who get pierced run the risk of serious infection, mainly viral infections such as hepatitis B and C, or bacterial infections such as tetanus or staphylococcus.Slide61
Nickel Allergy
With the popularity of piercing; nickel allergy is on the rise.
Concern over potential rejection of implanted devices and joint replacements later in life.
The recommended metals for piercing are: surgical grade stainless steel, niobium, titanium and gold.
Hayward, M., & Tindale, R. (2008). Knowing you dydoe from your madonna:An emergency nurse guide to body piercing.
Emergency Nurse
, 26-35.Slide62
A keloid is a type of scar which results in an overgrowth of tissue at the site of a healed skin injury. The only treatment to remove the scar completely is surgery. However, the probability that the resulting surgery scar will also become a keloid is high, usually greater than 50%.
http://en.wikipedia.org/wiki/Keloid
Keloid
formationSlide63
When to removeAll oral piercings for surgerySlide64
Common jewelry types
Captive bead ring
Barbells-straight, curved, twisted, circular
Nose screwsSlide65
Removal tools
Ring opening pliers
Ring closing pliers