NURS 6512 Week 4: Assessment of the Skin, Hair, and Nails<\/p>\n
NURS 6512: Advanced Health Assessment and Diagnostic Reasoning | Week 4
\nSomething as small and simple as a mole or a discolored toenail can offer meaningful clues about a patient\u2019s health. Abnormalities in skin, hair, and nails can provide non-invasive external clues to internal disorders or even prove to be disorders themselves. Being able to evaluate such abnormalities of the skin, hair, and nails is a diagnostic benefit for any nurse conducting health assessments.<\/p>\n
This week, you will explore how to assess the skin, hair, and nails, as well as how to evaluate abnormal skin findings.<\/p>\n
Learning Objectives<\/p>\n
Students will:<\/p>\n
Apply assessment skills to diagnose skin conditions
\nApply concepts, theories, and principles relating to health assessment techniques and diagnoses for the skin, hair, and nails
\nApply assessment skills to collect patient health histories
\nLearning Resources<\/p>\n
Required Readings (click to expand\/reduce)<\/p>\n
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel\u2019s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.<\/p>\n
Chapter 9, \u201cSkin, Hair, and Nails\u201d
\nThis chapter reviews the basic anatomy and physiology of skin, hair, and nails. The chapter also describes guidelines for proper skin, hair, and nails assessments.<\/p>\n
Colyar, M. R. (2015). Advanced practice nursing procedures. Philadelphia, PA: F. A. Davis.<\/p>\n
Credit Line: Advanced practice nursing procedures, 1st Edition by Colyar, M. R. Copyright 2015 by F. A. Davis Company. Reprinted by permission of F. A. Davis Company via the Copyright Clearance Center.<\/p>\n
This section explains the procedural knowledge needed prior to performing various dermatological procedures.<\/p>\n
Chapter 1, \u201cPunch Biopsy\u201d<\/p>\n
Chapter 2, \u201cSkin Biopsy\u201d<\/p>\n
Chapter 10, \u201cNail Removal\u201d<\/p>\n
Chapter 15, \u201cSkin Lesion Removals: Keloids, Moles, Corns, Calluses\u201d<\/p>\n
Chapter 16, \u201cSkin Tag (Acrochordon) Removal\u201d<\/p>\n
Chapter 22, \u201cSuture Insertion\u201d<\/p>\n
Chapter 24, \u201cSuture Removal\u201d<\/p>\n
Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.<\/p>\n
Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.<\/p>\n
Chapter 28, \u201cRashes and Skin Lesions\u201d
\nThis chapter explains the steps in an initial examination of someone with dermatological problems, including the type of information that needs to be gathered and assessed.<\/p>\n
Note: Download and use the Student Checklist and the Key Points when you conduct your assessment of the skin, hair, and nails in this Week\u2019s Lab Assignment.<\/p>\n
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Skin, hair, and nails: Student checklist. In Seidel\u2019s guide to physical examination (9th ed.). St. Louis, MO: Elsevier Mosby.<\/p>\n
Credit Line: Seidel\u2019s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center.<\/p>\n
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Skin, hair, and nails: Key points. In Seidel\u2019s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.<\/p>\n
Credit Line: Seidel\u2019s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center.<\/p>\n
Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.<\/p>\n
Chapter 2, \u201cThe Comprehensive History and Physical Exam\u201d (Previously read in Weeks 1 and 3)
\nVisualDx. (n.d.). Clinical decision support. Retrieved June 11, 2019, from http:\/\/www.skinsight.com\/info\/for_professionals<\/p>\n
This interactive website allows you to explore skin conditions according to age, gender, and area of the body.<\/p>\n
Clothier, A. (2014). Assessing and managing skin tears in older people. Nurse Prescribing, 12(6), 278\u2013282.<\/p>\n
Document: Skin Conditions (Word document)<\/p>\n
This document contains five images of different skin conditions. You will use this information in this week\u2019s Assignment help – Discussion.<\/p>\n
Document: Comprehensive SOAP Exemplar (Word document)<\/p>\n
Document: Comprehensive SOAP Template (Word document)<\/p>\n
Shadow Health Support and Orientation Resources<\/p>\n
Use the following resources to guide you through your Shadow Health orientation as well as other support resources:<\/p>\n
Frey, C. [Chris Frey]. (2015, September 4). Student orientation [Video file]. Retrieved from https:\/\/www.youtube.com\/watch?v=Rfd_8pTJBkY<\/p>\n
Document: Shadow Health Support and Orientation Resources (PDF)<\/p>\n
Shadow Health. (n.d.). Shadow Health help desk. Retrieved from https:\/\/support.shadowhealth.com\/hc\/en-us<\/p>\n
Document: Shadow Health. (2014). Useful tips and tricks (Version 2) (PDF)<\/p>\n
Document: Shadow Health Nursing Documentation Tutorial (Word document)<\/p>\n
Document: Student Acknowledgement Form (Word document)<\/p>\n
Note: You will sign and date this form each time you complete your DCE Assignment in Shadow Health to acknowledge your commitment to Walden University\u2019s Code of Conduct.<\/p>\n
Document: DCE (Shadow Health) Documentation Template for Health History (Word document)<\/p>\n
Use this template to complete your Assignment 2 for this week.<\/p>\n
Optional Resources<\/p>\n
LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). DeGowin\u2019s diagnostic examination (10th ed.). New York, NY: McGraw Hill Medical.<\/p>\n
Chapter 6, \u201cThe Skin and Nails\u201d
\nIn this chapter, the authors provide guidelines and procedures to aid in the diagnosis of skin and nail disorders. The chapter supplies descriptions and pictures of common skin and nail conditions.<\/p>\n
Ethicon, Inc. (n.d.-a). Absorbable synthetic suture material. Retrieved from https:\/\/web.archive.org\/web\/20170215015223\/http:\/\/academicdepartments.musc.edu\/surgery\/education\/resident_info\/supplement\/suture_manuals\/absorbable_suture_chart.pdf<\/p>\n
Ethicon, Inc. (2006). Dermabond topical skin adhesive application technique. Retrieved from https:\/\/web.archive.org\/web\/20150921174121\/http:\/\/academicdepartments.musc.edu\/surgery\/education\/resident_info\/supplement\/suture_manuals\/db_application_poster.pdf<\/p>\n
Ethicon, Inc. (2001). Ethicon needle sales types. Retrieved from https:\/\/web.archive.org\/web\/20150921171922\/http:\/\/academicdepartments.musc.edu\/surgery\/education\/resident_info\/supplement\/suture_manuals\/needle_template.pdf<\/p>\n
Ethicon, Inc. (n.d.-b). Ethicon sutures. Retrieved from https:\/\/web.archive.org\/web\/20150921202525\/http:\/\/academicdepartments.musc.edu\/surgery\/education\/resident_info\/supplement\/suture_manuals\/suture_chart_ethicon.pdf<\/p>\n
Ethicon, Inc. (2002). How to care for your wound after it\u2019s treated with Dermabond topical skin adhesive. Retrieved from https:\/\/web.archive.org\/web\/20150926002534\/http:\/\/academicdepartments.musc.edu\/surgery\/education\/resident_info\/supplement\/suture_manuals\/db_wound_care.pdf<\/p>\n
Ethicon, Inc. (2005). Knot tying manual. Retrieved from https:\/\/web.archive.org\/web\/20160915214422\/http:\/\/academicdepartments.musc.edu\/surgery\/education\/resident_info\/supplement\/suture_manuals\/knot_tying_manual.pdf<\/p>\n
Ethicon, Inc. (n.d.-c). Wound closure manual. Retrieved from http:\/\/www.uphs.upenn.edu\/surgery\/Education\/facilities\/measey\/Wound_Closure_Manual.pdf<\/p>\n
Required Media (click to expand\/reduce)<\/p>\n
Module 3 Introduction
\nDr. Tara Harris reviews the overall expectations for Module 3. Consider how you will manage your time as you review your media and Learning Resources for your Assignment help – Discussions, Case Study Lab Assignments, DCE Assignments, and your Midterm exam (12m).<\/p>\n
Skin, Hair, and Nails \u2013 Week 4 (19m)<\/p>\n
Online media for Seidel\u2019s Guide to Physical Examination
\nIn addition to this week\u2019s media, it is highly recommended that you access and view the online resources included with the text, Seidel\u2019s Guide to Physical Examination. Focus on the videos and animations in Chapter 8 that relate to the assessment of the skin, hair, and nails.<\/p>\n
Note: To access the online resources included with the text, you need to complete the FREE online registration that is located at https:\/\/evolve.elsevier.com\/cs\/product\/9780323172660?role=student .<\/p>\n","protected":false},"excerpt":{"rendered":"
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