Assignment 3 (Optional) Practice Assessment: Skin Hair and Nails Examination NURS 6512N-32

Assignment 3 (Optional) Practice Assessment: Skin Hair and Nails Examination NURS 6512N-32

Assignment 3 (Optional) Practice Assessment: Skin Hair and Nails Examination NURS 6512N-32

Assignment 3 (Optional) Practice
Assessment: Skin, Hair, and Nails

Examination

Advanced practice nurses are required to have the skills and knowledge necessary to
perform many different physical assessments and health examinations. In this course,
you will demonstrate your abilities in this area by conducting various optional
examinations on a volunteer “patient.”
In preparation for the Comprehensive (Head-to-Toe) Physical Assessment due in Week
9, it is recommended that you practice conducting an assessment of the skin, hair, and
nails this week.
Note: This is an optional practice physical assessment.
To Prepare
 Arrange an appropriate time and setting with your volunteer “patient” to perform a skin,
hair, and nails examination.
 Download and review the Skin, Hair, and Nails Student Checklist and Key Points,
provided in this week’s Learning Resources, and review the Seidel's Guide to Physical
Examination online media.
Optional Lab Assignment
 Perform the skin, hair, and nails examination, covering all of the areas listed in the
checklist.

What's Coming Up in Week 5?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images
Next week, you examine how to properly assess the head, neck, eyes, ears, nose, and
throat in order to form accurate diagnoses as you complete your Case Study
Assignment of the Skin, Hair, Nails, and HEENT. You will once again complete a DCE
related to a Focused Exam for cough. Make sure to plan ahead with your Please plan
your time accordingly.
Week 5 Required Media
Photo Credit: [fergregory]/[iStock / Getty Images Plus]/Getty Images
Next week, you will need to view several videos and animations in the Seidel’s Guide to
Physical Examination as well as other media, as required, prior to completing your Case
Study Assignment. There are several videos of various lengths. Please plan ahead to
ensure you have time to view these videos and animations to complete your
Assignment on time.
Next Week
To go to the next week:
Week 5

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT: Assignment 3 (Optional) Practice Assessment: Skin Hair and Nails Examination NURS 6512N-32

 

Learning Resources

Required Readings (click to expand/reduce)
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W.
(2019). Seidel's guide to physical examination: An interprofessional
approach (9th ed.). St. Louis, MO: Elsevier Mosby.

 Chapter 9, “Skin, Hair, and Nails”
This chapter reviews the basic anatomy and physiology of skin, hair, and
nails. The chapter also describes guidelines for proper skin, hair, and nails
assessments.
Colyar, M. R. (2015). Advanced practice nursing procedures. Philadelphia,
PA: F. A. Davis.
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.

This section explains the procedural knowledge needed prior to
performing various dermatological procedures.
Chapter 1, “Punch Biopsy”
Chapter 2, “Skin Biopsy”

Chapter 10, “Nail Removal”
Chapter 15, “Skin Lesion Removals: Keloids, Moles, Corns, Calluses”
Chapter 16, “Skin Tag (Acrochordon) Removal”
Chapter 22, “Suture Insertion”
Chapter 24, “Suture Removal”
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.
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.
Chapter 28, “Rashes and Skin Lesions”
This 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.
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’s
Lab Assignment.
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W.
(2019). Skin, hair, and nails: Student checklist. In Seidel's guide to
physical examination (9th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Seidel's 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.
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W.
(2019). Skin, hair, and nails: Key points. In Seidel's guide to physical
examination: An interprofessional approach (9th ed.). St. Louis, MO:
Elsevier Mosby.
Credit Line: Seidel's 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.
Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.).
Philadelphia, PA: F. A. Davis.

 Chapter 2, "The Comprehensive History and Physical Exam" (Previously
read in Weeks 1 and 3)

VisualDx. (n.d.). Clinical decision support. Retrieved June 11, 2019, from
http://www.skinsight.com/info/for_professionals

This interactive website allows you to explore skin conditions according to
age, gender, and area of the body.

Clothier, A. (2014). Assessing and managing skin tears in older people.
Nurse Prescribing, 12(6), 278–282.

Document: Skin Conditions (Word document)

This document contains five images of different skin conditions. You will
use this information in this week’s Discussion.
Document: Comprehensive SOAP Exemplar (Word document)
Document: Comprehensive SOAP Template (Word document)
Shadow Health Support and Orientation Resources
Use the following resources to guide you through your Shadow Health orientation
as well as other support resources:
Frey, C. [Chris Frey]. (2015, September 4). Student orientation [Video file].
Retrieved from https://www.youtube.com/watch?v=Rfd_8pTJBkY
Shadow Health. (n.d.). Shadow Health help desk. Retrieved
from https://support.shadowhealth.com/hc/en-us
Document: Shadow Health. (2014). Useful tips and tricks (Version 2)
(PDF)
Document: Shadow Health Nursing Documentation Tutorial (Word
document)
Document: Student Acknowledgement Form (Word document)
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’s Code of Conduct.

Document: DCE (Shadow Health) Documentation Template for Health
History (Word document)
Use this template to complete your Assignment 2 for this week.

Optional Resources
LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). DeGowin’s
diagnostic examination (10th ed.). New York, NY: McGraw Hill Medical.

 Chapter 6, “The Skin and Nails”
In 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.
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/a
bsorbable_suture_chart.pdf
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/d
b_application_poster.pdf
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/n
eedle_template.pdf
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/s
uture_chart_ethicon.pdf
Ethicon, Inc. (2002). How to care for your wound after it's 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/d
b_wound_care.pdf

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/k
not_tying_manual.pdf
Ethicon, Inc. (n.d.-c). Wound closure manual. Retrieved from
https://web.archive.org/web/20170829043048/http://academicdepartments
.musc.edu/surgery/education/resident_info/supplement/suture_manuals/et
h

Required Media (click to expand/reduce)

Module 3 Introduction

Dr. 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 Discussions, Case Study Lab Assignments, DCE

Assignments, and your Midterm exam (12m).

Accessible player
Online media for Seidel's Guide to Physical Examination
In addition to this week's media, it is highly recommended that you access and
view the online resources included with the text, Seidel's Guide to Physical
Examination. Focus on the videos and animations in Chapter 8 that relate to the
assessment of the skin, hair, and nails.
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 .
To Register to View the Content
1. Go to https://evolve.elsevier.com/cs/product/9780323172660?role=student
2. Enter the name of the textbook, Seidel's Guide to Physical Examination (name of
text without the edition number) in the Search textbox.
3. Complete the registration process.
To View the Content for this Text
1. Go to https://evolve.elsevier.com/
2. Click on Student Site.
3. Type in your username and password.
4. Click on the Login button.
5. Click on the plus sign icon for Resources on the left side of the screen.
6. Click on the name of the textbook for this course.
7. Expand the menu on the left to locate all the chapters.
8. Navigate to the desired content (checklists, videos, animations, etc.).

Note: Clicking on the URLs in the APA citations for the Resources from
the textbook will not link directly to the desired online content. Use the
online menu to navigate to the desired content.
Suturing Tutorials
The following suturing tutorials provide instruction on the basic interrupted suture,
as well as the vertical and horizontal mattress suturing techniques
Tulane Center for Advanced Medical Simulation & Team Training. (2010,
July 8). Suturing technique [Video file]. Retrieved from

Note: Approximate length of this media program is 5 minutes.
Mikheil. (2014, April 22). Basic suturing: Simple, interrupted, vertical
mattress, horizontal mattress [Video file]. Retrieved from

Note: Approximate length of this media program is 9 minutes.
Incision and Drainage of an Abscess (a common procedure in primary
care)
New England Journal of Medicine (NEJM). (2013, September 30). NEJM
abscess incision and drainage [Video file]. Retrieved from

q4–Vf2NYfUANEyObfeNm&index=8
Note: Approximate length of this media program is 10 minutes.
Dermablade Use for Shave Biopsies
Dermablade®. (2012, November 9). PersonnaBlades [Video file].
Retrieved from https://www.youtube.com/watch?v=D8u1Y18L9DQ
Note: Approximate length of this media program is 5 minutes.