REGIONAL WRITE-UP—SKIN, HAIR, AND NAILS_______________________________
Date 3/1/17
Examiner Brittanie Bartz
Student Nurse
Patient AK Age 21 Gender Male
Reason for visit: “large bump on forehead”, “pain when touched”
I. Health History
1. Any past skin disease?
2. Any change in skin color or pigmentation?
3. Any changes in a mole?
4. Excessive dryness or moisture?
5. Any skin itching?
6. Any excess bruising?
7. Any skin rash or lesions?
8. Taking any medications?
9. Any recent hair loss?
10. Any changes in nails?
11. Any environmental hazards for skin?
12. How do you take care of skin? Sunscreen?
13. What is your amount of skin exposure?
Indoor training?
II. Physical Examination
A. Inspect and palpate skin
Color pinkish tan, …show more content…
• Demonstrates Wound Healing: Primary Intention, as evidenced by substantial skin and wound edge approximation.
• Demonstrates Wound Healing: Secondary Intention, as evidenced by decreased wound size
• Patient will demonstrate the application of a warm compress and topical ointments to prevent further bacterial infection.
Follow Up Care: Pustule should take up to two weeks to heal. If the pustule worsens or increases in size, patient is advised to notify doctor immediately. The patient will follow up for one year skin examination if wound heals appropriately.
Resources:
Jarvis, Carolyn (2016). Physical Examination & Health Assessment. St. Louis, MO: Elsevier, 2016. Print.
Jarvis, C., & Jarvis, C. (2016). Student laboratory manual, Physical examination & health assessment. St. Louis, MO: Elsevier
Date 3/1/17
Examiner Brittanie Bartz
Student Nurse
Patient AK Age 21 Gender Male
Reason for visit: “large bump on forehead”, “pain when touched”
I. Health History
1. Any past skin disease?
2. Any change in skin color or pigmentation?
3. Any changes in a mole?
4. Excessive dryness or moisture?
5. Any skin itching?
6. Any excess bruising?
7. Any skin rash or lesions?
8. Taking any medications?
9. Any recent hair loss?
10. Any changes in nails?
11. Any environmental hazards for skin?
12. How do you take care of skin? Sunscreen?
13. What is your amount of skin exposure?
Indoor training?
II. Physical Examination
A. Inspect and palpate skin
Color pinkish tan, …show more content…
• Demonstrates Wound Healing: Primary Intention, as evidenced by substantial skin and wound edge approximation.
• Demonstrates Wound Healing: Secondary Intention, as evidenced by decreased wound size
• Patient will demonstrate the application of a warm compress and topical ointments to prevent further bacterial infection.
Follow Up Care: Pustule should take up to two weeks to heal. If the pustule worsens or increases in size, patient is advised to notify doctor immediately. The patient will follow up for one year skin examination if wound heals appropriately.
Resources:
Jarvis, Carolyn (2016). Physical Examination & Health Assessment. St. Louis, MO: Elsevier, 2016. Print.
Jarvis, C., & Jarvis, C. (2016). Student laboratory manual, Physical examination & health assessment. St. Louis, MO: Elsevier