Interpretation of Skin, Hair, and Nail Conditions in Clients with Special Considerations

Week 3 Discussion 5.1: Interpretation of Skin, Hair, and Nail Conditions in Clients with Special Considerations No unread replies.No replies. CNILogo.png Interpretation of Skin, Hair, and Nail Conditions in Clients with Special Considerations Objectives Describe the special considerations to take in the assessment of the skin, hair, and nails Interpret the health history and physical assessment findings of the skin, hair, and nails Discussion Overview In this discussion forum, you will address special considerations of the older adult presenting with conditions related to the skin, hair, and nails. Deliverables Your participation in the discussion forum, including the following: A response to the initial questions below Responses to at least two other students’ posts Step 1 Review the case scenario. You are conducting a history and physical assessment on a 75-year-old male client. The subjective information related to the skin and nails indicates the following: The client reports that he has started to notice over time that whenever he bumps his arms or hands against something he seems to get purple areas under his skin that do not look very nice. The client also tells you that he noticed that his nails have changed shape, and they look like they have a “bubble” on the base. You also learn that he is a long-time cigarette smoker of two packs per day. Objective findings of the skin and nails confirm a few purple macular areas on the hands and forearms bilaterally. You perform the Schamroth technique where you observe that the nails no longer can touch at the tips to form a diamond-shaped opening and they are pointing outward. Step 2 Respond to the discussion questions. In your response, address each of the following questions: Explain the special considerations, such as changes in the scenario above, that nurses should be aware of when assessing skin, hair, and nails; interpreting findings; and planning nursing care for clients. How would you interpret your findings in relation to the case scenario? What diagnoses are indicated related to the skin, hair, and nails? Incorporate at least one professional, evidence-based resource to support your response (include citations and references for sources using correct format). Share your personal experiences with the history taking, physical assessment, and interpretation of findings related to the skin, hair, and nails in clients with special considerations: What were the challenges? How did you overcome these challenges?

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