N522PE Discussion Two: HEENT and Skin Assessment
N522PE Discussion Two: HEENT and Skin Assessment N522PE Discussion Two: HEENT and Skin Assessment Discussion 2 This week you have studied advanced physical assessment of the eyes, ears, nose, throat, head, neck and skin (HEENT). Describe the classification of rashes. N522PE Discussion Two: HEENT and Skin Assessment. What additional resources for HEENT advanced health assessment skills have you found beneficial in developing your knowledge and psychomotor skills this week? Post a concept to the discussion board that you have had difficulty with and note where you are with resolution of your difficulties. Please describe the issue completely, citing your sources so that your classmates can reference the information and provide additional clinical pearls. In other words, please include primary sources and/or reliable electronic sources to support your arguments. Remember to respond to at least two of your peers. Please refer to the Course Syllabus for Discussion Participation Guidelines & Grading Criteria. Permalink: https://nursingpaperessays.com/ n522pe-discussio -skin-assessment / Example Approach The classification of rashes includes primary, lesions that develop initially from a specific change in the skin or secondary, lesions that appear as a result of changes in the primary lesion. Types of primary lesions include macule, patch, papule, nodule, plaque, wheal, tumor, pustule, vesicle, bulla, or cyst. Each of these primary lesions vary in the shape, size, arrangement, border, texture, or color. Changes in the primary lesions can include a crust, scale, excoriation, lichenification, erosion or fissure. This would then classify the skin abnormality as a secondary lesion. It is important during an assessment to document the skin findings as descriptive as possible, including all of the above-mentioned characteristics to ensure proper diagnosis and treatment. During assessment, it is important to see if it is causing any itchiness or pain to the patient as well as what they have been doing to manage the rash. This can also play a part in the diagnosis, as it may be a topical allergic reaction to a specific type of cream/ remedy the patient is using. I utilized both textbooks to assist with the normals and abnormals of the HEENT assessment, as I have not operated an otoscope or funduscopy, personally, I do not think ever while I was at the bedside. I needed a refresher as to what I should be looking at and measuring to see if there were any issues with Ms. Jones. Another issue I had was regarding the lifespan reflection piece of the modules. I am an adult med-surg nurse, and have not spent time in pediatrics, so I am rusty regarding health diagnosis and treatment in the young. I utilized the American Academy of Pediatrics as a resource to support my clinical decision making during this portion. Shapiro et. al. (2017) reviewed that rapid strep testing should not occur in kids that have clinical features as a viral illness as this may indicate that the child is a strep carrier rather than a true infection- however for those that do not have the clinical features of a viral infection, it is imperative to complete a rapid strep test to ensure proper antibiotics are prescribed. The article reviewed more in depth of the two different types of pharyngitis and reviewed collection and treatment, which really assisted with the lifespan module questions. I feel that reviewing different articles on the AAP website assisted in providing clinical guideline ideas to review for those in the pediatric population. Bickley, L. S. (2017). Bates guide to physical examination and history taking (12th ed.). Philadelphia, PA: Wolters Kluwer Health | Lippincott Williams & Wilkins. Dains, J., Baumann, L., & Scheibel, P. (2016). Advanced health assessment & clinical diagnosis in primary care (5th ed.). St. Louis, MO: Mosby Elsevier. Shapiro, D. J., Lindgren, C. E., Neuman, M. I., & Fine, A. M. (2017). Viral features and testing for streptococcal pharyngitis. Pediatrics, 139(5). doi:10.1542/peds.2016-3403 N522PE Discussion Two: HEENT and Skin Assessment. 479 words Permalink In reply to Alissa Re: Discussion 2 by Dona Monday, September 28, 2020, 5:47 PM Well done. Describe the common examination findings in allergic rhinitis. 10 words Permalink Show parent In reply to Dona Re: Discussion 2 N522PE Discussion Two: HEENT and Skin Assessment. by Alissa Wednesday, September 30, 2020, 3:38 PM The common examination findings in allergic rhinitis include nasal congestion, watery eyes, sneezing, sore throat and itchiness of the nose, throat and eyes. It is important to understand when these symptoms began and what the patient does to relieve these symptoms along with a thorough exam. Bickley, L. S. (2017). Bates guide to physical examination and history taking (12th ed.). Philadelphia, PA: Wolters Kluwer Health | Lippincott Williams & Wilkins. 68 words Permalink Show parent In reply to Alissa Re: Discussion 2 N522PE Discussion Two: HEENT and Skin Assessment. by Dona Friday, October 2, 2020, 8:04 AM Great start. Be sure to know what the turbinates look like in allergies. There is a specific finding. 18 words Permalink Show parent In reply to Alissa Re: Discussion 2 by Honey Monday, September 28, 2020, 8:38 PM Hi Alissa, Many viruses, bacteria and organisms are quickly evolving as people get exposed to a lot of antibiotics and varied treatment medications. Its surprising to know that pediatrics discourage use of strep throat rapid test for pharyngitis. Just like you, Ive been in adult med-surg for a long time now. Your strep throat topic triggered my curiosity to look into it. Cohen (2017) conducted a study regarding the need for rapid antigen detection test (RADT) on children with group A streptococcus (GAS) symptoms. This multicenter study aimed to evaluate the efficacy of the clinical symptoms in testing pediatrics with pharyngitis. Cohen (2017) concluded that reliance on the clinical symptoms as the predictor for treatment of pharyngitis in select children is not efficient. Pediatricians need to utilize RADT in all children with affected with pharyngitis. N522PE Discussion Two: HEENT and Skin Assessment. Reference: Cohen, J., Cohen, R., Bidet, P., Elbez, A., Levy, C., Bossuyt, P.& Chalumeau, M. (2017, February 24). Efficiency of a clinical prediction model for selective rapid testing in children with pharyngitis: A prospective, multicenter study. Retrieved September 29, 2020, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5325561/ 185 words Permalink Show parent In reply to Alissa Re: Discussion 2 by Rebecca Saturday, October 3, 2020, 2:29 PM Alissa When environmental allergens enter into the body, histamines are released by the cells to react to the irritants. Once allergens or irritants can pass the mucus traps in the nose, this can cause rhinitis. Rhinitis means inflammation of the nose and can either be acute or chronic problems. According to the Asthma and Allergy Foundation of American, they list five different types of allergic rhinitis. Allergic, seasonal, perennial, non-allergic, and infectious make up the five different types of rhinitis (2018). Allergic rhinitis is caused by breathing in allergens, which cause our body to respond by ridding itself of the irritants. Symptoms include boggy turbinate, allergic shiners (edematous, dark circles under eyes), allergic salute: transverse nasal crease (from pushing up on the nose) (Seidman et al., 2018). Other more common symptoms include itchy, watery eyes, congestion, sneezing, postnasal drip, and runny nose. The main finding for allergic rhinitis will be that the nasal turbinates will be pale or bluish (Seidman et al., 2015). References Asthma and Allergy Foundation of America (2018). Rhinitis (Nasal Allergies). https://www.aafa.org/rhinitis-nasal-allergy-hayfever/ Seidman, M.D., Gurgel, R.K., Lin, S.Y., Schwartz, S.R., Baroody, F.M., Bonner, J.R., Dawson, D.E., Dykewicz, M.S., Hackell, J.M., Han, J.K., Ishman, S.L., Krouse, H.J., Malekzadeh, S., Mims, J.W., Omole, F.S., Reddy, W.D., Wallace, D.V., Walsh, S.A., Warren, B., Ninacheta, L.C. (2015). Clinical practice guideline: Allergic rhinitis. Otolaryngology Head Neck Surgery, 152(1), p. 1-43. doi: 10.1177/0194599814561600. PMID: 25644617. 256 words N522PE Discussion Two: HEENT and Skin Assessment. Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10
