Integumentary
Function:
K.B. is a 40-year-old white female with a 5-year history of psoriasis. She
has scheduled an appointment with her dermatologist due to another relapse of
psoriasis. This is her third flare-up since a definitive diagnosis was made.
This outbreak of plaque psoriasis is generalized and involves large regions on
the arms, legs, elbows, knees, abdomen, scalp, and groin. K.B. was diagnosed
with limited plaque-type psoriasis at age 35 and initially responded well to
topical treatment with high-potency corticosteroids. She has been in remission
for 18 months. Until now, lesions have been confined to small regions on the
elbows and lower legs.
Case Study Questions
1. Name
the most common triggers for psoriasis and explain the different clinical
types.
2. There
are several types of treatments for psoriasis, explain the different types and
indicate which would be the most appropriate approach to treat this relapse
episode for K.B. Also include non-pharmacological options and recommendations.
3. Included
in question 2
4. A
medication review and reconciliation are always important in all patient,
describe and specify why in this particular case is important to know what
medications the patient is taking?
5. What
others manifestation could present a patient with Psoriasis?
Sensory Function:
C.J. is a 27-year-old male who started to present crusty and
yellowish discharged on his eyes 24 hours ago. At the beginning he thought that
washing his eyes vigorously the discharge will go away but by the contrary
increased producing a blurry vision specially in the morning. Once he clears
his eyes of the sticky discharge her visual acuity was normal again. Also, he
has been feeling throbbing pain on his left ear. His eyes became red today, so
he decided to consult to get evaluated. On his physical assessment you found a
yellowish discharge and bilateral conjunctival erythema. His throat and lungs
are normal, his left ear canal is within normal limits, but the tympanic
membrane is opaque, bulging and red.
Case Study Questions
1. Based
on the clinical manifestations presented on the case above, which would be your
eyes diagnosis for C.J. Please name why you get to this diagnosis and document
your rational.
2. With no
further information would you be able to name the probable etiology of the eye
affection presented? Viral, bacterial, allergic, gonococcal, trachoma. Why and
why not.
3. Based
on your answer to the previous question regarding the etiology of the eye
affection, which would be the best therapeutic approach to C.J problem.
Submission
Instructions:
·
Your initial post should be 500 words per each case study, formatted
and cited in current APA 7th
style with support from at least 3 academic
sources.
·
Turnitin similarity should be less than 14%
·
Quotes “…” cannot be used at a higher learning level for your
assignments, so sentences need to be paraphrased and referenced.
·
Acceptable references include scholarly journal articles or
primary legal sources (statutes, court opinions), journal articles, and books
published in the last five years. No websites to be referenced without
prior approval.
Textbook(s)
Delugash, L., Story, L. (2020).
Applied Pathophysiology for the Advanced Practice Nurse. Burlington, MA: Jones
and Bartlett Learning. ISBN: 978-1284150452
Read
and watch the lecture resources & materials below early in the week to help
you respond to the discussion questions and to complete your assignment(s).
(Note: The citations below are provided for your research
convenience. You should always cross reference the current APA guide for
correct styling of citations and references in your academic work.)
Read
·
Delugash, L., Story, L. (2020).
o Chapter 13
CH13.pptx
Download
CH13.pptx
o Chapter 14
CH14.pptx Download
CH14.pptx
·
McCance, C. K., Huether, E. S., Brashers, L. V., & Rote, S.
N. (2019).
o Units IX & X
o This is a recommended
textbook reading.
Watch
·
Chapter 13: Integumentary Function (31:16)
STU.
(2021). Chapter 13: Integumentary
function [Video]. Studio.
·
Chapter 14: Sensory Function (26:58)
STU.
(2021). Chapter 14: Sensory function [Video].
Studio.
Supplemental Readings:
1. Skin cancer (Links to an external
site.)
Skin cancer (Including melanoma)—Patient
version. (n.d.). National Cancer Institute.
https://www.cancer.gov/cancertopics/types/skin
2.
CDC – Lice – Head lice (Links
to an external site.)
CDC –
Lice – Head lice. (2019, April 17). Centers for Disease Control and
Prevention. https://www.cdc.gov/parasites/lice/head/
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