Health Assessment 06 - Nursing
Module 06 Content
1.
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Conduct an assessment on the following body system:
· Skin
You may conduct the assessment on a fellow student, friend, or family member. Remember to secure their permission.
Collect both subjective and objective data using the process described in the textbook. Review the Evolve resources & video on Skin located in the Overview tab under Module 6
Write a summary of the assessment and the skills utilized. Do not disclose any patient identifiers.
1. What skills (assessment techniques) were utilized during the assessment?
1. What subjective data did you collect? (list your findings)
1. What objective data did you collect? (list your findings
APA format isnt required.
Submit your completed assignment by following the directions linked below. Please check the Course Calendar
for specific due dates.
Save your assignment as a Microsoft Word document. (Mac users, please remember to append the .docx extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:
Jstudent_exampleproblem_101504
Rubric for assignment:
Novice
Competent
Proficient
Technique
Technique not identified. Findings incomplete.
Technique identified. Only answered one question in the summary.
Technique utilized clearly identified, detailed answers to questions included in the summary.
Summary of Assessment
Summary includes minimal details of the assessment.
Summary includes some details of the assessment performed.
Summary inclusive of in depth discussion of assessment performed.
10 points
1-6 points
7-9 points
10 points
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Entire Volume - Nose, Mouth, and Neck | Bates Visual Guide (batesvisualguide.com)Chapter 14
Head, Face, and Neck, and Regional Lymphatics
Copyright © 2020 by Elsevier Inc. All rights reserved.
1
Copyright 2015
Structure and Function:
Head (1 of 2)
Skull is rigid box that protects brain.
Includes bones of cranium and face
Supported by cervical vertebra
Cranial bones
Frontal
Parietal
Occipital
Temporal
Sutures—adjacent cranial bones mesh at sutures
Coronal
Sagittal
Lambdoid
Copyright © 2020 by Elsevier Inc. All rights reserved.
Structure and Function:
Head (2 of 2)
14 facial bones also articulate at sutures.
Facial expressions formed by facial muscles, which are mediated by cranial nerve VII, the facial nerve
Two pairs of salivary glands accessible to examination on the face:
Parotid glands are in cheeks over mandible, anterior to and below ear; the largest of salivary glands, they are not normally palpable.
Submandibular glands beneath mandible at angle of jaw
Third pair, sublingual glands, lies in floor of mouth.
Temporal artery lies superior to temporalis muscle, and pulsation is palpable anterior to ear.
Copyright © 2020 by Elsevier Inc. All rights reserved.
Structure: Head
Copyright © 2020 by Elsevier Inc. All rights reserved.
4
Structure and Function: Neck
Neck delimited by
Base of skull and inferior border of mandible above, and by manubrium sterni, clavicle, first rib, and first thoracic vertebra below
Think of neck as conduit of many structures.
Vessels, muscles, nerves, lymphatics, and viscera of respiratory and digestive systems
Internal carotid branches off common carotid and runs inward and upward to supply brain.
External carotid supplies face, salivary glands, and superficial temporal area.
Copyright © 2020 by Elsevier Inc. All rights reserved.
5
Structure and Function:
Neck Muscles
Major neck muscles
Sternomastoid and trapezius are innervated by cranial nerve XI.
Sternomastoid enables
Head rotation and flexion and divides each side of neck into two triangles: anterior and posterior triangles
Two trapezius muscles move shoulders and extend and turn head.
Copyright © 2020 by Elsevier Inc. All rights reserved.
6
Structure and Function: Thyroid
Endocrine gland
Straddles trachea in middle of the neck
Synthesizes and secretes
Thyroxine (T4) and triiodothyronine (T3), which are hormones that stimulate rate of cellular metabolism
The gland has two lobes
Connected in middle by a thin isthmus and above that by the cricoid cartilage or upper tracheal ring
Thyroid cartilage
Small palpable notch in upper edge (“Adam’s apple” in males)
Cricoid cartilage or upper tracheal ring
Isthmus of the thyroid gland
Copyright © 2020 by Elsevier Inc. All rights reserved.
7
Structures of Neck
Copyright © 2020 by Elsevier Inc. All rights reserved.
8
Structure and Function:
Lymphatic System
Major part of immune system
Detects and eliminates foreign substances from body
Rich supply of lymph nodes
Greatest supply is in head and neck.
Lymphatic drainage
Helps to prevent potentially harmfulChapter 13
Skin, Hair, and Nails
1
Copyright 2015
Structure: Skin
Think of skin as body’s largest organ system.
Covers 20 square feet of surface area in adults
Skin is the sentry that guards body.
Skin has two layers
Epidermis: outer highly differentiated layer
Basal cell layer forms new skin cells.
Outer horny cell layer of dead keratinized cells
Dermis: inner supportive layer
Connective tissue or collagen
Elastic tissue
Beneath these layers is a subcutaneous layer of adipose tissue.
Stores fat for energy, provides insulation for temperature control and aids in protection
Layers of Skin
Copyright 2015
Derived from three sources:
Melanin—brown pigment
Carotene—yellow-orange pigment
Red purple tones in the underlying vascular bed
All individuals have varying amounts (red, yellow, and brown).
With the relative proportion affecting prevailing color
Also modified by thickness of skin and presence of edema
Skin Color
Hair, Sebaceous Glands and Sweat Glands
Structures formed by tubular invagination of epidermis down into underlying dermis
Hair
Sebaceous glands
Sweat glands: important for fluid balance and thermoregulation
Eccrine glands
Apocrine glands
Hair
Threads of keratin—hair shaft and bulb matrix
Types of hair—vellus and terminal
Follicle—cyclical with active and resting phases
Sebaceous glands
Sebum—secreted lipid substance through hair follicles
Lubricate skin and form emulsion
Sweat glands
Eccrine produce sweat.
Apocrine produce milky secretion and open into hair follicles.
Nails
Hard plates of keratin on dorsal edges of fingers and toes
Hair, Sebaceous Glands, Sweat Glands and Nails
Structure of Nails
Skin Function
Skin is waterproof, protective, and adaptive
Protection from environment
Prevents penetration
Perception
Temperature regulation
Identification
Communication
Wound repair
Absorption and excretion
Production of vitamin D
Developmental Competence: Infants, Children, and Adolescents
Newborn infants
Lanugo: fine downy hair of newborn infant
Vernix caseosa: thick, cheesy substance
Sebum: holding water in the skin producing milia
Children
Epidermis thickens, darkens, and becomes lubricated.
Hair growth accelerates.
Adolescents
Secretions from apocrine sweat glands increase.
Subcutaneous fat deposits increase.
Secondary sex characteristics
Developmental Competence:
The Pregnant Woman
Increase in metabolism leads to increase secretion of sweat and sebaceous glands to dissipate heat.
Expected skin color changes due to increased hormone levels.
Fat deposits are laid down as maternal reserves for nursing baby.
Developmental Competence:
The Aging Adult
Elasticity
Loses elasticity; skinfolds and sags
Sweat and sebaceous glands
Decrease in number and function, leaving skin dry
Senile purpura
Discoloration due to increasing capillary fragility
Skin breakdown due to multiple factors
Cell replacement is slower and wound healing is delayed.
Hair matrix
Functioning melanocytes decrease, leading to g
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n that draws upon the theoretical reading to explain and contextualize the design choices. Be sure to directly quote or paraphrase the reading
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od pressure and hypertension via a community-wide intervention that targets the problem across the lifespan (i.e. includes all ages).
Develop a community-wide intervention to reduce elevated blood pressure and hypertension in the State of Alabama that in
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w or quality improvement; it was just all part of good nursing care. The goal for quality improvement is to monitor patient outcomes using statistics for comparison to standards of care for different diseases
e a 1 to 2 slide Microsoft PowerPoint presentation on the different models of case management. Include speaker notes... .....Describe three different models of case management.
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ame workbook for all 3 milestones. You do not need to download a new copy for Milestones 2 or 3. When you submit Milestone 3
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Topic: Purchasing and Technology
You read about blockchain ledger technology. Now do some additional research out on the Internet and share your URL with the rest of the class
be aware of which features their competitors are opting to include so the product development teams can design similar or enhanced features to attract more of the market. The more unique
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4. A U.S. Supreme Court case known as Furman v. Georgia (1972) is a landmark case that involved Eighth Amendment’s ban of unusual and cruel punishment in death penalty cases (Furman v. Georgia (1972)
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In my opinion
with
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5 The family dynamic is awkward at first since the most outgoing and straight forward person in the family in Linda
Urien
The most important benefit of my statistical analysis would be the accuracy with which I interpret the data. The greatest obstacle
From a similar but larger point of view
4 In order to get the entire family to come back for another session I would suggest coming in on a day the restaurant is not open
When seeking to identify a patient’s health condition
After viewing the you tube videos on prayer
Your paper must be at least two pages in length (not counting the title and reference pages)
The word assimilate is negative to me. I believe everyone should learn about a country that they are going to live in. It doesnt mean that they have to believe that everything in America is better than where they came from. It means that they care enough
Data collection
Single Subject Chris is a social worker in a geriatric case management program located in a midsize Northeastern town. She has an MSW and is part of a team of case managers that likes to continuously improve on its practice. The team is currently using an
I would start off with Linda on repeating her options for the child and going over what she is feeling with each option. I would want to find out what she is afraid of. I would avoid asking her any “why” questions because I want her to be in the here an
Summarize the advantages and disadvantages of using an Internet site as means of collecting data for psychological research (Comp 2.1) 25.0\% Summarization of the advantages and disadvantages of using an Internet site as means of collecting data for psych
Identify the type of research used in a chosen study
Compose a 1
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effect relationship becomes more difficult—as the researcher cannot enact total control of another person even in an experimental environment. Social workers serve clients in highly complex real-world environments. Clients often implement recommended inte
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One thing you will need to do in college is learn how to find and use references. References support your ideas. College-level work must be supported by research. You are expected to do that for this paper. You will research
Elaborate on any potential confounds or ethical concerns while participating in the psychological study 20.0\% Elaboration on any potential confounds or ethical concerns while participating in the psychological study is missing. Elaboration on any potenti
3 The first thing I would do in the family’s first session is develop a genogram of the family to get an idea of all the individuals who play a major role in Linda’s life. After establishing where each member is in relation to the family
A Health in All Policies approach
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Losinski forwarded the article on a priority basis to Mary Scott
Losinksi wanted details on use of the ED at CGH. He asked the administrative resident