NURS-6512N-48 (11\/28\/2022-02\/12\/2023)-PT27PagesWeek 4: Learning LAB ASSIGNMENT: DIFFERENTIAL DIAGNOSIS FOR SKIN CONDITIONS<\/p>\n
Properly identifying the cause and type of a patient\u2019s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause.
\nIn this Lab Assignment, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition.
\nRESOURCES<\/p>\n
Be sure to review the Learning Resources before completing this activity.
\nClick the weekly resources link to access the resources.
\nWEEKLY RESOURCES
\n\u2022\tBall, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
\no\tChapter 9, \u201cSkin, Hair, and Nails\u201d
\nThis chapter reviews the basic anatomy and physiology of skin, hair, and nails. The chapter also describes guidelines for proper skin, hair, and nails assessments.
\n\u2022\tColyar, M. R. (2015). Advanced practice nursing procedures. Philadelphia, PA: F. A. Davis.
\nCredit Line: Advanced practice nursing procedures, 1st Edition by Colyar, M. R. Copyright 2015 by F. A. Davis Company. Reprinted by permission of F. A. Davis Company via the Copyright Clearance Center.
\nThis section explains the procedural knowledge needed prior to performing various dermatological procedures.
\n\u2022\tChapter 1, \u201cPunch Biopsy Download Chapter 1, \u201cPunch Biopsy\u201d
\n\u2022\tChapter 2, \u201cSkin Biopsy\u201dDownload Chapter 2, \u201cSkin Biopsy\u201d
\n\u2022\tChapter 10, \u201cNail Removal\u201dDownload Chapter 10, \u201cNail Removal\u201d
\n\u2022\tChapter 15, \u201cSkin Lesion Removals: Keloids, Moles, Corns, Calluses\u201dDownload Chapter 15, \u201cSkin Lesion Removals: Keloids, Moles, Corns, Calluses\u201d
\n\u2022\tChapter 16, \u201cSkin Tag (Acrochordon) Removal\u201dDownload Chapter 16, \u201cSkin Tag (Acrochordon) Removal\u201d
\n\u2022\tChapter 22, \u201cSuture Insertion\u201dDownload Chapter 22, \u201cSuture Insertion\u201d
\n\u2022\tChapter 24, \u201cSuture Removal\u201dDownload Chapter 24, \u201cSuture Removal\u201d
\n\u2022\tDains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.
\nCredit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.
\n\u2022\tChapter 28, \u201cRashes and Skin Lesions\u201dDownload Chapter 28, \u201cRashes and Skin Lesions\u201d
\nThis chapter explains the steps in an initial examination of someone with dermatological problems, including the type of information that needs to be gathered and assessed.
\nNote: Download and use the Student Checklist and the Key Points when you conduct your assessment of the skin, hair, and nails in this Week\u2019s Lab Assignment.
\n\u2022\tSullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.
\no\tChapter 2, “The Comprehensive History and Physical Exam” (Previously read in Weeks 1 and 3)
\n\u2022\tVisualDx. (2021). Clinical decision support Links to an external site.: For professionals. Retrieved July 16, 2021, from http:\/\/www.skinsight.com\/professionals
\nThis interactive website allows you to explore skin conditions according to age, gender, and area of the body.
\n\u2022\tBonifant, H., & Holloway, S. (2019). A review of the effects of ageing on skin integrity and wound healing Links to an external site.. British Journal of Community Nursing, 24(Sup3), S28\u2013S33. https:\/\/doi.org\/10.12968\/bjcn.2019.24.sup3.s28
\n\u2022\tDocument: Skin Conditions Download Skin Conditions(Word document)
\nThis document contains images of different skin conditions. You will use this information in this week\u2019s Discussion.
\n\u2022\tDocument: Comprehensive SOAP Exemplar Download Comprehensive SOAP Exemplar(Word document)
\n\u2022\tDocument: Comprehensive SOAP Template Download Comprehensive SOAP Template(Word document)<\/p>\n
Shadow Health Support and Orientation Resources
\nUse the following resources to guide you through your Shadow Health orientation as well as other support resources:
\n\u2022\tShadow Health. (2021). Welcome to your introduction to Shadow Health Links to an external site.. https:\/\/link.shadowhealth.com\/Student-Orientation-Video
\n\u2022\tShadow Health. (n.d.). Shadow Health help desk Links to an external site.. Retrieved from https:\/\/support.shadowhealth.com\/hc\/en-us
\n\u2022\tShadow Health. (2021). Walden University quick start guide: NURS 6512 NP students Download Walden University quick start guide: NURS 6512 NP students. Links to an external site.https:\/\/link.shadowhealth.com\/Walden-NURS-6512-Student-Guide
\n\u2022\tDocument: Shadow Health Nursing Documentation Tutorial Download Shadow Health Nursing Documentation Tutorial(Word document)
\n\u2022\tDocument: DCE (Shadow Health) Documentation Template for Health History Download DCE (Shadow Health) Documentation Template for Health History(Word document)
\nUse this template to complete your Assignment 2 for this week.
\nTO PREPARE
\n\u2022\tReview the Skin Conditions document provided in this week\u2019s Learning Resources, and select one condition to closely examine for this Lab Assignment.
\n\u2022\tConsider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies?
\n\u2022\tExplore different conditions that could be the cause of the skin abnormalities in the graphics you selected.
\n\u2022\tConsider which of the conditions is most likely to be the correct diagnosis, and why.
\n\u2022\tSearch the Walden library for one evidence-based practice, peer-reviewed article based on the skin condition you chose for this Lab Assignment.
\n\u2022\tReview the Comprehensive SOAP Exemplar found in this week\u2019s Learning Resources to guide you as you prepare your SOAP note.
\n\u2022\tDownload the SOAP Template found in this week\u2019s Learning Resources, and use this template to complete this Lab Assignment.
\nTHE LAB ASSIGNMENT
\n\u2022\tChoose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.
\n\u2022\tUse clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week\u2019s Learning Resources.
\n1.\t.
\nWeek 4
\nChristine Schiller
\nAll Sections
\nNo unread replies.No replies.
\nLast week we engulfed in great conversation on the risks of our findings about growth, measurements, and nutrition of children and their families. As practitioners, it\u2019s important to communicate professionally, ask the right questions, and guide families as they strive to have healthier and happy lives. This week we will begin to review assessments of body systems. Skin, Hair, and Nails will be covered. I encourage you to perform the assessment of Skin, Hair, and Nails so that you may be proficient with it for the overall assessment (optional assignment). You are able to access the check lists by enrolling into the evolve website in your resources.<\/p>\n
Your first assignment for this week is to be written in a SOAP Note format (NO NARRATIVES). There is a template\/sample for you to follow posted in your announcements at the beginning of the semester. \\<\/p>\n
You will need to put in the missing information in the note (some may be made up ie meds, hx, parts of the ROS and PE).<\/p>\n
You need to fill in every part as if it is an actual patient. You MUST MUST MUST complete every part. DO NOT put in ANY physical exam from here throughout your career as WNL also do not put Deferred.<\/p>\n
Assignment 1:<\/p>\n
The Lab Assignment
\n\u2022 Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.
\n\u2022 Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week\u2019s Learning Resources.
\nBy Day 7 of Week 4<\/p>\n
You also have your DCE assignment this week. You have multiple attempts to complete this, so I would spend as much times as possible. You must submit the final one or I cannot grade. It also must be submitted on time. Failure of this assignment is an automatic failure of the course so please take this seriously!
\nThis announcement is closed for comments<\/p>\n
Rubric
\nNURS_6512_Week_4_Assignment_1_Rubric
\nNURS_6512_Week_4_Assignment_1_Rubric
\nCriteria\tRatings\tPts
\nThis criterion is linked to a Learning OutcomeUsing the SOAP (Subjective, Objective, Assessment, and Plan) note format: \u2022 Create documentation, following SOAP format, of your assignment to choose one skin condition graphic (identify by number in your Chief Complaint). \u2022 Use clinical terminologies to explain the physical characteristics featured in the graphic.\t35 to >29.0 pts
\nExcellent
\nThe response clearly, accurately, and thoroughly follows the SOAP format to document one skin condition graphic and accurately identifies the graphic by number in the Chief Complaint. The response clearly and thoroughly explains all physical characteristics featured in the graphic using accurate terminologies.\t29 to >23.0 pts
\nGood
\nThe response accurately follows the SOAP format to document one skin condition graphic and accurately identifies the graphic by number in the Chief Complaint. The response explains most physical characteristics featured in the graphic using accurate terminologies.\t23 to >17.0 pts
\nFair
\nThe response follows the SOAP format, with vagueness and some inaccuracy in documenting one skin condition graphic, and accurately identifies the graphic by number in the Chief Complaint. The response explains some physical characteristics featured in the graphic using mostly accurate terminologies.\t17 to >0 pts
\nPoor
\nThe response inaccurately follows the SOAP format or is missing documentation for one skin condition graphic and is missing or inaccurately identifies the graphic by number in the Chief Complaint. The response explains some or few physical characteristics featured in the graphic using terminologies with multiple inaccuracies.
\n35 pts
\nThis criterion is linked to a Learning Outcome\u2022 Formulate a different diagnosis of three to five possible considerations for the skin graphic. \u2022 Determine which is most likely to be the correct diagnosis, and explain your reasoning using at least three different references from current evidence-based literature.\t50 to >44.0 pts
\nExcellent
\nThe response clearly, thoroughly, and accurately formulates a different diagnosis of five possible considerations for the skin graphic. The response determines the most likely correct diagnosis with reasoning that is explained clearly, accurately, and thoroughly using three or more different references from current evidence-based literature.\t44 to >38.0 pts
\nGood
\nThe response accurately formulates a different diagnosis of three to five possible considerations for the skin graphic. The response determines the most likely correct diagnosis with reasoning that is explained accurately using at least three different references from current evidence-based literature.\t38 to >32.0 pts
\nFair
\nThe response vaguely or with some inaccuracy formulates a different diagnosis of three possible considerations for the skin graphic. The response determines the most likely correct diagnosis with reasoning that is explained vaguely and with some inaccuracy using three different references from current evidence-based literature.\t32 to >0 pts
\nPoor
\nThe response formulates inaccurately, incompletely, or is missing a different diagnosis of possible considerations for the skin graphic, with two or fewer possible considerations provided. The response vaguely, inaccurately, or incompletely determines the most likely correct diagnosis with reasoning that is missing or explained using two or fewer different references from current evidence-based literature.
\n50 pts
\nThis criterion is linked to a Learning OutcomeWritten Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.\t5 to >4.0 pts
\nExcellent
\nParagraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.\t4 to >3.0 pts
\nGood
\nParagraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.\t3 to >2.0 pts
\nFair
\nParagraphs and sentences follow writing standards for flow, continuity, and clarity 60%\u201379% of the time. Purpose, introduction, and conclusion of the assignment are vague or off topic.\t2 to >0 pts
\nPoor
\nParagraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion were provided.
\n\t5 pts
\nThis criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation\t5 to >4.0 pts
\nExcellent
\nUses correct grammar, spelling, and punctuation with no errors.\t4 to >3.0 pts
\nGood
\nContains a few (1 or 2) grammar, spelling, and punctuation errors.\t3 to >2.0 pts
\nFair
\nContains several (3 or 4) grammar, spelling, and punctuation errors.\t2 to >0 pts
\nPoor
\nContains many (\u2265 5) grammar, spelling, and punctuation errors that interfere with the reader\u2019s understanding.
\n5 pts
\nThis criterion is linked to a Learning OutcomeWritten Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical\/in-text citations, and reference list.\t5 to >4.0 pts
\nExcellent
\nUses correct APA format with no errors.\t4 to >3.0 pts
\nGood
\nContains a few (1 or 2) APA format errors.\t3 to >2.0 pts
\nFair
\nContains several (3 or 4) APA format errors.\t2 to >0 pts
\nPoor
\nContains many (\u2265 5) APA format errors.
\n5 pts
\nTotal Points: 100<\/p>\n
Resources
\nWeek 4: Learning Resources
\nLEARNING RESOURCES
\nRequired Readings
\nBall, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
\nChapter 9, \u201cSkin, Hair, and Nails\u201d
\nThis chapter reviews the basic anatomy and physiology of skin, hair, and nails. The chapter also describes guidelines for proper skin, hair, and nails assessments.
\nColyar, M. R. (2015). Advanced practice nursing procedures. Philadelphia, PA: F. A. Davis.
\nCredit Line: Advanced practice nursing procedures, 1st Edition by Colyar, M. R. Copyright 2015 by F. A. Davis Company. Reprinted by permission of F. A. Davis Company via the Copyright Clearance Center.
\nThis section explains the procedural knowledge needed prior to performing various dermatological procedures.
\nChapter 1, \u201cPunch Biopsy Links to an external site. Download Chapter 1, \u201cPunch Biopsy Links to an external site.\u201d
\nChapter 2, \u201cSkin Biopsy\u201d Links to an external site. Download Chapter 2, \u201cSkin Biopsy\u201dLinks to an external site.
\nChapter 10, \u201cNail Removal\u201d Links to an external site. Download Chapter 10, \u201cNail Removal\u201dLinks to an external site.
\nChapter 15, \u201cSkin Lesion Removals: Keloids, Moles, Corns, Calluses\u201d Links to an external site. Download Chapter 15, \u201cSkin Lesion Removals: Keloids, Moles, Corns, Calluses\u201dLinks to an external site.
\nChapter 16, \u201cSkin Tag (Acrochordon) Removal\u201d Links to an external site. Download Chapter 16, \u201cSkin Tag (Acrochordon) Removal\u201dLinks to an external site.
\nChapter 22, \u201cSuture Insertion\u201d Links to an external site. Download Chapter 22, \u201cSuture Insertion\u201dLinks to an external site.
\nChapter 24, \u201cSuture Removal\u201d Links to an external site. Download Chapter 24, \u201cSuture Removal\u201dLinks to an external site.
\nDains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.
\nCredit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.
\nChapter 28, \u201cRashes and Skin Lesions\u201d Links to an external site. Download Chapter 28, \u201cRashes and Skin Lesions\u201dLinks to an external site.
\nThis chapter explains the steps in an initial examination of someone with dermatological problems, including the type of information that needs to be gathered and assessed.
\nNote: Download and use the Student Checklist and the Key Points when you conduct your assessment of the skin, hair, and nails in this Week\u2019s Lab Assignment.
\nSullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.
\nChapter 2, “The Comprehensive History and Physical Exam” (Previously read in Weeks 1 and 3)
\nVisualDx. (2021). Clinical decision support Links to an external site.: For professionals. Retrieved July 16, 2021, from http:\/\/www.skinsight.com\/professionals
\nThis interactive website allows you to explore skin conditions according to age, gender, and area of the body.
\nBonifant, H., & Holloway, S. (2019). A review of the effects of ageing on skin integrity and wound healing Links to an external site.. British Journal of Community Nursing, 24(Sup3), S28\u2013S33. https:\/\/doi.org\/10.12968\/bjcn.2019.24.sup3.s28
\nDocument: Skin Conditions Links to an external site. Download Skin Conditions Links to an external site.(Word document)
\nThis document contains images of different skin conditions. You will use this information in this week\u2019s Discussion.
\nDocument: Comprehensive SOAP Exemplar Links to an external site. Download Comprehensive SOAP Exemplar Links to an external site.(Word document)
\nDocument: Comprehensive SOAP Template Links to an external site. Download Comprehensive SOAP Template Links to an external site.(Word document)
\nShadow Health Support and Orientation Resources
\nUse the following resources to guide you through your Shadow Health orientation as well as other support resources:<\/p>\n
Shadow Health. (2021). Welcome to your introduction to Shadow Health Links to an external site.. https:\/\/link.shadowhealth.com\/Student-Orientation-Video
\nShadow Health. (n.d.). Shadow Health help desk Links to an external site.. Retrieved from https:\/\/support.shadowhealth.com\/hc\/en-us
\nShadow Health. (2021). Walden University quick start guide: NURS 6512 NP students Links to an external site. Download Walden University quick start guide: NURS 6512 NP students Links to an external site.. Links to an external site.https:\/\/link.shadowhealth.com\/Walden-NURS-6512-Student-Guide
\nDocument: Shadow Health Nursing Documentation Tutorial Links to an external site. Download Shadow Health Nursing Documentation Tutorial Links to an external site.(Word document)
\nDocument: DCE (Shadow Health) Documentation Template for Health History Links to an external site. Download DCE (Shadow Health) Documentation Template for Health History Links to an external site.(Word document)
\nUse this template to complete your Assignment 2 for this week.<\/p>\n","protected":false},"excerpt":{"rendered":"
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