Mrs. Wolff, an 89-year-old female, has come to her primary care provider’s office this morning. She made an appointment several days ago because she is concerned about an area on her abdomen that “looks funny.” The nurse assesses the area and documents the following findings: Upper right quadrant, 6-inch irregularly-shaped area of 1 mm to 3 mm reddened raised areas. Denies itching. Denies pain. Patient first noted area 4 days ago and states “the area is getting bigger, I think it is spreading.”
What other questions should the nurse ask Mrs. Wolff that would impact the situation?
During the skin assessment, the nurse notes that Mrs. Wolff has dandruff. She states, “I have had dandruff for years, my scalp is too dry. I try to add moisture to my scalp but it doesn’t work very well.” Mrs. Woodruff mentioned that her scalp “itched a lot.”
What should the nurse do to help Mrs. Wolff with the dandruff and itching?
After using the dandruff shampoo, Ms. Wolff continues to experience itching and flakes from the scalp. Identify Interprofessional collaboration that would be helpful for Ms. Wolff.
Answer:
Denise is a defense mechanism in which the existence of un pleasant internal or external realities is denied and kept out of conscious awareness. By keeping the stressor out of consciousness they are prevented from causing anxiety.
From given case study patient having denise pain and itching means she was feeling stress inside.Redness occurs due to friction or infection. Friction may be caused by physical abuse.
So nurse can ask with patient politely What happened to ur skin? Did any one injured you?Are you living alone?Do you have any other symptoms?.
Dandruff and itching occur due to fungal infections ,so anti fungal agents can prescribe like ketakanazole.it means no one there for her to Care at late age.
Interprofessional collaboration helps to improve patient care. The principles is Trust,respect,willingness helps patient to get out of her problem.
You might also like to view...
The metric system (select all that apply):
a. is also called the fractional system. b. is used most often in medication administration. c. has units of measure such as grain and drop. d. is based on the decimal system. e. is gradually replacing the apothecary and household systems. f. expresses quantities using Arabic numbers and decimals.
Human immune globulin intravenous (IGIV) products have been associated with renal problems. The nurse understands that which clients should not receive IGIV? Select all that apply
A) Clients with diabetes mellitus B) Clients 65 years of age or older C) Clients receiving vancomycin D) Clients with pre-existing renal disease E) Clients receiving cephalexin
The nurse is planning care for a patient with liver cirrhosis and resultant ascites. What intervention should be included to ensure an adequate nutritional status for this patient?
1. Ensure caloric intake of 10 to 15 calories per kg of body weight. 2. Provide small, more frequent, high-protein meals. 3. Encourage foods higher in sodium. 4. Implement a very low-fat diet.
The nurse anticipates that the plan for a client with insufficient weight gain will include:
1. Changing to a bolus feeding schedule. 2. Decreasing the protein content of the formula. 3. Providing free water to dilute a hypertonic formula. 4. Increasing the delivery rate of the enteral formula.