Question

Choose a Skin, Hair or Nail disorder of interest to you and answer the following questions:

1. Is there a genetic or race-linked component of this disorder?

2. What is the cause? Is it preventable?

3. Do you know anyone with the condition? If so, how is it being managed?

4. Formulate a nursing care plan for the disorder.

a. Assessment findings

b. Nursing diagnosis

c. Intervention (2)

d. Planning-Short term goal (1), Long term goal (1)

e. Evaluation

Answer 1

Seborrheic dermatitis

Genetics factors are related to this disease but there is no racial predisposition.

Causes:

• A yeast (fungus) called malassezia that is in the oil secretion on the skin
• Autoimmune
• Neurologic and psychiatric conditions, such as Parkinson's disease and depression
• A weakened immune system, such as seen in organ transplant recipients and people with HIV/AIDS, alcoholic pancreatitis and some cancers
• Recovery from stressful medical conditions, such as a heart attack
• Some medications

no it is not preventable.

Management include antifungal preparations (selenium sulfide, pyrithione zinc, azole agents, sodium sulfacetamide and topical terbinafine) that decrease colonization by lipophilic yeast and anti-inflammatory agents (topical steroids).

assessment : Inflammation, Dry, flaky skin, Erosions, excoriations, fissures, Pruritus, pain, blisters

1. Nursing diagnosis: Impaired skin integrity related to contact with allergen or irritants

interventions:

• Assess skin, noting color, moisture, texture, temperature; note erythema, edema, tenderness.
• Assess skin for lesions. Note presence of excoriations, erosions, fissures, or thickening.
• Identify aggravating factors.
• Identify signs of itching and scratching.
• Encourage the patient to adopt skin care routines to decrease skin irritation:Bathe or shower using lukewarm water and mild soap or nonsoap cleansers, Avoid rubbing or brisk drying and Apply topical lubricants immediately after bathing
• Apply topical steroid creams or ointments.

2. risk for infection related to impaired skin integrity, inflammation

assessment findings: fever, purulent discharge from wound

interventions:

• Assess skin for severity of skin integrity compromise
• Assess for signs of infection
• .Apply topical antibiotics.
• Administer oral antibiotics.
• Encourage the patient to use appropriate hygiene methods.

short term goal: patient will be free of secondary infection.

long term goal: Patient will have optimal skin integrity