This is a paper that focuses on the assessment and analysis of the skin on Benito Jaramillo. The paper is into various parts that access the different areas of the topic.
The assessment and analysis of the skin on Benito Jaramillo
A three-page (750-word minimum) paper in 6th Edition APA format only. YOUR PAPER CAN NOT MATCH MORE THAN 30% AND IF IT DOES, I WILL NOT ACCEPT IT! Step 1 Review the case scenario. Benito Jaramillo is a 41-year-old Hispanic male in excellent health. He presents to the Primary Care Clinic today because of a mole his partner noticed on his back. You perform the following assessment: Onset: When you asked Benito about any problems with his skin, he tells you he has never really noticed any problems with his skin, but his partner Greg has been telling him he should get this growth on his back checked out.
Duration: You asked him how long he has had the growth, and he tells you he has had it for about six months, but Greg told him it has been getting larger in the past couple of months. Characteristics: You asked Benito if it itches or bothers him in any way and he tells you no, but it has been oozing a little bit of fluid he noticed on his t-shirt. You asked him what the mole looks like, and Benito tells you it is a dark color and oddly shaped. He has had a hard time looking at it very well in a mirror because of where it is located. Aggravating or alleviating factors: None.
Other background information:
Benito is a competitive triathlete, often spending many hours a day training outside. He does not wear sunscreen because he believes his dark skin protects him from the sun. He also vacations often with his partner Greg, and they go to places like Hawaii for windsurfing and relaxing on the beach.
You perform the following assessment: Skin: You first examine the lesion following the established guidelines of A, B, C, D, E: A-Asymmetrical Shape: You observe the lesion is not round and is irregular in shape. B-Irregular Border: You observe there is no clear border and, in fact, the lesion has several notched areas. C-Changes in Color: You observe the lesion is red on half and purplish black on the other half. D-Diameter: You measure the lesion and find it is 8 mm at its largest diameter. E-Evolving: Benito confirms it has been getting larger over the last several months.
Diagnosis and treatment: You suspect melanoma and refer Benito to the dermatologist. A biopsy determines it is a Stage II melanoma, and Benito goes for Mohs surgery to remove the lesion. Step 2 Provide answers for the items below. You are precepting a student nurse today who is taking her assessment class. She is learning about focused history and assessment skills. In your paper, discuss the following items: Write a detailed explanation describing what you would say to the student, explaining the assessment conducted and the findings.
Discuss the skin assessment you performed and any additional assessments you would perform. What are other factors related to the probable diagnosis you would be concerned about with this client? Explain how you would document your findings in the medical record. Develop your plan of care. Identify one to two nursing diagnoses and one to two nursing interventions related to those diagnoses. The interventions need to be evidence based.
Cite the references used in your plan in correct 6th Edition APA format. Identify what client education should be done for Benito, given his background and presenting illness. Describe your teaching strategy and how you will evaluate the effectiveness of the educational intervention.