Verified Document

Nursing Rash Patient Discussion Case Study

Scabies Chief Complaint

The patient's chief complaint is a rash and scathes that appear as tunnels. There are small, grey-white linear lesions with a minute black speck at the closed end. The rash is persistently itchy.

Precipitating/Alleviating Factors/Past Medical History

There are no obvious precipitating factors. The patient is young and otherwise healthy. The patient has a normal diet, and reports no surgeries, history of illness, medications (except OTC Tylenol) or allergies. The patient works in an oil field, however, and in the course of that work may have been exposed to hazardous chemicals, which are common in that industry. The patient's family does not have any medical history that appears related to the rash. The patient is sexually active with one partner. The patient's financial and living situation is stable. It is not known if the partner has a similar rash, but this would be important information because scabies is often sexually transmitted (Monsel & Chosidow, 2012).

Associated Symptoms

The rash is persistently itchy. Otherwise there are no associated symptoms reported.

Quality of Reported Symptoms

The itchiness is an impediment to comfort at this point. The patient is otherwise able to live as normal.

Temporal Factors

The patient has not indicated date of...

Rash is currently active. The rash is persistent.
Location

It is not known whether the rash is generalized or localized. It is not known if the rash radiates or not.

Sequelae

The nature of the rash is unknown at present. Aside from the itching, there are no active complications. Persistent itching, however, can result in scratching that further damages the skin. Thus, there is risk of secondary infection if the rash persists further.

Severity of Symptoms

The patient is reporting a rash, but has not indicated the severity of the itching, or of the rash itself.

Assessment

The patient believes that he may have scabies. There are no details provided as to why he feels this way. The symptoms of the rash do not align with scabies, in terms of the appearance of the rash. Scabies is typically a sexually-transmitted disease, and the patient's family situation does not align with sexual transmission of scabies, unless there is something the patient is not admitting to. However, given that the rash is not manifesting like a scabies rash, it is unlikely that the patient has scabies.

Potential Differential Diagnoses

Scabies is an option, because the patient is presenting with an itchy rash. More information would be required to obtain a scabies diagnosis, as there are a few…

Sources used in this document:
References

Monsel, G. & Chosidow, O. (2012). Management of scabies. Skin Therapy Letter. Retrieved July 15, 2016 from http://www.skintherapyletter.com/2012/17.3/1.html

Papa, C. (2016) Clinical methods: The history, physical and laboratory examinations: Skin. Butterworth Publishers. Retrieved July 15, 2016 from http://www.ncbi.nlm.nih.gov/books/NBK208/

PCDS (2016). Skin lesion. Primary Care Dermatology Society. Retrieved July 15, 2016 from http://www.pcds.org.uk/p/skin-lesion-appearance-brown-black-blue
Cite this Document:
Copy Bibliography Citation

Related Documents

Nursing Education
Words: 10931 Length: 40 Document Type: Term Paper

Cross-Sectional Study to Determine Factors in the Educational Advancement of the Licensed Practical Nurse to the Registered Nurse in the State of North Carolina According to the Harvard Nursing Research Institute, United States nursing school enrollments dropped by 20.9% from 1995 to 1998 (Healthcare Review, 2000). Behind headlines such as this one are the overwhelming issues which threaten the nursing workforce: 1) staffing cuts, 2) mandatory overtime, and 3) the

Medical Nursing Education
Words: 3350 Length: 10 Document Type: Term Paper

Medical/Nursing Education Nurses are required to make many immediate decisions in their assigned duties. Unfortunately, in recent years, patient care has often been compromised as a nursing shortage crisis has escalated to epic proportions. Increased patient loads have resulted in often hasty nursing decisions as responsibilities and hours worked have increased. Although precious time must be spread thin to accommodate higher numbers of patients, nurses must exercise their morals through consistency

Nurse Practitioners and Treatment
Words: 2394 Length: 3 Document Type:

Quality of Care Provided by Nurse Practitioners The use of nurse practitioners in providing primary care services has increased in the recent past as the number of trained NPs also increases. This study focuses on examining the cost-effectiveness and quality of care provided by nurse practitioners given their increased used in the primary care setting. The research was carried out on a group of ten female participants with a background

Florence Nightingale the Life and
Words: 7712 Length: 25 Document Type: Thesis

In 1858, Louis Pasteur identified germs, proving that diseases did not 'spontaneously' arise as nightingale thought (Atwell, 1998). However, it was Nightingale that began work as to the conditions that promoted the growth of germs, but she would not know this for many years. The Crimean War: Putting Theory Into Practice When the Crimean War broke out, she began work at once in a British hospital. Her emphasis was placed on

Reflections from a Female Reproductive Health Assignment
Words: 974 Length: 3 Document Type: Assignment

Female Reproductive Health - Episodic Case Study: PreeclampsiaPatient Information:Initials: J.D.Age: 32 yearsSex: FemaleRace: CaucasianSubjective:CC: Headache and visual disturbancesHPI: Mrs. J.D., a 32-year-old Caucasian female, presents with a headache that started 3 days ago. She describes the pain as pounding, primarily located around her eyes and temples. In addition, her headaches are frequently accompanied by nausea, vomiting, photophobia, and phonophobia. She also reports that the symptoms intensify after spending long hours

Analyzing the US Healthcare System
Words: 974 Length: 3 Document Type: Term Paper

U.S. Healthcare System: An Analysis Healthcare System: An Analysis The United States healthcare system is far more than simply a health insurance system with multiple contributors, neither is the government solely responsible for funding the system -- thus it is a hybrid health insurance system. The funding pattern depicts the system aptly, in the year 2010, 12% of funding came from local and state coffers, 38% from the federal government and 50%

Sign Up for Unlimited Study Help

Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.

Get Started Now