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dermatofibroma

dermatofibroma

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Published by: Allan Jayson Dalawampu on Jan 15, 2012
Copyright:Attribution Non-commercial

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02/08/2013

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CHAPTER IINTRODUCTION
Dermatofibroma is a common cutaneous nodule of unknown etiology that occursmore often in women. Dermatofibroma frequently develops on the extremities(mostly the lower legs) and is usually asymptomatic, although pruritus andtenderness are not uncommon. The latter feature is seen in a sufficient number of patients to make dermatofibroma the most prevalent of all painful skin tumors. Anumber of well-described, histologic subtypes of dermatofibroma have beenreported. Removal of the tumor is not necessary unless diagnostic uncertaintyexists or particularly troubling symptoms are present. Excisional biopsy is therecommended method of treatment.Skin grafting is a type of 
 
graft surgeryinvolving thetransplantationof 
 
skin.The transplantedtissueis called a skin graft. Skin grafting is often used to treatextensivewoundingortrauma,burns, areas of extensive skin loss due to infection such asnecrotizing fasciitisorpurpura fulminans. Specific surgeries that may require skin grafts for healing to occur - most commonly removal of skin cancers.Skin grafts are often employed after serious injuries when some of the body'sskin is damaged. Surgical removal (excision or debridement) of the damaged skin isfollowed by skin grafting. The grafting serves two purposes: reduce the course of treatment needed (and time in the hospital), and improve the function andappearance of the area of the body which receives the skin graft.
A.
RATIONALE FOR CHOOSING THE CASE
All over the world, dermatofibromasincidence is probably similar to UnitedStates which is relatively common. Its frequency appears to be similar in all races.Females are the more commonly affected than males having male to female ratio o1:4. It occurs in patients of any age, but it usually develops in young adulthood.Approximately 20% of the lesions occur before age 17 years.We have chosen this case, Dermatofibroma because it’s our first time tohandle such case. We were curious and interested on how it was developed frombeing a simple mole to a tumor that can turn to a cancerous one. Also, observingits surgical procedure which is skin grafting, give us cues and knowledge about itsmethod of treatment.
B.
LEARNING OBJECTIVES
 
General Objectives
 The main goal of our group is to be able to state and present thecase study of our chosen client that would provide a cleardiscussion of the pathological mechanism of the disease to gainsignificant knowledge, skills and attitude in caring for the patientpost operatively who has Dermatofibroma.
Specific Objectives
Cognitive
 To describe Dermatofibroma as a health problem.
 To identify risk factors for Dermatofibroma
 To identify the possible nursing problems of patient postoperatively with Dermatofibroma
 To know, analyze and understand the pathophysiology of Dermatofibroma
Psychomotor
 To establish rapport with the patient and significant others
 To assess the patient who had removal of Dermatofibroma
 To use nursing process as a framework for care postoperatively
 To make a patient centered and comprehensive nursing careplan
 To impart health teachings to the patient and significantothers
 To evaluate the effectiveness of nursing care rendered topatient
Behavioral
 To respect client’s beliefs and practices
 To sympathize the client with her current condition.
CHAPTER IICLINICAL SUMMARY 
 
A.GENERAL DATA
Name:Mrs. Y.A.R.Gender:FemaleUnit Assigned:Operating RoomAge:44 yrs. oldBirthday: February 06, 1967Birthplace:Naujan, Or. MindoroReligion:Roman CatholicAddress:Naujan, Or. MindoroCivil Status:MarriedOccupation:HousewifeEducational Attainment:Elementary GraduateDate Admitted:December 08, 2011 Time Admitted:1:28 pmAdmitting Physician:Dr. Matthew M. RicoAdmitting Diagnosis:DermatofibromaOperation Performed :skin excision with possible skingraftingB.
CHIEF COMPLAINT
 The patient was admitted at New Oriental Mindoro Provincial Hospital with chief complaint of right shoulder mass.
C.HISTORY OF PRESENT ILLNESS
 The client is a 44 year old housewife who has a right shoulder mass which has agradual swelling.Since April 2010, the mass in the patient’s shoulder starts to enlarge in size. Themass begun from a simple mole which has irregular border and dark blackappearance. The right shoulder mass has a gradual swelling and brings discomfortand body weakness.A day prior to hospitalization, the patient complained of pain and progressiveweakness of her right upper extremity.
D.PAST MEDICAL HISTORY 
 The patient stated that she had measles and chickenpox when she was inelementary.

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