SKIN, HAIR, AND NAILS ASSESSMENT.
OUR HANDS, BACK OF THE HANDS BECAUSE THIS IS
HELLO EVERYONE! I AM MACY MARQUEZ, FROM BSN1-11I
A STUDENT NURSE FROM DAVAO DOCTORS COLLEGE,
AND IN THIS VIDEO I WILL BE PERFORMING MY RETURN
DEMONSTRATION IN SKIN, HAIR, AND NAILS
ASSESSMENT.
PRIOR TO THE CONDUCT OF THE PROCEDURE WE MUST
PERFORM FIRST THE HAND HYGIENE TO DETER THE
SPREAD OF MICROORGANISMS. AND WEAR ANY PPE IF
AVAILABLE. AFTER THAT WE CAN PROCEED TO THE
PROCEDURE!
GREET THE CLIENT POLITELY AND INTRODUCE SELF
AND VERIFIED THE CLIENTS IDENTITY.
GOODMORNING MAAM, I AM MACY MARQUEZ! YOUR
STUDENT NURSE FOR TODAY, AND BEFORE ANYTHING
ELSE, CAN YOU TELL ME FIRST YOUR
NAME:
AGE:
ADDRESS:
BIRTHDATE:
BY DOING THIS ENSURES THAT WE ARE ASSESSING THE
CORRECT PATIENT!
PROVIDE PRIVACY.IF THERE’S ANY CURTAINS OR
DOORS, CLOSED IT FOR PRIVACY PURPOSES!
ASK HOW THE CLIENT TO BE CALLED DURING THE
ASSESSMENT .SO MAAM WHAT DO YOU WANT ME TO
CALL YOU? OKAY MS LAUREN ,
EXPLAIN THE PURPOSE AND OBJECTIVE FOR THE
INTERVIEW AND THE TYPE OF QUESTIONS TO BE
ASKED. SO I AM HERE TO DO THE ASSESSMENT ON YOUR
SKIN, HAIR, AND NAILS, THE PURPOSE OF THIS TO
ENSURE THAT EVERYTHING IS GOOD AND NORMAL!
ASSESSED FOR ANY POTENTIAL BARRIERS TO
COMMUNICATION.SO MAAM ARE YOU ABLE TO SPEAK
PROPERLY AND CAN YOU HEAR ME CLEARLY?
PROVIDE THE CLIENT THE OPPURTUNITY TO CLARIFY
OR ASK QUESTION.SO MAAM IS THERE ANYTHING YOU
WANNA ASK ?
OKAY MAAM SO, DO YOU HAVE ANY SKIN ALLERGIES,
SKIN PROBLEMS BEFORE? HOW ABOUT TO YOUR
FAMILY? OKAY!
AND AFTER THAT WE CAN NOW FORMALLY PROCEED TO
THE ASSESSMENT! THEN, KINDLY WEAR PPE TO THE
PATIENT IF AVAILABLE!
SO NOW, WE CAN PROCEED TO THE FIRST PROCEDURE OR
PART WHICH IS INSPECTION. THE FIRST THING THAT WE
NEED TO INSPECT IS THE SKIN COLORATION OF THE
PATIENT. NOW MAAM, CAN YOU PLEASE RAISE YOUR
HAND LIKE THIS ---- THIS PROCEDURE IS WE ARE TRYING
TO CHECK IF THERE’S ANY SIGNS OF ABNORMALITIES OR
SIGNS OF CYANOSIS. AS I ASSESS THE SKIN COLOR OF
THE PATIENT IS NORMAL AND GOOD!
THE NEXT TO CHECK IS THE SKIN LESSIONS OF THE
PATIENT, CAN YOU PLEASE RAISE YOUR HAND AGAIN
MAAM? THIS STEP IS WE ARE TRYING TO CHECK IF
THERE’S ANY BRUISES OR WOUNDS THAT MAY CAUSE
ABNORMALITIES OF THE CLIENT. BUT AS I CHECKED,
EVERYTHING IS GOOD AND NORMAL. THIS PROCEDURE
IS IMPORTANT IN ORDER TO DETECT IF THERE’S ANY
SKIN CANCER..
SO NOW IS TO CHECK THE PALPATON OF THE SKIN OF
THE PATIENT, AND TO THAT WE ARE GOING TO CHECK
THE SKIN TEMPERATURE. WITH USE OF THE BACK OF
MORE SENSITIVE! NOW MAAM, I WILL PUT MY HANDS ON
YOUR FACE TO CHECK THE TEMPERATURE OKAY? THIS
STEP IS WE ARE TRYING TO FEEL IF THERE’S ANY SIGN OF
FEVER OR INFECTIONS! BUT AS I DID THE ASSESSING, THE
CLIENT IS IN NORMAL TEMPERATURE. NEXT TO CHECK IS
THE SKIN TURGOR OF THE CLIENT, AND TO THAT WE
NEED TO PINCH THE SKIN BELOW THE CLAVICLE. AND IF
THE SKIN RETURNS IMMEDIATELY IT MEANS THERE ARE
NO. PROBLEMS OF SKIN TRIGGER. LASTLY, FOR THE
DELETIONS AND EDEMA IF THERE IS NONE, THEN DON’T
EXAMINE THEN IF IT IS PRESENT FOLLOW THE ABCDE
METHOD! SEEMS EVERYTHING IS GOOD, WE CAN NOW
PROCEED TO THE NEXT.
SO SIR, NOW I AM GOING TO ASSESS YOUR NAILS. CAN
YOU PLEASE RAISE YOUR HAND FOR ME? THIS
PROCEDURE ENSURES THAT SHAPE, COLOR AND
TEXTURE OF THE NAILS IF THERE’S ANY PRESENCE OF
CLUBBING OR ABNORMALITIES. AS I INSPECT THE NAILS,
EVERYTHING IS NORMAL; THERE ARE NO SIGNS OF ANY
ABNORMALITIES.
NEXT TO PALPATE IS THE TEXTURE AND CONSISTENCY.
AND TO TEST THE CAPILLARY NAIL BED WE NEED TO
APPLY PRESSURE BY PRESSING THE NAILS AND
OBSERVED COLOR. IF THE COLOR RETURNS QUICKLY
THAT IS NORMAL, BUT IF IT DOESN’T RETURN QUICKLY
IT MEANS THERE IS A SIGN OF ABNORMALITIES.
NOW WE MUST FORWARD TO THE NEXT WHICH IS
ASSESSING THE HAIR AND THE SCALP. BUT FIRST WE
MUST WEAR GLOVES FOR PROTECTIONS. AFTER THAT
PROCEED TO THE PROCEDURE.
NOW, UPON INSPECTING THE HAIR COLOR, AND
CONDITIONS. DIVIDE THE HAIR INTO HALF OR 1 INCH.
AND THEN PALPATE THE SKULL CHECK FOR ANY
CLEANLINESS, DRYNESS OR OILINESS, LESSIONS OR ANY
LICES OR DANDRUFF.
THEN, AS I INSPECT THE CLIENT HAIR AND SKULL IT
SEEMS EVERYTHING IS NORMAL.
SUMMARIZED THE INFORMATION OBTAINED DURING
THE ASSESSMENT.
AND THAT’S IT MS. LAUREN , NOW I WILL TELL OR
SUMMARIZE OUR ASSESSMENT EARLIER.
YOUR SKIN IS GOOD, THE COLOR IS NOT PALE. AND
EVERYTHING IS NORMAL. NEXT YOUR NAIL, ALSO IT IS
GOOD, THE COLOR REACTS IMMEDIATELY, AND THAT
IS NORMAL. LASTLY FOR THE HAIR, ALSO IT IS GOOD,
NO DRYNESS, OILINESS OR LICE AND DANDRUFF
DETECTED. EVERYTHING IS GOOD AND NORMAL.
VALIDATE THE COMPLETENESS AND CORRECTNESS
OF THE GATHERED DATA.
DISSCUSSED TO THE CLIENT POSSIBLE PLANS TO
RESOLVE HEALTH CONCERN.
ASSESS FOR THE CLIENTS UNDERSTANDING OF THE
PLAN AND THE NEED FOR FURTHER TEACHING.
PROVIDE THE CLIENT THE OPPURTUNITY TO
CLARIFY,OR RAISE ANY CONERN.SO MAAM IS THERE
SOMETHING YOU WANT TO ASK ?
THANKED THE CLIENT AND ENDED THE INTERVIEW
POLITELY.SO MAAM WE ARE DONE THANK YOU SO
MUCH MS.LAUREN.
AND THAT’S IT, AFTER DOING EVERYTHING REMOVE PPE
IF AVAILABLE AND APPLY THE HAND HYGIENE OR
PERFORM HANDWASHING