Assessment skills are one of the most important aspects to prevention of conditions and diseases. The sooner we can find any abnormalities, the quicker we can treat if possible, and the quicker we can treat, the more successful our prognosis will be. In the presented case scenario with patient Mr. Jaramillo, we are to do a focused assessment on his skin. When learning a skin assessment or any assessment for the first time, it is important to practice the correct way to ensure that you continue to do through assessments in your nursing career. I am precepting a student nurse and she is to learn a focused skin assessment for the first time.
At the start of Mr. Jaramillo’s assessment, I would inform the student nurse that you …show more content…
One nursing diagnosis that fits well with Mr. Jaramillo is deficient knowledge (skin cancer) related to lack of information about skin cancer prevention as evidenced by not using preventative measures (Ackley & Ladwig, 2012). An intervention for this would be to teach the client to protect themselves from UV exposure by using the recommended SPF sunscreen (Wheeler, 2010) and teach the client the importance of monthly skin inspection. Ask assistance from partner if needed (Loescher, Harris, Lim, & Su, 2006). Since this patient decided to undergo surgery, another nursing diagnosis that can be included would be risk of infection related to surgical procedure as evidenced by incision site. An intervention for this would be to assess for signs and symptoms of infection, which includes redness, delayed healing, fever, pain, tenderness, warmth, or swelling, and report to the doctor if found (Ackley et al., …show more content…
If an early detection and diagnosis of melanoma can be made, we can have a greater survival rates close to 100% (ASC, 2016). Prognosis can become considerably worse if detection of the melanoma is not found until later stages of progression. For this reason, it is useful to encourage monthly accurate assessments of the skin, so if suspected early intervention can take place. Proper documentation of assessments is needed because it can improve safe patient care and provide accurate communication among clinical members so they can collaboratively treat the