NUR 606 Week 5 Discussion 1: Question-Based Discussion—Team A (Skin Disorders)

NUR 606 Week 5 Discussion 1: Question-Based Discussion—Team A (Skin Disorders)

NUR 606 Week 5 Discussion 1: Question-Based Discussion—Team A (Skin Disorders)

Describe the normal functions of the lymph nodes, the thymus gland, the tonsils, and the spleen. What happens when each does not function normally and moves away from homeostasis?

Atopic dermatitis, also know as atopic eczema is a chronic relapsing inflammatory dermatosis characterized by pruritus, xerosis, and a close association with IgE-mediated sensitization to aeroallergens and foods. This condition makes your skin red and itchy. It is most common in children but can occur at any age, and it is chronic. It may be seen with asthma or hay fever. Symptoms of this include dry skin, itching (may be severe and be worse at night), red to brownish-gray patches, small raised bumps which may leak fluid and crust over when scratched, thickened, cracked, and scaly skin which can become raw, sensitive and swollen.

Atopic dermatitis is caused when a gene variation affects the skin’s ability to provide protection and retain moisture. A primary risk factor is having a personal or family history of eczema, allergies including hay fever or asthma. The complications of atopic dermatitis can include: asthma and hay fever, chronic itchy, scaly skin, skin infections, irritant hand dermatitis, allergic contact dermatitis, and sleep problems.

Atopic dermatitis usually started on the face or the elbows and knees in children. Placed that is easy to scratch and rub as they are crawling. It may spread to other areas of the body but will not be found in the diaper area because moisture protects the skin. In older children, it can appear in folds of the elbows, hands, and knees. Rashes or redness behind the ears, feet, or scalp. In adults, it is seen where the skin flexes including inside of elbows, behind knees, around the eyes, and in front of the neck.

Atopic dermatitis can be persistent, and there may need to be various treatments tried over months or even years to control it. Some medications that can be used include creams that help control itching and help repair the skin. Also, antibiotic cream may be used to treat the bacterial infection that has gotten in the open sores or cracks. Corticosteroids, such as prednisone, can be used to help with the inflammation but also cannot be used long term because of the serious side effects that can be seen. Other therapies include wet dressings, light therapy, and relaxation. With infants identify and avoid skin irritants, avoid extreme temperatures, lubricate your baby’s skin with bath oils, creams and ointments.

Kim, Y. J., Lim, D. J., Lee, M. Y., Lee, W. J., Chang, S. E., & Won, C. H. (2021). Prospective, comparative clinical pilot study of cold atmospheric plasma device in the treatment of atopic dermatitis. Scientific Reports11(1), 1–8. https://doi.org/10.1038/s41598-021-93941-y

Geat, D., Giovannini, M., Barlocco, G., Pertile, R., Pace, M., Mori, F., Novembre, E., Girolomoni, G., Cristofolini, M., & Baldo, E. (2021). Assessing patients’ characteristics and treatment patterns among children with atopic dermatitis. Italian Journal of Pediatrics47(1), 1–6.

VanMeter, K. C., & Hubert, R. J. (2018). Gould’s pathophysiology for the health professions. (6th ed.). Elsevier Saunders.

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Value: 100 points

Due: In an effort to facilitate scholarly discourse, create your initial post by Day 3, and reply to at least two of your classmates, on two separate days, by Day 7.

Grading Category: Discussions

Instructions

In this week’s discussion, you get to be the instructor! Your job is to teach your peers about a topic related to the dermatologic or lymphatic system. As you are preparing your information, think about the most important aspect of your question and how you can “be the expert” for your peers. Be creative! Use visual aids, diagrams, etc. to help your peers learn. Some type of teaching or visual aid is required, in addition to your text response to the question.

Initial Post

It is understood that thoughtful responses to your topic question will take some time and thought. Please organize your thoughts before creating your initial post.

This week, you are responsible for answering one question from your team’s question set, as assigned in the Announcements section of this course.

By Day 3, post your initial response for your assigned question by answering the question comprehensively and sharing a unique teaching tool or visual aid with your peers. Post your initial response as a reply to the appropriate thread. Your post should be limited to 500 to 750 words and, in addition to your textbook and course materials, use evidence-based, peer-reviewed journals that have been published within the past three to five years.

Week 5 Discussion 1: Question-Based Discussion—Team A (Skin Disorders)

  1. A-1: Define the following terms, provide an image of an example, and identify one condition where each may occur:
    • Macule
    • Papule
    • Nodule
    • Pustule
    • Vesicle
    • Plaque
  2. A-2: Define the following terms, provide an image of an example, and identify one condition where each may occur:
    • Crust
    • Lichenification
    • Keloid
    • Fissure
    • Ulcer
    • Erosion
    • Comedone
  3. A-3: Describe the typical lesions of atopic dermatitis. Where are these located in infants? What about adults? Identify three ways these lesions can be managed to help return the skin to homeostasis.
  4. A-4: Impetigo and herpes simplex are common skin disorders and can have a similar dermatologic presentation. Describe the etiology of each condition. Explain one classic identifying feature for each condition, and discuss how they can be differentiated from one another.
  5. A-5: Tinea corporis and scabies are common skin disorders and can have a similar dermatologic presentation. Describe the etiology of each condition. Explain one classic identifying feature for each condition, and discuss how they can be differentiated from one another.
  6. A-6: Explain why squamous cell carcinoma has a better prognosis than malignant melanoma. Identify three characteristics of malignant changes in a skin lesion as well as four warning signs of skin cancer.
  7. A-7: Describe what a keratosis is, and give two specific examples. For each example, discuss the following: presentation/appearance, etiology, prevention. What is the most common complication from these lesions?

 

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