Skin, Hair, and Nails ORA

Question 1

What are three questions to ask related to skin, hair, and nails?

Answer 1

1) Any history of skin disease or problems?
2) Any changes in moles (ABCDE)
3) Any recent hair loss?
4) Any changes to your nails?

Question 2

What are the key aspects to starting the assessment?

Answer 2

1) HAND HYGIENE!
2) Intro self and designation
3) Two step client verification
4) Discuss privacy and confidentiality
5) Describe assessment and gain consent
6) Client comfort considerations.

Question 3

What equipment do you need for a skin, hair, and nails assessment?

Answer 3

• Penlight
• Small ruler
• Gloves

Question 4

What are the steps of the physical examination for skin, hair, and nails?

Answer 4

1) Inspect and palpate the skin. (Colour, general pigmentation, areas of hypo or hyperpigmentation, abnormal colour changes)
2) Palpate skin (temperature, moisture, texture, thicknes, edema, mobility and turgor, hygiene and vascularity or bruising)
3) Note any lesions: colour, shape and confifuration (borders), size, location and distribution on body
4) Inspect and palpate hair: texture, distribution, any scalp lesions or inhabitants
5) Inspect and palapte nails: shape and contour, consistency and colour
6) Teach skin self-examination and engage in health promotion.

Question 5

What are the key aspects to closing the assessment?

Answer 5

1) Close with intention.
2) Summarize findings.
3) Give opportunity to ask questions
4) HAND HYGIENE!