module 2
Aayuska 
Module2AHairskinnailsSBAR.docx1
Assignment 2 A
Hair, skin, nails (See below for SBAR)
Subjective data Student Name_______________
Adapted from Weber, Kelly & Sprengel, 2014: Lippincott, with permission.
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Questions |
Findings |
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Current Status |
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1. Skin problems as described by the assessment partner (ask them to describe all rashes, lesions, dry areas, any oiliness, drainage, bruising, swelling, or pigmentation issues) |
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2. Reported changes in lesion appearance |
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3. Reported changes in sensation (pain, pressure, itch, tingling) |
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4. Reported hair loss or changes |
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5. Reported nail changes |
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Past History |
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1. Previous problems with skin, hair, or nails (treatment and surgery) |
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Family History |
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1. Family history of skin problems or skin cancer |
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Lifestyle and Health Practices |
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1. Exposure to sun or chemicals |
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2. Daily care of skin, hair, and nails (use of sunscreen, etc.) |
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Objective data: Hair, skin, nails
Adapted from Weber, Kelly & Sprengel, 2014: Lippincott, with permission.
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Questions |
Findings (In this class when describing objective data, you need to use professional terminology. Most students are weak in this area—review the correct terms in your textbook, such as macule, papule, pustule, etc. No using of “spot”, “bump”, etc.! |
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1. Inspect for generalized color variations (pallor, cyanosis, jaundice, erythema, vitiligo). |
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2. Inspect for skin reactive conditions, such as breakdown or calluses (if applicable, use staging criteria given in Chapter 13). |
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3. Describe primary, secondary, or vascular lesions. Describe lesions using clinical terminology—macule, papule, pustule, etc. |
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4. Palpate texture (rough, smooth) of skin, using palmar surface of three middle fingers. |
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5. Palpate temperature (cool, warm, hot) and moisture (dry, sweaty, oily) of skin, using dorsal side of hand. |
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6. Palpate thickness of skin with fingerpads. |
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7. Palpate mobility and turgor by pinching up skin over sternum. |
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8. Palpate for edema, pressing thumbs over feet or ankles. |
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Scalp and Hair |
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9. Inspect color. |
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10. Inspect amount and distribution. |
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11. Inspect and palpate for thickness, texture, oiliness, lesions, and parasites. |
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Nails |
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12. Inspect for grooming and cleanliness. |
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13. Inspect for color and markings. |
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14. Inspect shape. |
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15. Palpate texture and consistency. |
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16. Test for capillary refill. |
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SBAR
As you have assessed your patient, which finding would require attention from the Module 2 assessment? (Skin, Hair, Nails, Head, Neck, Eyes, Ears, Mouth, Nose, Throat, or Sinuses). Select a problem you feel to be of importance and address it using the SBAR form. If you have a healthy assessment partner, it may be as simple as addressing that he/she should utilize sunscreen or ceases using unsafe tanning methods. If your assessment partner has chronic health problems in one of the module areas, you may address one of those problems below.
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SBAR |
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Situation |
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Background |
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Assessment (Name the problem) |
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Recommendation |
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