Summary
Highlights
The student nurse, Shantalati, introduces the video on assessing the skin, hair, and nails. She then outlines the equipment needed for the assessment.
The student nurse obtains consent from the patient (age 64) for the assessment. She explains the confidentiality of the information and proceeds to ask questions about the patient's past medical history, current symptoms (rashes, lesions, dryness, bruising, changes in moles), allergies, and usual diet and exercise patterns.
The student nurse instructs the patient to change into a gown for the assessment. She performs hand hygiene, closes the curtains to ensure patient privacy, and puts on gloves before starting the examination. She also advises the patient to remove any jewelry and ensure her fingernails are free of cuticles.
The nurse begins the skin assessment by inspecting the patient's skin for color variations on both arms. She uses a magnifying glass for a closer look, noting the patient's light brown skin color, presence of a few moles, and the absence of primary, secondary, or vascular lesions, indicating intact skin.
The nurse palpates the patient's skin to assess its texture, noting the absence of stretch marks or scars on the arms. She then uses the dorsal part of her hand to check the skin temperature on the forehead and arms, observing that the skin is warm.
The nurse performs a pinch test to assess the skin's mobility and turgor, observing that the patient's skin is quite thick, which is considered good.
The nurse proceeds to inspect the patient's hair.
The nurse inspects the patient's nails, noting they are well-groomed and clean, with pink tones and no loose ends. She also performs a capillary refill test by pinching the nails.
After the assessment, the student nurse informs the patient that she will be referred to a dermatologist. She provides general health advice, including taking daily vitamins, eating a healthy and balanced diet, drinking plenty of water, and exercising regularly.