Your assignment is just a click away

We have the best writers

We guarantee you plagiarism free, well formatted, grad A+ papers!

Response to Amanda’s discussion post on skin and abdomen

Response to Amanda’s discussion post on skin and abdomen

Response to Amanda’s discussion post on skin and abdomen

QUESTION
REPLY TO AMANDAS DISCUSSION POST (topic was Reflect on the focus system for the week (skin and abdomen). What challenges might you anticipate in completing this assessment? What differences might you anticipate when assessing patients from different races or across the lifespan? Share findings from scholarly resources that help in the performance of this assessment.

When assessing the abdomen there may be a few challenging factors. First, if a patient is obese or has excessive abdominal adipose tissue, palpating the abdomen will be more difficult when trying to assess the internal organs of the abdomen (Reuben, 2016). Another challenge to examining the abdomen is guarding. If a patient is in pain, they may not be able to relax enough for you to palpate and full examine the abdomen (Mealie, Ali, & Manthey, 2020). In order to obtain a full assessment of the abdomen, being able to inspect, auscultate, percuss and palpate the entire abdomen is essential. If a patient is over weight or having pain, which can cause guarding, palpating and examining the abdomen will be more difficult.

When it comes to examining the skin of a patient, it can be challenging at times. Assessing the for perfusion in a neonate with a dark skin tone can be more difficult than assessing light skin toned neonate, if you don’t know what to examine. As a registered nurse on a labor and deliver unit, I see newborns or all skin tones. However, when I first started in labor and delivery, I had never seen a newborn of a darker skin tone immediately after delivery. I was nervous that the neonate was not perfusing well because the skin tone was still a dark purplish color. My preceptor, seeing the panic in my eyes, calmly explained how to properly assess a neonate of a darker skin tone. This is when I learned you need to look at the neonate’s lips and mucous membranes inside of the mouth and ensure they are pink to assess perfusion (Gardner, Carter, Enzman-Hines, & Miermeyer, 2020).

As a provider, confidence can be a challenge to examining a patient’s skin and/or abdomen. In this aspect, it is important to continue to educate yourself, practice and fine tune your assessment techniques in order to feel more confident assessment patients. Overall, both patients and provider can cause challenges to assessing the skin and abdomen of patients across the lifespan and of different skin tones. The only way to overcome these obstacles is to continue to education yourself, remain calm, and approach the patient with confidence.

References

Gardner, S. B. S. L., Carter, B. S., Enzman-Hines, M. I., & Miermeyer, S. (2020, February 4). Merenstein & Gardner’s handbook of neonatal intensive care. https://books.google.com/books?hl=en&lr=&id=41LODwAAQBAJ&oi=fnd&pg=PA93&dq=how+to+assess+a+neonate+mucous+membranes&ots=-pvSjMuKax&sig=RiAsyLYCpY3L6ijjYY-KiPORw_Y#v=onepage&q=how%20to%20assess%20a%20neonate%20mucous%20membranes&f=false

Mealie, C.A., Ali, R., & Manthey, D.E.(2020) Abdominal exam. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK459220/

Reuben A. (2016). Examination of the abdomen. Clinical liver disease, 7(6), 143–150. https://doi.org/10.1002/cld.556
Response to Amanda’s discussion post on skin and abdomen

ANSWER
Response to Amanda’s discussion post on skin and abdomen

Course name
Student name
Institution affiliation
Date

Response to Amanda’s discussion post on skin and abdomen
The abdomen’s assessment is essential to ensure that one can identify the causes of abdominal complications and signs such as gastrointestinal pain. However, as highlighted in your post, an abdominal assessment is characterized by numerous challenges. These challenges include physical and methodological constraints. For example, it is quite hard to assess patients who are obese or those who are in excruciating pain. Moreover, a nurse should always remember to adhere to the right order in the abdominal assessment (Reuben, 2016). The nurse must understand that they have to inspect first, auscultate, percuss, and palpate appropriately. In assessing the patients from different ethnic or racial backgrounds, one has to consider their culture and behaviors to gain subjective data for evaluation. (Mealie, et al. 2020) posit that one has to ensure the patient is relaxed when doing the evaluation. When patients are in discomfort, it is quite hard to inspect, auscultate, or percuss their abdomen.
Additionally, skin assessment is essential to identify pigmentation, hydration, and injury on the skins and recommend the right dermal interventions. Nurses must check for information on the skin, such as moisture, the turgor, scars and lesions, and skin color. Above all, nursing practitioners must always remain competent and confident in doing assessments. During the practicum, as you did in your experience, the interns must seek help when unsure of their skin and abdomen evaluations. Besides, nurses ought to understand the scope of the assessment; for instance, abdominal inspection in antenatal patients is different from the evaluation of children’s abdomens (Gardner et al., 2020)

References
Reuben, A. (2016). Examination of the abdomen. Clinical liver disease, 7(6), 143–150. https://doi.org/10.1002/cld.556
Gardner, S. B. S. L., Carter, B. S., Enzman-Hines, M. I., & Miermeyer, S. (2020, February 4). Merenstein & Gardner’s handbook of neonatal intensive care. https://books.google.com/books?hl=en&lr=&id=41LODwAAQBAJ&oi=fnd&pg=PA93&dq=how+to+assess+a+neonate+mucous+membranes&ots=-pvSjMuKax&sig=RiAsyLYCpY3L6ijjYY-KiPORw_Y#v=onepage&q=how%20to%20assess%20a%20neonate%20mucous%20membranes&f=false
Mealie, C.A., Ali, R., & Manthey, D.E.(2020) Abdominal exam. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK459220/

Reuben, A. (2016). Examination of the abdomen. Clinical liver disease, 7(6), 143–150. https://doi.org/10.1002/cld.556

Response to Amanda’s discussion post on skin and abdomen

Our Service Charter

1. Professional & Expert Writers: Nursing Solved only hires the best. Our writers are specially selected and recruited, after which they undergo further training to perfect their skills for specialization purposes. Moreover, our writers are holders of masters and Ph.D. degrees. They have impressive academic records, besides being native English speakers.

2. Top Quality Papers: Our customers are always guaranteed of papers that exceed their expectations. All our writers have +5 years of experience. This implies that all papers are written by individuals who are experts in their fields. In addition, the quality team reviews all the papers before sending them to the customers.

3. Plagiarism-Free Papers: All papers provided by Nursing Solved are written from scratch. Appropriate referencing and citation of key information are followed. Plagiarism checkers are used by the Quality assurance team and our editors just to double-check that there are no instances of plagiarism.

4. Timely Delivery: Time wasted is equivalent to a failed dedication and commitment. Nursing Solved is known for timely delivery of any pending customer orders. Customers are well informed of the progress of their papers to ensure they keep track of what the writer is providing before the final draft is sent for grading.

5. Affordable Prices: Our prices are fairly structured to fit in all groups. Any customer willing to place their assignments with us can do so at very affordable prices. In addition, our customers enjoy regular discounts and bonuses.

6. 24/7 Customer Support: At Nursing Solved we have put in place a team of experts who answer to all customer inquiries promptly. The best part is the ever-availability of the team. Customers can make inquiries anytime.