Initial Post Age-related competencies are important for nurses to have,
analyze and build on the following students discussion post. include sources to support answer written in the past 5 years (2019-2024). During the physical examination, I would utilize the ABCDE rule (Bickley et al., 2023). I would assess if the skin lesion was asymmetrical, or if any border irregularities were present. I would note any color variations and measure the diameter of the lesion. Lastly, I would assess if the lesion was raised or changing in structure. Upon palpation, I would assess the lesion for firmness. The client’s skin lesion is asymmetrical, with different color variations. The lesion is also causing pruritus. This examination is concerning for skin cancer, so a plan of care should be initiated. The client will need a skin biopsy, and a dermatologist consultation. Weekly examinations in the clinic are recommended to measure growth and any possible malignancy. Depending on the biopsy results, the client may need an oncology consultation for possible radiation and chemotherapy (Board, 2023). I would be sure to be empathetic with the client regarding this news. The client will need education on proper skin care also. This will include proper skin protection like sunscreen and long sleeves while being outside. Also, self-examinations after a shower weekly. The importance of following up with all provider appointments will be included.
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