Dermatology for the Advanced Practice Nurse PDF
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Dermatology for the Advanced Practice Nurse Faye Lyons, DNP, RN, FNP-C, is a doctor of nursing practice–prepared family nurse practitioner who has been practicing in family medicine, internal medicine, dermatology, and aesthetic dermatology since 1999. Prior to becoming an NP, Dr. Lyons was a member of the armed services (U.S. Air Force), and an RN in medical, cardiac, and surgical intensive care units and dialysis units. Her experience in dermatology includes working in two large dermatology practices during her NP career and serving rural areas with dermatological services while working in internal medicine. Her responsibilities included skin examinations, biopsies, surgical excisions, and cosmetic procedures that included Botox, cosmetic fillers, and laser therapies. Dr. Lyons is credentialed in dermatology nursing by the Dermatology Nursing Association. Her publications include an award-winning poster presentation on dermatology decision trees at the 2012 Virginia Nurse Practioner Association meeting, dermatological chapters in an upcoming geriatric textbook titled Healthy Aging: Principles and Clinical Practice for Clinicians and in Solving a Skin Rash in Primary Care: Use of a Diagnostic Decision Tree in the journal Advance for NPs and PAs. Lisa Ousley, DNP, RN, FNP-C, is a doctor of nursing practice–prepared family nurse practitioner who has been a primary care provider since 1999. Within primary care, Dr. Ousley has assessed, treated, and referred thousands of skin conditions. Dr. Ousley has been taking photos of skin conditions for many years and has a collection of over 1,000 photos, many of which are used in this book. Dr. Ousley is the director of Eastern Tennessee State University (ETSU) Student/University Health Services. This clinical opportunity supports health promotion and clinical management of acute and episodic illness for a culturally diverse university population. Dr. Ousley’s past primary care experiences include Hillsville and Galax Family Care, outpatient hospital-based clinics in Virginia, and she has worked as a hospitalist service provider at Twin County Regional Hospital and in a clinic targeting the public-housing population in Johnson City, Tennessee. Since 2009, Dr. Ousley has been an online graduate instructor at the University of Phoenix, teaching graduate nursing theory. Dermatology for the Advanced Practice Nurse Faye Lyons, DNP, RN, FNP-C Lisa Ousley, DNP, RN, FNP-C Copyright © 2015 Springer Publishing Company, LLC All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of Springer Publishing Company, LLC, or authorization through payment of the appropriate fees to the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400, fax 978-646- 8600, [email protected] or on the Web at www.copyright.com. Springer Publishing Company, LLC 11 West 42nd Street New York, NY 10036 www.springerpub.com Acquisitions Editor: Margaret Zuccarini Composition: diacriTech ISBN: 978-0-8261-3643-5 e-book ISBN: 978-0-82613644-2 Digital image bank ISBN: 978-0-8261-2825-6 A digital image bank can be accessed at www.springerpub.com/lyons-image-bank 14 15 16 17 / 5 4 3 2 1 The author and the publisher of this Work have made every effort to use sources believed to be reliable to provide information that is accurate and compatible with the standards generally accepted at the time of publication. Because medical science is continually advancing, our knowledge base continues to expand. Therefore, as new information becomes available, changes in procedures become necessary. We recommend that the reader always consult current research and specific institutional policies before performing any clinical procedure. The author and publisher shall not be liable for any special, consequential, or exemplary damages resulting, in whole or in part, from the readers’ use of, or reliance on, the information contained in this book. The publisher has no responsibility for the persistence or accuracy of URLs for external or third-party Internet websites referred to in this publication and does not guarantee that any content on such websites is, or will remain, accurate or appropriate. Library of Congress Cataloging-in-Publication Data Lyons, Faye, author. Dermatology for the advanced practice nurse / authors, Faye Lyons, Lisa Ousley. p. ; cm. Includes bibliographical references and index. ISBN 978-0-8261-3643-5—ISBN 978-0-82613644-2 (e-Book) I. Ousley, Lisa Ellen, author. II. Title. [DNLM: 1. Skin Diseases—nursing. 2. Nursing Diagnosis—methods. 3. Primary Nursing—methods. 4. Skin Care—nursing. WY 154.5] RL125 616.5’0231—dc23 2014008527 Special discounts on bulk quantities of our books are available to corporations, professional associations, pharmaceutical companies, health care organizations, and other qualifying groups. If you are interested in a custom book, including chapters from more than one of our titles, we can provide that service as well. For details, please contact: Special Sales Department, Springer Publishing Company, LLC 11 West 42nd Street, 15th Floor, New York, NY 10036-8002 Phone: 877-687-7476 or 212-431-4370; Fax: 212-941-7842 E-mail: [email protected] Printed in the United States of America by Bang Printing. Contents Preface Acknowledgments Share Dermatology for the Advanced Practice Nurse Part I. Overview of Dermatology 1. Education: Nurses and Primary Care Providers Epidemiology and Statistics of Skin Disorders Annual Economic Burden Quality-of-Life Implications Evidence-Based Practice and Decision Trees Conceptual Framework for Assessing, Diagnosing, and Treating Skin Rashes Decision Trees and Differential Diagnoses 2. Basics of Dermatology Skin Anatomy and Physiology Skin Terminology Vascular Lesions Diagnostic Evaluations Distribution, Type, Characteristics, and Pattern of Lesions Special Distribution Category: Patterns of Intentional or Unintentional Injury 3. Special Considerations for Populations, Culture, and Comorbid Conditions Infants and Children The Elderly Ethnicity Cultural Practices Puberty Pregnancy Part II. Clinical Management of Dermatology Conditions 4. Skin Assessment History Skin Assessment (Physical) Social History Family History Dermatologic Signs Differential Diagnosis 5. Diagnostics Collecting Specimens Mycology: Microscopic Examination of Scale (Potassium Hydroxide) Use of Mechanical Devices 6. Treatment Approaches Topical Treatment Systemic Evaluation and Treatment Surgical Treatment Other Treatments 7. Clinical Management Routine Skin Care Preventive Care Skin Self-Examination Protection From the Sun Moisturizer Nutritional Counseling Appropriate Referrals Genetic Counseling Referrals Part III. Common Dermatologic Conditions Abrasions and Skin Tears Acne Alopecia Aphthous Stomatitis Bruise and Contusion Burns Candidiasis Cellulitis/Erysipelas Cysts Dermatitis Erythema Multiforme Erythema Nodosum Granuloma Annulare Herpes Simplex Virus Impetigo Insect Bites Lentigo/Nevi Lichen Planus Molluscum Contagiosum Nail Conditions Pemphigus Perioral Dermatitis Pityriasis Rosea Psoriasis Rosacea Skin Cancer Tinea Infections Urticaria Vasculitis Verruca Vulgaris Vitiligo Glossary Index
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