Question Answered step-by-step Mary Grace Gacutno, a 29-year-old divorced woman, works as an office manager for a large, prestigious law firm. She reports she recently went to see a doctor because “my hair was falling out in chunks, and I have a red rash on my face and chest. It looks like a bad case of acne.” After doing some blood work, her physician diagnosed her condition as discoid lupus erythematosus (DLE). She says she has come to see you, the occupational health nurse, because she feels “so ugly,” and she is concerned that she may lose her job because of how she looks. During the interview, she tells you that she is a surfer and is out in the sun all day nearly every weekend. She shares that she uses sunscreen but forgets to put it on at regular intervals during the day. Your physical examination reveals an attractive, tanned, thin, anxious-appearing young woman. You note confluent and nonconfluent maculopapular lesions on her neck, chest above the nipple line, and over the shoulders and upper back to about the level of the T5 vertebra. Many of the lesions appear as red, scaling plaques with depressed, pale centers. A few of the lesions on her forehead and cheeks appear blistered. Patchy alopecia is also present. Her vital signs are within normal limits, and no other abnormalities are apparent currently.The following concept map illustrates the diagnostic reasoning process. Instruction: In the above case study, the nurse conducted an interview to make a concept map for the client. Part I. Application of COLDSPA in here questions were placed to serves a guide in filling out the data         provided from the above study and identifying the missing data in this scenario.  Applying COLDSPA for client symptoms: “I have a red rash on my face.”MnemonicQuestionsData ProvidedMissing DataC-  CharacteristicsDescribe the sign or symptom (feeling, appearance, sound, pale center smell, or taste if applicable  O-  OnsetWhen did it begin?  L-  LocationWhere is it? Does it radiate? Confluent and nonconfluent on face? Does it occur anywhere else?  D-  DurationHow long does it last? Does it recur  S-  SeverityHow bad is it? How much does it bother you?  P-  PatternWhat makes it better or worse?  A- Associated factors/How it Affects the client What other symptoms occurs with it? How does it affect the Client?   Health Science Science Nursing NURSING BS 11 Share QuestionEmailCopy link Comments (0)

Question Answered step-by-step Mary Grace Gacutno, a 29-year-old divorced woman, works as an office manager for a large, prestigious law firm. She reports she recently went to see a doctor because “my hair was falling out in chunks, and I have a red rash on my face and chest. It looks like a bad case of acne.” After doing some blood work, her physician diagnosed her condition as discoid lupus erythematosus (DLE). She says she has come to see you, the occupational health nurse, because she feels “so ugly,” and she is concerned that she may lose her job because of how she looks. During the interview, she tells you that she is a surfer and is out in the sun all day nearly every weekend. She shares that she uses sunscreen but forgets to put it on at regular intervals during the day. Your physical examination reveals an attractive, tanned, thin, anxious-appearing young woman. You note confluent and nonconfluent maculopapular lesions on her neck, chest above the nipple line, and over the shoulders and upper back to about the level of the T5 vertebra. Many of the lesions appear as red, scaling plaques with depressed, pale centers. A few of the lesions on her forehead and cheeks appear blistered. Patchy alopecia is also present. Her vital signs are within normal limits, and no other abnormalities are apparent currently.The following concept map illustrates the diagnostic reasoning process. Instruction: In the above case study, the nurse conducted an interview to make a concept map for the client. Part I. Application of COLDSPA in here questions were placed to serves a guide in filling out the data         provided from the above study and identifying the missing data in this scenario.  Applying COLDSPA for client symptoms: “I have a red rash on my face.”MnemonicQuestionsData ProvidedMissing DataC-  CharacteristicsDescribe the sign or symptom (feeling, appearance, sound, pale center smell, or taste if applicable  O-  OnsetWhen did it begin?  L-  LocationWhere is it? Does it radiate? Confluent and nonconfluent on face? Does it occur anywhere else?  D-  DurationHow long does it last? Does it recur  S-  SeverityHow bad is it? How much does it bother you?  P-  PatternWhat makes it better or worse?  A- Associated factors/How it Affects the client What other symptoms occurs with it? How does it affect the Client?   Health Science Science Nursing NURSING BS 11 Share QuestionEmailCopy link Comments (0)