Please… I need help on this discussion for week 7. Thanks
NUR 502 DISCUSSION
Integumentary Function:
K.B. is a 40-year-old white female with a 5-year history of psoriasis. She has scheduled an
appointment with her dermatologist due to another relapse of psoriasis. This is her third flare-up
since a definitive diagnosis was made. This outbreak of plaque psoriasis is generalized and
involves large regions on the arms, legs, elbows, knees, abdomen, scalp, and groin. K.B. was
diagnosed with limited plaque-type psoriasis at age 35 and initially responded well to topical
treatment with high-potency corticosteroids. She has been in remission for 18 months. Until now,
lesions have been confined to small regions on the elbows and lower legs.
Case Study Questions
1. Name the most common triggers for psoriasis and explain the different clinical types.
2. There are several types of treatments for psoriasis, explain the different types and indicate
which would be the most appropriate approach to treat this relapse episode for K.B. Also
include non-pharmacological options and recommendations.
3. Included in question 2
4. A medication review and reconciliation are always important in all patient, describe and
specify why in this particular case is important to know what medications the patient is
taking?
5. What others manifestation could present a patient with Psoriasis?
Sensory Function:
C.J. is a 27-year-old male who started to present crusty and yellowish discharged on his eyes 24
hours ago. At the beginning he thought that washing his eyes vigorously the discharge will go
away but by the contrary increased producing a blurry vision specially in the morning. Once he
clears his eyes of the sticky discharge her visual acuity was normal again. Also, he has been
feeling throbbing pain on his left ear. His eyes became red today, so he decided to consult to get
evaluated. On his physical assessment you found a yellowish discharge and bilateral conjunctival
erythema. His throat and lungs are normal, his left ear canal is within normal limits, but the
tympanic membrane is opaque, bulging and red.
Case Study Questions
1. Based on the clinical manifestations presented on the case above, which would be your
eyes diagnosis for C.J. Please name why you get to this diagnosis and document your
rational.
2. With no further information would you be able to name the probable etiology of the eye
affection presented? Viral, bacterial, allergic, gonococcal, trachoma. Why and why not.
3. Based on your answer to the previous question regarding the etiology of the eye affection,
which would be the best therapeutic approach to C.J problem.
NUR 512 DISCUSSION
Explain how to measure and monitor the quality of care delivered
and the outcomes achieved by an Advanced Practice Nurse.
Submission Instructions:
• Your initial post should be at least 500 words, formatted and
cited in current APA style with support from at least 2
academic sources. Your initial post is worth 8 points.
• You should respond to at least two of your peers by
extending, refuting/correcting, or adding additional nuance
to their posts. Your reply posts are worth 2 points (1 point
per response.)
• All replies must be constructive and use literature where
possible.
• Please post your initial response by 11:59 PM ET Thursday,
and comment on the posts of two classmates by 11:59 PM
ET Sunday.
• You can expect feedback from the instructor within 48 to 72
hours from the Sunday due date.
