Dermatology for the Advanced Practice Nurse

549 Pages·2014·6.12 MB·English

by  Faye Lyons DNP RN FNP-C

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
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e-book ISBN: 978-0-82613644-2
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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
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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