Reference no: EM134036120

Question

Need at least 2 credible resources to which you could refer the patient/parent for information on that particular skin condition.

Anna Logan is a 3 year-old white female who comes into the office accompanied by her mother. She has come today because of a persistent rash that the mother indicates comes and goes and was first noted when her daughter was 1 year old. Though the rash does at times get better, it has never gone away In fact, as her daughter gets older the intensity of the rash worsens and is spreading to other areas of her body. Originally, the rash started on Anna's face but is now on her neck, arms, and legs. Mrs. Logan indicates that her daughter is scratching more now than in the past and is often awake at night due to the scratching. Further questioning of the mother reveals that, apart from the rash, her daughter also has trouble with chronic sneezing and a constant runny nose. The child does not have a history of asthma. The mother is concerned about the spreading rash and is worried about the possibility of her daughter causing further damage to the skin because of her constant scratching. The mother comes with her daughter to find out what the rash is and how to get rid of it.

Upon examination, you notice that Anna appears healthy with slightly pale skin. She scratches constantly during the examination. She has a red, dry, inflamed rash on her face, neck, wrists, and antecubital and popliteal fossae. She has signs of chronic rhinitis with redness of the nasal tubinates. Lung sounds are clear and the rest of her physical exam is unremarkable.

1. What are Anna's significant medical findings? What treatments are available for her condition?

2. What nursing diagnosis would you consider as a priority for Anna?

3. What interventions will you provide for Anna and what teaching will you provide to her mother?

4. How will you evaluate if Anna's treatment is working?