Complete Shadow Health Skin, Hair, and Nails (Integumentary) Assessment for Tina Jones from STU NUR504. Documents acanthosis nigricans on the neck (diabetes sign), right foot wound with wound assessment (size, depth, drainage, surrounding skin), hair texture and distribution, nail assessment including capillary refill, diabetic skin changes and vascular insufficiency signs.
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Tina Jones presents with clinically significant integumentary findings directly linked to her poorly controlled Type 2 Diabetes. The most notable finding is acanthosis nigricans — a dark, velvety discoloration on the posterior neck, axillae and skin folds, which is a classic cutaneous sign of insulin resistance.
The right foot wound is a central finding: 2cm × 1.5cm, depth 2.5mm, with purulent drainage and surrounding erythema. The skin assessment documents warmth, oedema and decreased sensation in the foot — signs of peripheral vascular disease and early diabetic neuropathy.
Acanthosis nigricans present. Right foot wound: 2cm × 1.5cm, purulent, surrounded by erythema. Capillary refill prolonged in affected foot. Hair texture and nail assessment also documented. Diagnosis: Diabetic skin complications with vascular insufficiency.