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Shadow Health Assessment

Tina Jones — Skin, Hair, and Nails

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.

Acanthosis NigricansWound AssessmentDiabetic Skin ChangesSTU NUR504
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Foot wound Skin changes Diabetes clues
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Clinical Overview

Tina Jones — Skin, Hair, and Nails

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.

Primary Diagnosis: Diabetic skin complications — acanthosis nigricans, chronic foot wound with signs of vascular insufficiency
What is included in each document?
  • Full integumentary interview transcript
  • Acanthosis nigricans documentation
  • Wound assessment — size, depth, drainage, surrounding skin
  • Peripheral vascular assessment — capillary refill, pulses
  • Diabetic skin changes documented
  • Hair texture and distribution assessment
  • Nail assessment — shape, colour, thickness
  • EHR Provider Notes — student and model
FAQ

Questions about the Skin, Hair & Nails assessment

Everything students ask before purchasing this completed assessment.

What does the Skin, Hair and Nails assessment cover?+
Integumentary assessment documenting acanthosis nigricans (a marker of insulin resistance), Tina's foot wound (the presenting problem), wound measurement, surrounding tissue assessment, hair and nail changes consistent with diabetes, and appropriate wound care documentation.
What is acanthosis nigricans and why is it important?+
Acanthosis nigricans is a darkening and thickening of skin folds associated with insulin resistance. Finding and documenting it in the context of Tina's Type 2 diabetes connects her skin findings directly to her underlying condition — a key scoring element.
Which schools assign this module?+
STU NUR504 primarily. The Skin, Hair and Nails module is often one of the first assigned because it relates to Tina's presenting complaint — her infected foot wound.

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Tina Jones — Skin, Hair & Nails
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