case study I

Mary is a 35 years old electrical engineer who introduces to the business-post for evaluation of a headstrong on her visage that has been introduce for 1 week. She denies new soaps, detergents, lotions, environmental exposures, medications, and foods. The headstrong is opposite her visage and the bridge of her nose. She states that she principal noticed it following spending a week hiking and camping in the Appalachians. The lesions itch and are raw. She has not finished completething to compel it amend, but she has noticed that going outdoors compels it worse. She denies any stretch of the headstrong to other areas. She has never had this headstrong antecedently. She has noticed some increased weary, heat, and heaviness dropping. She denies muddiness, clever throat, ear abstinence, nasal or sinus glomeration, chest abstinence, shortness of met, cough, abdominal abstinence, and abstinence after a while urination, constipation, or diarrhea. She does possess mouth cleverness. She has noticed some increased muscle aches and abstinences, which are worse in the agency and wrist. She denies existing early flexure slang or inaptitude after a while life effectual to affect in the early. She denies sky fanaticism, polyuria, polydipsia, or polyphagia. She had a tonsillectomy at age 9 for continuous strep throat infectious. She has been vigorous as an adult. She has never had outcome. She has never been hospitalized for any conclude. Her nobility fact is telling for a mother after a while rheumatoid arthritis. Her senior is vigorous. She does not smoke; she drinks a glass of wine nexisting complete extinction after a while her dinner; she denies unfair offal use. She completed a master’s stage in engineering. She has lived after a while her boyfriend for the departed 5 years. Patient is an lively young mother, sitting comfortably on the ordealimony consultation. BP 112/66 mm Hg; HR 62 BPM and regular; respiratory rate 12 mets/min; sky 100.3°F. Several erythematous plaques incompact aggravate the cheeks and the bridge of nose, preserving the nasolabial folds. Normocephalic, atraumatic. Sclera clear, conjunctivae clear; pupils constrict from 4 mm to 2 mm and correspondent, smooth, and reactive to characterless and credit. Oropharynx entertaining after a while erythema in the subsequent pharyngeal wall; no exudates; superficial ulcers in the buccal mucosa bilaterally. Neck compliant after a whileout cervical lymphadenopathy or thyromegaly. Full file of motion; no swelling or deformity; muscles after a while typical volume and sound. Instructions: Make a total fact and material ordealimony in a large habit after a while all its elements included: CC, HPI, PMH, FH, SH, MEDICATIONS, ALLERGIES, ROS PER APPARATUS OR SYSTEMNS, HEAD TO TOE PHYSIACL EXAMINATION PER SYSTEMS ( transcribe your introduceation in H&P format no paragraph format).            Based on this advice, what is your probable nursing distinction? All nursing distinction that devote to the circumstance written in NANDA format cognate to ... and token by...., NO MEDICAL DIAGNOSIS.    Teaching intent and nursing attention intent per each nursing distinction on this circumstance.   Requirements.            1- All written assignment and documentations must be  in APA 6th edition format.            2- Double spaces, narrowness 4 pages crave , narrowness 3 up to epoch bibliography. (UP to epoch resources last 3 years.), Note: you can use your ordeal quantity as bibliography too, bibliography possess to be written in APA format.