Advanced Nurse Practitioner, Hospital at Night Team, NHS Lothian.
Programme Leader, Queen Margaret University, Edinburgh.
Br J Nurs. 2021 Nov 25;30(21):1232-1236. doi: 10.12968/bjon.2021.30.21.1232.
Advanced clinical practitioner (ACP) roles require a broad range of knowledge of both medical and surgical areas and the ability to work autonomously in a variety of settings. Despite around half of the UK adult population presenting with a skin condition requiring attention at some point, this is an area many ACPs feel unprepared to manage. However, due to the complexity and large number of potential diagnoses, it is imperative that ACPs develop their knowledge of skin conditions so that they can confidently conduct consultations with patients. This clinical review presents the key elements of patient consultation, history taking and assessment of the skin. This is designed to support novice ACPs, whether working in acute hospital settings or primary care, to develop an understanding of the key points that should be included when consulting with and assessing the skin of patients outwith the dermatology setting.
高级临床医师(ACP)的角色需要广泛的医学和外科领域的知识,并能够在各种环境中自主工作。尽管英国约有一半的成年人口在某个时候出现需要关注的皮肤状况,但这是许多 ACP 认为自己无法处理的领域。然而,由于复杂性和大量潜在的诊断,ACP 必须发展他们对皮肤状况的了解,以便能够自信地与患者进行咨询。本临床综述介绍了患者咨询、病史采集和皮肤评估的关键要素。这旨在支持新手 ACP,无论是在急性医院环境还是初级保健环境中工作,都能理解在皮肤科环境之外与患者进行皮肤咨询和评估时应包括的要点。