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Clinical Studies For Assessment Two
Unit 1.2 Analyse the principle of dermatology in a cosmetic medical context
Assessment Coversheet – Case Studies
Please complete this form.
    Student’s Name
    Ga
ielle Garne
    Unit
    1.2 Analyse the principles of dermatology in a cosmetic medical context
    Assessment Title
    Case Studies 1 to 6
    Course
(Please tick)
        |_|
    10510NAT
    Advanced Diploma of Cosmetic Dermal Science
    |_|
    52709WA
    Graduate Diploma of Cosmetic Nursing
    |_|
    52707WA
    Graduate Diploma of Dermal Therapies
    |_|
    52707WA
    Graduate Diploma of Dermal Therapies (Cosmetic Medical Stream)
    AACDS Assessment Policy
Assessments Marked “Competent” or “Not Yet Competent”:
1. Must be completed by the due date specified in the student manual for each co
esponding unit.
2. If a student fails to meet the due date as specified, this may incur additional fees to extend unit access.
3. If a student consistently achieves “Not Yet Competent” and demonstrates poor performance in all assessments, AACDS reserves the right to terminate the student’s enrolment for the co
esponding unit.
    Assessment Feedback from Assessor:
    Date:
1/9/18
    Case Study 1.
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    Date:
1/9/18
    Case Study 2.
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    Date:
1/9/18
    Case Study 3.
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    Date:
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    Case Study 4.
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    Date:
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    Case Study 5.
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    Date:
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    Case Study 6.
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    Assessor’s Name / Signature: EKTA TANDON
    Date: 1/9/18
ASSESSMENT NO. 1 – Case Studies
    Unit
    1.2 Analyse the Principles of Dermatology in a Cosmetic Medical Context
    Assessment Title
    Assessment no. 1 – Case Studies x 6
    Due date
    Case Studies are due week 5
    Grading
    Competent or Not Yet Competent
    Learning Outcomes Assessed
    1. Explain the structure and function of skin.
2. Analyse factors associated with extrinsic and intrinsic skin ageing
3. Assess common dermatologic disorders
4. Discuss the principles of skin healing and wound care
Description Of Portfolio
The assignment for this unit requires the student to complete a portfolio of five case studies in relation to the common dermatological disorders discussed in the lectures. Each case study must cover the knowledge evidence listed below and explain the signs and symptoms/presentation (they may have more than one concern), how the integumentary system is affected, the causes and treatment plan for each.
Please note that this is a CRITICAL KNOWLEDGE assessment and you will be marked competent or not-yet-competent.
Assessment criteria guide
· Each case study should include:
· 400 word minimum-600 word maximum per case study
· Accurately use and articulate medical and/or paramedical terminology related to dermatology in a cosmetic medical context
· State the role of the doctor, cosmetic nurse and dermal therapist and how they would differ in providing dermatologic care to these patients
· Identify the structural components of the skin involved with each condition
· Explain the pathophysiology of the main dermatologic disorders identified
· Describe the clinical presentation of each of the main dermatologic disorders
· Describe the medical treatment (systemic and topical) for each of the main dermatologic disorders / conditions
· Identify if any of these conditions are caused by viral or bacterial infections and explain the difference
· Referencing style – APA format (in text and end text) required – minimum of 2 references per case study
· Please ensure you have satisfied all assessment criteria as well as answered the questions in the individual case studies.
Progress and feedback
Feedback and assistance is available from your assessorthroughout your unit.
Assessment submission
Please submit your case studies portfolio via EMAIL to your Assessor.
Case Study 1 – Moses
· Moses is a 42-year-old Afro-Cari
ean gentleman. He attends your cosmetic medical clinic to seek treatment for his ingrown hair in his beard region. He has a friend who has had this problem treated with a laser and wants to know if this is a suitable option for him.
· As he moves his shirt collar you notice white patches of skin on his hands.
What might these conditions be and how can they be treated?
Answer
The conditions include Pseudofolliculitis ba
ae accompanied by Vitiligo as suggested by the white patches on the patient’s hand. As observed by Gray and McMichael (2016), the condition demonstrated by Moses is Pseudofolliculitis ba
ae, which is commonly refe
ed to as the razor’s bump. In many cases, the hair growing in the beard region after shaving tends to curl back and retreat into the hair follicles. This leads to the formation of in-grown hair. This in-grown hair may be of two types, the hair that curls back into the follicles before emerging out from it and the hair that may emerges from the follicles and then retreats into the follicles. According to Tavares et al. (2018), the condition is frequently characterised by red bumps that may eventually darken as evidenced in case of Moses. Like other skin disorders, this condition should also be treated as early as possible. If not treated properly, it may lead to the formation of scars that may even be permanent. The infection pertaining to Pseudofolliculitis ba
ae is generally caused by the action of Staphylococcus aureus. Scratching of the bumps due to itching may lead to infections and must be avoided.
Upon seeing Moses’s hands, it was observed that he had white patches on his hands. The condition-giving rise to such regions of discolouration is termed as Vitiligo. The prognosis of the disorder is generally unpredictable. The area of occu
ence as well as rate of discolouration would be tough to predetermine. A number of factors predispose individuals to Vitiligo. Most predominant of the contributing factors are autoimmune disorders, stress or increased genetic predisposition to the disease. The disease generally hampers melanin production in the affected individuals, i
espective of the skin type or colour. However, the discolouration is more prominent in the darker individuals. Affected individuals also differ in the patterns of discolouration. In some cases, the discolouration occurs on both co
esponding sides of the body termed as segmental and in others, the patches appear only on a single side leading to non-segmental Vitiligo.
By observing the hands, white patches could be seen on both of them. Hence, it could be infe
ed that Moses had segmental Vitiligo. In order to understand the situation better, it would be important to enquire whether he had developed patches on other areas as well. This would help reflect the extent and severity of his disease. Moses enquired about the suitability of Laser in treating his ingrown hair. Laser has been considered one of the best possible interventions for ingrown hair. Laser targets the root of the problem. It destroys the hair follicles, thereby, incapacitating its ability to give rise to hair. This in turn helps prevent any further ingrown hair and also concomitant folliculitis. However, the laser therapy requires a few repetitions resulting in gradual reduction and inactivation of the follicles.
Besides the laser therapy, other possible modes of intervention could be prescribing retinoids to help exfoliate skin, steroids, creams and antibiotics to control infection, inflammation as well as pain, swelling and subsequent redness. As noted by Mohan and Silve
erg (2015), Vitiligo, cannot be cured as such. However, certain therapies could be used to reduce the spread of the disease and help restore skin colouration. The available treatment options for Vitiligo include inflammation reducing corticosteroids, certain immune system targeting drugs as well as combination therapies. One such therapy would be psoralea application followed by UV light therapy. This would help restore skin colour in the patients. Sunscreens would also be recommended to prevent tanning and sunburns due to the lack of melanin.
References
Gray, J., & McMichael, A. J. (2016). Pseudofolliculitis ba
ae: understanding the condition and the role of facial grooming. International journal of cosmetic science, 38, 24-27.
Mohan, G. C., & Silve
erg, J. I. (2015). Association of vitiligo and alopecia areata with atopic dermatitis: a systematic review and meta-analysis. JAMA dermatology, 151(5), 522-528.
Case Study 2 – Stephen
Stephen is a 34-year-old man who attends your clinical with red, flaky skin on his hands, elbows and scalp region. He states he has not spoken to his GP; he was just passing and thought you could help because it looks unsightly. He tells you, he is not sure if it is a flare up of eczema that he had as a child or if he now has psoriasis. What are these conditions and what are the differences between them.
Answer
According to Cassell, Stern, Wright and Martinez (2018), Eczema, also termed, as atopic dermatitis is a skin condition that arises primarily due to an autoimmune disorder leading to hypersensitivity. Allergens like certain types of food, chemicals like detergents, and fa
ics like wool may alleviate the condition in individuals. This fundamentally causes drying of the skin, leading to formation of scales or bumps, thickening of...