Question 2: When is the ideal time to complete a clinical breast exam? What steps would you follow for concerning findings on the clinical breast exam? What age or risk factors indicate the need for a mammogram?
Clinical breast exams are normally done during a woman’s annual vaginal exam. Normally performed by a healthcare provider with proper training. The National Comprehensive Cancer Network recommends that a trained provider carefully feel the breast, underarm and the breast bone area for any concerns such as a lump. Clinical breast exams should be performed every one to three years starting at the age of 20 and every year starting at the age of 40 (Susan G. Komen Staff, 2018).
The American Cancer Society does not recommend CBE for screening of breast cancer. Clinical breast examinations lack the evidence to be an effective screening for breast cancer according to The American Academy of Family Physician’s. The clinical breast exam is a time burden for clinicians, rather it is recommended that more time is spent on the comprehensive assessment of family history and counseling on mammograms and breast changes (Bredemeyer, 2016).
If there are abnormal findings during the CBE, it is important to follow with a mammogram or breast ultrasound to identify the concern, if there is a long family history and/or the patient is over 30 years of age. If the patient is under thirty with no family history the physician may decide to watch the area for growth or pain. Normally that time frame is approximately one or two menstrual periods. Once the concern is located, and deemed a true concern, biopsy and further testing will be needed. It is important to note that most abnormal findings are found to be benign, however it is vital to pay close attention to changes in the area of concern and work with the physician to determine course (Bredemeyer, 2016).
When a patient has a lengthy family history of cancer, either breast or other cancer, yearly mammograms are necessary to determine concerns early. In recent years there is also Breast magnetic resonance imaging (MRI) that gives a three dimensional look of the breast, this test can also be used after a positive mammogram comes back (Susan G. Komen Staff, 2018).
It is important to note that if there is a positive screen for breast cancer, it is important to receive a second opinion to ensure that it is not a false positive. Normally a biopsy will be done to ensure the pathology.
References
Bredemeyer, M. (2016). ACS Releases Guideline on Breast Cancer Screening. American Family Physician, 711-712.
Susan G. Komen Staff. (2018, July 6). Clinical Breast Exam. Retrieved from Susan G. Komen: ww5.komen.org/breastcaner/clinicalbreastexam
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Reply To Jennifer Breast
/in Uncategorized /by developerQuestion 2: When is the ideal time to complete a clinical breast exam? What steps would you follow for concerning findings on the clinical breast exam? What age or risk factors indicate the need for a mammogram?
Clinical breast exams are normally done during a woman’s annual vaginal exam. Normally performed by a healthcare provider with proper training. The National Comprehensive Cancer Network recommends that a trained provider carefully feel the breast, underarm and the breast bone area for any concerns such as a lump. Clinical breast exams should be performed every one to three years starting at the age of 20 and every year starting at the age of 40 (Susan G. Komen Staff, 2018).
The American Cancer Society does not recommend CBE for screening of breast cancer. Clinical breast examinations lack the evidence to be an effective screening for breast cancer according to The American Academy of Family Physician’s. The clinical breast exam is a time burden for clinicians, rather it is recommended that more time is spent on the comprehensive assessment of family history and counseling on mammograms and breast changes (Bredemeyer, 2016).
If there are abnormal findings during the CBE, it is important to follow with a mammogram or breast ultrasound to identify the concern, if there is a long family history and/or the patient is over 30 years of age. If the patient is under thirty with no family history the physician may decide to watch the area for growth or pain. Normally that time frame is approximately one or two menstrual periods. Once the concern is located, and deemed a true concern, biopsy and further testing will be needed. It is important to note that most abnormal findings are found to be benign, however it is vital to pay close attention to changes in the area of concern and work with the physician to determine course (Bredemeyer, 2016).
When a patient has a lengthy family history of cancer, either breast or other cancer, yearly mammograms are necessary to determine concerns early. In recent years there is also Breast magnetic resonance imaging (MRI) that gives a three dimensional look of the breast, this test can also be used after a positive mammogram comes back (Susan G. Komen Staff, 2018).
It is important to note that if there is a positive screen for breast cancer, it is important to receive a second opinion to ensure that it is not a false positive. Normally a biopsy will be done to ensure the pathology.
References
Bredemeyer, M. (2016). ACS Releases Guideline on Breast Cancer Screening. American Family Physician, 711-712.
Susan G. Komen Staff. (2018, July 6). Clinical Breast Exam. Retrieved from Susan G. Komen: ww5.komen.org/breastcaner/clinicalbreastexam
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Reply To Vivian 19138717
/in Uncategorized /by developerVivian Hamilton
Monday
Feb 18 at 12:08am
Manage Discussion Entry
Nephrolithiasis is also known as kidney stones. This is typically a hard deposit of material that forms insides the kidneys. The deposits are made of minerals and salts and they can affect any part of the urinary tract. It is common for the stones to form when the urine becomes concentrated which helps make it easier for the minerals to crystallize and stick together forming the stones. Passing these stones is known to be very painful (Mayo Clinic, 2018).
More than 5% of adults are affected by kidney stones in the US and most of these stones are calcium with an association to metabolic disorders. Some risk factors for getting kidney stones could be related to a genetic tendency, obesity, and diet (Worcester & Coe, 2009). The change in diet is believed to be a major factor in the rise of kidney stone occurrence. There appears to be a proportional relationship between the increase in kidney stones and the rate of obesity. The obesity increase is thought to be related to an increase in the consumption of starchy foods and corn. The growing consumption of fast-food and high fructose corn syrup is also related to this change. Other changes to diet include a decrease in the amount of fluid that is consumed (Romero, Akpinar, & Assimos, 2010). Having a digestive disease and surgery like a gastric bypass can also contribute to kidney stones (Mayo Clinic, 2018). Knowing the kind of diet that is commonly found in the US, it is no surprise that the US is affected by kidney stones and that this prevalence is increasing.
Reference
Mayo Clinic. (2018). Kidney Stones. Retrieved from https://www.mayoclinic.org/diseases-conditions/kidney-stones/symptoms-causes/syc-20355755
Romero, V., Akpinar, H., & Assimos, D. (2010). Kidney stones: a global picture of prevalence, incidence, ad associated risk factors. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2931286/
Worcester, E. & Coe, F. (2009). Nephrolithiasis. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2518455/
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Reply W4
/in Uncategorized /by developerNeed help to reply three post.
DO NOT JUST REPEAT SAME INFORMATION, DO NOT JUST SAY I AGREE OR THINGS LIKE THAT. YOU NEED TO ADD NEW INFORMATION TO DISCUSSION.
1- Each reply should be at least 200 words.
2- One scholarly reference ( NO MAYO CLINIC/ AHA)
3- APA style needs to be followed.
4- Each response should have reference at the end
5- Reference should be within last 5 years
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Reply W8 Research Reflection
/in Uncategorized /by developerRelated to this assignament
refer to attache file
https://www.homeworkmarket.com/questions/q-week8-research-reflection
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Reply Week7 Db Research 19133005
/in Uncategorized /by developerRefer to atachment
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Reply Week7 Db Research
/in Uncategorized /by developerRefer to atachment
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Report And Summary
/in Uncategorized /by developerFOLLOW THE INSTRUCTIONS TO GET TO THE WEBSITE
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Required Uniform Assignment National Patient Safety Goals 19380749
/in Uncategorized /by developerPlease see the attachment for details.
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Required Uniform Assignment National Patient Safety Goals
/in Uncategorized /by developerReport Issue
1. Select a Speak Up brochure developed by The Joint Commission. Follow this link to theproper website: https://www.jointcommission.org/topics/speak_up_campaigns.aspx 2. Write a short paper reviewing the brochure. Use the Grading Criteria (below) to structure yourcritique and include current nursing or healthcare research to support your critique. a. The length of the paper is to be no greater than three pages, double spaced, excluding title page and reference page. Extra pages will not be read and will not count toward your grade.
Required Uniform Assignment: National Patient Safety Goals
Purchase the answer to view it
Try it first(plagiarism check)Buy tutorial $20Save time and money!
Our teachers already did such homework, use it as a reference!
Nursing paper
REQUIREMENTS
1. Select a Speak Up brochure developed by The Joint Commission. Follow this link to the proper website: …
Nursing
REQUIREMENTS
1. Select a Speak Up brochure developed by The Joint Commission. Follow this link to the proper website: https://www.jointcommission.org/topics/speak_up_campaigns.aspx
The …
Blog ArchiveCopyright © 2019 HomeworkMarket.com Read More
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Required Uniform Assignment
/in Uncategorized /by developerThe purpose of this assignment is to investigate smartphone and social media use in healthcare and to apply professional, ethical, and legal principles to their appropriate use in healthcare technology.
1. Research, compose, and type a scholarly paper based on the scenario described below, and choose a conclusion scenario to discuss within the body of your paper. Reflect on lessons learned in this class about technology, privacy concerns, and legal and ethical issues and addressed each of these concepts in the paper, reflecting on the use of smartphones and social media in healthcare. Consider the consequences of such a scenario. Do not limit your review of the literature to the nursing discipline only because other health professionals are using the technology, and you may need to apply critical thinking skills to its applications in this scenario. 2. Use Microsoft Word and APA formatting. Consult your copy of the Publication Manual of the American Psychological Association, sixth edition, as well as the resources in Doc Sharing if you have questions (e.g., margin size, font type and size (point), use of third person, etc.).
3. The length of the paper should be four to five pages, excluding the title page and the reference page. Limit the references to a few key sources (minimum of three required). 4. The paper will contain an introduction that catches the attention of the reader, states the purpose of the paper, and provides a narrative outline of what will follow (i.e., the assignment criteria). 5. In the body of the paper, discuss the scenario in relation to HIPAA, legal, and other regulatory requirements that apply to the scenario and the ending you chose. Demonstrate support from sources of evidence (references) included as in‐text citations. 6. Choose and identify one of the four possible endings provided for the scenario, and construct your paper based on its implications to the scenario. Make recommendations about what should have been done and what could be done to correct or mitigate the problems caused by the scenario and the ending you chose. Demonstrate support from sources of evidence (references) included as in‐text citations.
7. Present the advantages and disadvantages of using smartphones and social media in healthcare and describe professional and ethical principles to the appropriate use of this technology, based on facts from supporting sources of evidence, which must be included as in‐text citations. 8. The paper’s conclusion should summarize what you learned and make reflections about them to your practice.
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"