edical Journal Article: Lung Cancer Diagnosis in Primary Care

Attached Files:

•  Link to file (197 B)

Questions for Lung Cancer article

1. What is the chief complaint in patients with lung cancer?

2.  What are the two classes of lung cancer?

3. What types of cancer are listed under each category?

4.  What does tobacco inhalation do to lungs that make them susceptible to cancer?          

5. The risk factors for acquiring lung cancer by smoking are the following (4 factors):                   

6. The creation of DNA adducts require what compounds which are produced after exposure to cigarette smoke? (3 of them)

7. Explain what is meant by “contemporary epidemic”:

8. Explain why women have a higher incidence of lung cancers?

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After reading the article presented in the lesson, try to answer the following questions regarding the article:

1. What does the term “self-efficacy” mean and how is it beneficial for the management of pain?

2. What role does postoperative anxiety level have in the control, or, lack of control in                        

          postoperative control of pain?

3. Are there any cultural considerations in taking care of oriental clients, and, their response to

          pain that is suggested in the article due to the country of origin of the article?

4. Since you have read this article, are there any changes you might consider in utilizing

         alternatives in treating pain for orthopedic clients, either pre- or post-surgically?

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• Module 8 Vocabulary- Neurological Assessment
• Nursing Journal Article: CE: The Physiology and Processing of Pain: A ReviewAttached Files:
  •  Link to file (212 B)
  • Neurological Article Questions
    1. Pain- both acute and chronic-cost on an annual basis in the U.S. approximately how much?
    2. What is the frequency of pain and visits for pain complaints to physicians at the present time?
    3. More than 2/3’s of persons with chronic pain have had it how long?
    4. What is the International Association for the Study of Pain (IASP) definition of pain?
    5. A nociceptor is defined as…?
    6. Name the steps for pain perception from the peripheral tissue nociceptive receptor.
    7. Name three different types of non-nociceptive receptors.
    8. Name the two types of fibers found in the spinal cord.
    9. Describe what you would find in both ventral horns and dorsal horns of the spinal cord (hint: see figure 3).
    10. What is Lissauer’s tract?
    11. What are the three tracts that transmit nociceptive/pain impulses?
    12. Name six supraspinal structures in the brainstem and diencephalon where the nociceptive signal travels?
    13. What is a major component of pain modulation circuit called?
    14. Control of ascending sensory input by tonic inhibitory control of neurons occur where?
    15. Which area of the medulla of the brain exhibits both inhibitory and facilitation of nociceptive transmission?
    16. How do NSAIDS work to modulate the pain network?
• Neurological Article Assignment

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Breast Cancer Article Questions

Chapter Assignment on Breast Cancer Article Questions 

1. The incidence of breast cancer in Turkey is what?

2. What are the seven risk factors for breast cancer in the modified Gail model? 

3. What are the two screening practices of the women in the study? 

4. The significant risk factors of breast cancer in this study are? (there are three)

5. The unique aspect of this study was the evaluation and comparison of what?

6. What are the findings of this study regarding nurses and midwives knowledge?

7. The rate of participation in breast care screening depends on the following four factors?

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Assignment 2: Practicum – Assessing Client Family Progress

Learning Objectives

Students will:

· Create progress notes

· Create privileged notes

· Justify the inclusion or exclusion of information in progress and privileged notes

· Evaluate preceptor notes

To prepare:

· Reflect on the client family you selected for the Week 3 Practicum Assignment.

The Assignment

Part 1: Progress Note

Using the client family from your Week 3 Practicum Assignment, address in a progress note (without violating HIPAA regulations) the following:

· Treatment modality used and efficacy of approach

· Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the treatment plan for progress toward goals)

· Modification(s) of the treatment plan that were made based on progress/lack of progress

· Clinical impressions regarding diagnosis and or symptoms

· Relevant psychosocial information or changes from original assessment (e.g., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job)

· Safety issues

· Clinical emergencies/actions taken

· Medications used by the patient, even if the nurse psychotherapist was not the one prescribing them

· Treatment compliance/lack of compliance

· Clinical consultations

· Collaboration with other professionals (e.g., phone consultations with physicians, psychiatrists, marriage/family therapists)

· The therapist’s recommendations, including whether the client agreed to the recommendations

· Referrals made/reasons for making referrals

· Termination/issues that are relevant to the termination process (e.g., client informed of loss of insurance or refusal of insurance company to pay for continued sessions)

· Issues related to consent and/or informed consent for treatment

· Information concerning child abuse and/or elder or dependent adult abuse, including documentation as to where the abuse was reported

· Information reflecting the therapist’s exercise of clinical judgment

Note: Be sure to exclude any information that should not be found in a discoverable progress note.

Part 2: Privileged Note

Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client family from the Week 3 Practicum Assignment.

In your progress note, address the following:

· Include items that you would not typically include in a note as part of the clinical record.

· Explain why the items you included in the privileged note would not be included in the client family’s progress note.

· Explain whether your preceptor uses privileged notes. If so, describe the type of information he or she might include. If not, explain why.

By Day 7

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