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Assignment: Lab Assignment: Assessing the Genitalia and Rectum.

Patients are frequently uncomfortable discussing with healthcare  professional’s issues that involve the genitalia and rectum; however,  gathering an adequate history and properly conducting a physical exam  are vital. Examining case studies of genital and rectal abnormalities  can help prepare advanced practice nurses to accurately assess patients  with problems in these areas.In this Lab Assignment, you will analyze an  Episodic note case study that describes abnormal findings in patients  seen in a clinical setting. You will consider what history should be  collected from the patients, as well as which physical exams and  diagnostic tests should be conducted. You will also formulate a  differential diagnosis with several possible conditions. 

                                           To Prepare

Review the Episodic note case study your instructor provides you for  this week’s Assignment. Please see the “Course Announcements” section of  the classroom for your Episodic note case study.Based on the Episodic  note case study:

Review this week’s Learning Resources, and consider the insights they  provide about the case study. Refer to Chapter 3 of the Sullivan  resource to guide you as you complete your Lab Assignment.

Search the Walden library or the Internet for evidence-based resources to support your answers to the questions provided.

Consider what history would be necessary to collect from the patient in the case study.

Consider what physical exams and diagnostic tests would be  appropriate to gather more information about the patient’s condition. 

How would the results be used to make a diagnosis?

Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

                                        The Lab Assignment

Using evidence-based resources from your search, answer the following  questions and support your answers using current evidence from the  literature.

Analyze the subjective portion of the note. 

List additional information that should be included in the documentation.Analyze the objective portion of the note. 

List additional information that should be included in the documentation.

Is the assessment supported by the subjective and objective information? Why or why not?

Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?

Would you reject/accept the current diagnosis? Why or why not? 

Identify three possible conditions that may be considered as a differential diagnosis for this patient. 

Explain your reasoning using at least three different references from current evidence-based literature.

                                                   Case Study

Subjective:

•CC: “I have bumps on my bottom that I want to have checked out.”

•HPI: AB, a 21-year-old WF college student reports to your clinic  with external bumps on her genital area. She states the bumps are  painless and feel rough. She states she is sexually active and has had  more than one partner during the past year. Her initial sexual contact  occurred at age 18. She reports no abnormal vaginal discharge. She is  unsure how long the bumps have been there but noticed them about a week  ago. Her last Pap smear exam was 3 years ago, and no dysplasia was  found; the exam results were normal. She reports one sexually  transmitted infection (chlamydia) about 2 years ago. She completed the  treatment for chlamydia as prescribed.

•PMH: Asthma•Medications: Symbicort 160/4.5mcg 

•Allergies: NKDA

•FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD

•Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

Objective:

•VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs•Heart: RRR, no murmurs

•Lungs: CTA, chest wall symmetrical

•Genital: Normal female hair pattern distribution; no masses or  swelling. Urethral meatus intact without erythema or discharge. Perineum  intact. Vaginal mucosa pink and moist with rugae present, pos for firm,  round, small, painless ulcer noted on external labia

•Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurney

•Diagnostics: HSV specimen obtained

Assessment:•Chancre

Plan: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses. 

NOTE: THIS IS THE LINK TO DOWNLOAD THE BOOK:

https://www.sendspace.com/file/3dx3zx 

CHECK THE ASSIGNMENT FOR PLAGIARISM

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Assignment: Lab Assignment: Assessing the Genitalia and Rectum

Patients are frequently uncomfortable discussing with healthcare professional’s issues that involve the genitalia and rectum; however, gathering an adequate history and properly conducting a physical exam are vital. Examining case studies of genital and rectal abnormalities can help prepare advanced practice nurses to accurately assess patients with problems in these areas.In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions. 

                                                       To Prepare

Review the Episodic note case study your instructor provides you for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your Episodic note case study.Based on the Episodic note case study:

Review this week’s Learning Resources, and consider the insights they provide about the case study. Refer to Chapter 3 of the Sullivan resource to guide you as you complete your Lab Assignment.

Search the Walden library or the Internet for evidence-based resources to support your answers to the questions provided.

Consider what history would be necessary to collect from the patient in the case study.

Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. 

How would the results be used to make a diagnosis?

Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

                                        The Lab Assignment

Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature.

Analyze the subjective portion of the note. 

List additional information that should be included in the documentation.Analyze the objective portion of the note. 

List additional information that should be included in the documentation.

Is the assessment supported by the subjective and objective information? Why or why not?

Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?

Would you reject/accept the current diagnosis? Why or why not? 

Identify three possible conditions that may be considered as a differential diagnosis for this patient. 

Explain your reasoning using at least three different references from current evidence-based literature.

                                                   Case Study

Subjective:

•CC: “I have bumps on my bottom that I want to have checked out.”

•HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner during the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.

•PMH: Asthma•Medications: Symbicort 160/4.5mcg 

•Allergies: NKDA

•FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD

•Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

Objective:

•VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs•Heart: RRR, no murmurs

•Lungs: CTA, chest wall symmetrical

•Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia

•Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurney

•Diagnostics: HSV specimen obtained

Assessment:•Chancre

Plan: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses. 

NOTE: THIS IS THE LINK TO DOWNLOAD THE BOOK:

 https://www.sendspace.com/file/3dx3zx 

CHECK THE ASSIGNMENT FOR PLAGIARISM

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Assignment: Leadership Styles and Decision-Making

We have all been influenced by leaders at some point in our lives. Individuals make decisions in a way that achieves set goals. They demonstrate their leadership when they follow through on those decisions to ensure that they were the right decisions. Individuals show the way when they model to teams and others how to accomplish the tasks at hand. However, leaders vary greatly in their decision-making, in part because of their own particular leadership styles. Similar to emotional intelligence, it is important to be aware of your own leadership style as well as the leadership styles of effective healthcare leaders and managers and how those styles affect decision-making.

To prepare for this Assignment:

• Consider the characteristics of leaders described in your Learning Resources.
• Select two individuals from the Good Samaritan Hospital with different leadership styles.
• Consider how the leadership styles of these individuals might have influenced their decision-making.

By Day 7

Write a 1- to 2-page paper that identifies the following:

1. Explain the true value of leadership in decision-making.
2. Describe one decision your selected leaders from Good Samaritan Hospital made or might have made. Then, describe their leadership styles and how these leadership styles might influence their decision-making.
3. Using examples from your own personal work experience, how do employees perceive decision-making based on a healthcare manager’s leadership style?
4. What leadership decision-making style do you believe is most effective in a healthcare setting of your choice?

Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the Essential Guide to APA Style for Walden Students to ensure that your in-text citations and reference list are correct

Course Text: Buchbinder, S. B., & Shanks, N. H. (2017). Introduction to health care management (3rd ed.). Sudbury, MA: Jones & Bartlett.

Chapter 3, “Management and Motivation (pp. 49–76)

This chapter outlines the various theories and practices related to workforce motivation for healthcare managers. It explores who and what motivates employees intrinsically and extrinsically, as well as common misconceptions about motivation.

Chapter 4, “Organizational Behavior and Management Thinking” (pp. 77–105)

This chapter examines how management roles relate to organizational behavior and thinking. The author describes various types of leadership traits related to organizational behavior.
This chapter also explores decision-making. Decisions made in healthcare can mean life or death for patients. While not every decision is life altering, most decisions made by healthcare managers can impact the organization’s ability to provide care. In this chapter, the author introduces problem solving and decision-making from the role of the healthcare manager.

Chapter 13, “Teamwork” (pp. 363–396)

Various teams function within the healthcare setting. This chapter examines team leadership, the characteristics of effective teams, and common reasons for team failure.

Article: Nightingale, S., Spiby, H., Sheen, K., & Slade, P. (2018). The impact of emotional intelligence in health care professionals on caring behaviour towards patients in clinical and long-term care settings: Findings from an integrative review. International Journal of Nursing Studies, 80, 106–117. doi:10.1016/j.ijnurstu.2018.01.006
Note: You will access this article from the Walden Library databases.
This article looks at the effect of emotional intelligence on the caring behaviors of nurses and the various factors that make a difference in the effect of emotional intelligence in day-to-day care of patients.

Article: Rohan, J. E., & Brandt, C. (2016). Emerging roles in value-based care. Healthcare Executive, 31(5), 64–65.
Note: You will access this article from the Walden Library databases.
This article defines and describes aspects of value-based care and focuses on the role of emotional intelligence in leading value-based efforts.

Article: Stoller, J. (2017, August 9). My favorite slide: Why emotional intelligence is so important for leadership. Retrieved from https://catalyst.nejm.org/emotional-intelligence-important-leadership/
This resource provides a good overview of emotional intelligence, including its various domains: self-awareness, self-management, social awareness, and relationship management.

Article: Weiszbrod, T. (2015). Health care leader competencies and the relevance of emotional intelligence. The Health Care Manager, 34(2), 140–146. doi:10.1097/HCM.0000000000000060
Note: You will access this article from the Walden Library databases.

This well-researched article makes the argument that emotional intelligence is a much-needed quality in healthcare leaders and should be included in curricula for healthcare leaders due to the importance of relationships with various constituents.

Emotional Intelligence Assessments

Institute for Health and Human Potential. (2018). Test your emotional intelligence. Retrieved from https://www.ihhp.com/free-eq-quiz/

Mind Tools. (2018a). How emotionally intelligent are you? Boosting your people skills. Retrieved from https://www.mindtools.com/pages/article/ei-quiz.htm

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Post an explanation for how you think the cost-benefit analysis in the statement from page 27 of Feldstein (2006) affected efforts to repeal/replace the ACA. Then, explain how analyses such as the one portrayed by the Feldstein statement may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid).

Based on the health-related bill you selected, complete the Legislation Comparison Grid Template. Be sure to address the following:

• Determine the legislative intent of the bill you have reviewed.
• Identify the proponents/opponents of the bill.
• Identify the target populations addressed by the bill.
• Where in the process is the bill currently? Is it in hearings or committees?
• Is it receiving press coverage?

Part 2: Legislation Testimony/Advocacy Statement

Based on the health-related bill you selected, develop a 1- to 2-page Legislation Testimony/Advocacy Statement that addresses the following:

• Advocate a position for the bill you selected and write testimony in support of your position.
• Describe how you would address the opponent to your position. Be specific and provide examples.
• Recommend at least one amendment to the bill in support of your position.

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