Assignment Lab Assignment Assessing The Genitalia And Rectum

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 Medical Nursing Tutors Only

    

TASK INSTRUCTIONS: 

This task comprises three components. 

1. Professional practice portfolio use 

Professional practice portfolios are asserted to be beneficial to demonstrate the capability for professional nursing practice. 

  • Describe a professional practice portfolio and the recommended components.
     
  • Present a written argument for the use of a professional practice portfolio to demonstrate professional nursing practice. This argument should demonstrate critical thinking and analysis of the issues; include why portfolios should be used and a discussion of the benefits and challenges of using a professional practice portfolio to demonstrate capability for professional nursing practice.
     
  • Discuss and differentiate between management and leadership competencies and describe how development of these competencies could be evidenced in a professional practice portfolio.
     

 

• Support your argument with at least seven scholarly sources from 2011 onwards. 

 
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Assignment Medical Nursing Tutors Only 18919045

  

TASK INSTRUCTIONS: 

You will need to describe the issues in your case study, and then undertake a process of analysis in order to generate a comprehensive nursing plan of care. Practising this process of analysis will help you to feel more confident in providing nursing care to an older person in the clinical setting.

Your case study must:

  1. Reflect      upon the impact that various stereotypes of older people may      have on the older person and their nursing care;
  2. Recommend the nursing requirements      for older people diagnosed with, or at risk of, complex health conditions      and/or cognitive decline; and
  3. Evaluate      the outcomes for nursing care of older people.
 
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Assignment Medical Nursing Tutors Only 18801961

Only for tutors – Nursing / paramedics 

 
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Assignment Medical Nursing Tutors Only 18798399

    

TASK INSTRUCTIONS: 

This task requires you to write a 2,000-word assignment. Before you write your assignment, you will need to: 

 

• Choose one of the following National Safety and Quality Health Service (NSQHS) Standards (ACSQHC, 2017) as the topic of your assignment. 

  • Clinical governance (Standard 1)
     
  • Partnering with consumers (Standard 2)
     
  • Preventing and controlling healthcare-associated infection (Standard 3)
     
  • Comprehensive care (Standard 5)
     
  • Communicating for safety (Standard 6)
     
  • Blood management (Standard 7)
     

    

• 

• 

• 

Identify the type of process and outcome data that could be collected, analysed and fed back for improvements in care relevant to your chosen standard. (You may wish to refer to the article by Donabedian, 1988, as a starting point). This area for action aligns with step 2.2 of the Australian Safety and Quality Framework for Health Care (ACSQHC, 2010). 

Research the topic of quality and safety in health care in Australia then identify and analyse scholarly literature that is relevant to your assignment topic, namely your: 

  • chosen standard,
     
  • a clinical care activity relevant to this standard,
     
  • process and outcome data required to monitor outcomes/improvements relevant to the standard.
     
 
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Assignment Locate A Nursing Study That Examines The Effects Of An Intervention

_______________________________

Assignment:
Locate a nursing study that examines the effects of an intervention

Describe Your task

New task 
Type of Service

coursework
Urgency 8 to 12 hours 
No. of Pages/Wordcount 6 page(s)/1650 Words

Citation Style

APA Style

Sources must be within the last five years only

2015, 2016, 2017, 2018 and 2019

Detailed Description/Explanation

Assignment:
Locate a nursing study that examines the effects of an intervention. Provide a summary of the study, focusing primarily on the intervention. 

Was the development and implementation of the intervention described in detail? Based on a theoretical framework? Did the design of the study promote investigation of the effects of the study—for example, was there comparison of experimental and control groups? Were there variables that could have impacted the findings that were not part of the intervention? Was there evidence of efforts to monitor the safety of participants? Are there any ways that the study could have been improved?

Locate a nursing study that utilizes some aspect of the internet (for instance, for recruitment, delivery of an intervention, or completing online assessments. What challenges did the researchers face, and how were these challenges overcome (or not)? How could future research efforts be improved?
Using your computer’s office tools, develop a pie, bar, or plot chart to represent the following population estimates:
Population Percentage
European American 20
African American 30
Native American 20
Hispanic American 30
The assignment should be between 1500 and 2000 words in length and contain at least two scholarly sources, in addition to the textbook and provided material. Please submit your assignment in one APA formatted document.

********
these are examples of feedback I received on my other previous assignments, as well as several low grades. Please send me a paper that is original, has references that are within five years, and a really great formatted paper with a clear Introduction, clealr labled and a organized conlusion, thanks,

1.) Thank you for your submission. I’ve provided feedback and scoring. All required content was discussed, minus a clearly labeled and discussed conclusion. The introduction was brief and did not provide a clear purpose. See all comments to improve.

Organization Weight: 25%: Introduction is brief and requires a purpose statement. There is no clearly labeled and discussed conclusion as required. See all comments.
Support Weight: 20%: Multiple errors. See comments. 
Quality of Written Communication Weight: 10%: All papers written within this course need to be in third person.  

2.) Thank you for your submission. I’ve provided feedback and scoring. There are many areas to work on and improve. Please see all of my comments. 

*******
Please make sure this assignment is ORIGINAL and REFERENCES ARE WITHIN FIVE(5) years.
This is some feed back I received on some previous assignments, as well as low grades. Please make sure the assignment is correct, thanks

-Thank you for earlier submission. I’ve provided feedback and scoring on previous tasks and you need to read them . All required content was discussed, minus a clearly labeled and discussed conclusion. The introduction was brief and did not provide a clear purpose. See all comments to improve.
Organization Weight: 25%: Introduction is brief and requires a purpose statement. There is no clearly labeled and discussed conclusion as required. See all comments.
Support Weight: 20%: Multiple errors. See comments. 
Quality of Written Communication Weight: 10%: All papers written within this course need to be in third person. 

 -Thank you for your submission. I’ve provided feedback and scoring. There are many areas to work on and improve. Please see all of my comments. 
Content Weight: 30%: It appears that some of the topics are discussed. Each paper requires a properly labeled heading to help organize the information presented as well as lets me know as the reader that you covered all required content. This was put out within course announcements. 
Organization Weight: 25%: The introductory paragraph needs a purpose statement. see comment. In addition, there is disorganization as there are no other headings organizing the required content being discussed. 
Support Weight: 20%: Errors present. See comments. 
Quality of Written Communication Weight: 10%: All papers are to be written in third person and no reference to “I”.

_______________________________

 
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Assignment Literature Review The Use Of Clinical Systems To Improve Outcomes And Efficiencies

 

To Prepare:

  • Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
  • Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
  • Identify and select 5 peer-reviewed articles from your research.

The Assignment: (4-5 pages)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Be sure to address the following:

  • Identify the 5 peer-reviewed articles you reviewed, citing each in APA format.
  • Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.
 
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Assignment Literature Review The Use Of Clinical Systems To Improve Outcomes And Efficiencies 19488607

 

New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare:

  • Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
  • Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
  • Identify and select 5 peer-reviewed articles from your research.

The Assignment: (4-5 pages)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Be sure to address the following:

  • Identify the 5 peer-reviewed articles you reviewed, citing each in APA format.
  • Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.

Rubric

 

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Be sure to address the following:

·   Properly identify 5 peer-reviewed articles selected.
·   Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.–

Excellent 77 (77%) – 85 (85%)The responses accurately and clearly identify 5 peer-reviewed research articles for the Assignment.

The responses accurately and thoroughly summarize in detail each study reviewed, explaining in detail the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described.

Specific, accurate, and detailed examples are provided which fully support the responses.Good 68 (68%) – 76 (76%)The responses identify 5 peer-reviewed research articles for the Assignment.

The responses summarize each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described.

Accurate examples are provided which support the responses provided.Fair 60 (60%) – 67 (67%)The responses vaguely or inaccurately identify 5 or less peer-reviewed articles for the Assignment.

The responses summarize each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described that is vague or inaccurate.

Examples provided to support the responses are vague or inaccurate.Poor 0 (0%) – 59 (59%)The responses vaguely and inaccurately identify less than 5 peer-reviewed articles for the Assignment, or are missing.

The responses vaguely and inaccurately summarize each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described, or are missing.

Examples provided to support the responses are vague and inaccurate, or are missing.

Written Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.–

Excellent 5 (5%) – 5 (5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity.Good 4 (4%) – 4 (4%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.Fair 3.5 (3.5%) – 3.5 (3.5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.Poor 0 (0%) – 3 (3%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.

Written Expression and Formatting – English writing standards:

Correct grammar, mechanics, and proper punctuation–

Excellent 5 (5%) – 5 (5%)Uses correct grammar, spelling, and punctuation with no errors.Good 4 (4%) – 4 (4%)Contains a few (1-2) grammar, spelling, and punctuation errors.Fair 3.5 (3.5%) – 3.5 (3.5%)Contains several (3-4) grammar, spelling, and punctuation errors.Poor 0 (0%) – 3 (3%)Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.–

Excellent 5 (5%) – 5 (5%)Uses correct APA format with no errors.Good 4 (4%) – 4 (4%)Contains a few (1-2) APA format errors.Fair 3.5 (3.5%) – 3.5 (3.5%)Contains several (3-4) APA format errors.Poor 0 (0%) – 3 (3%)Contains many (≥ 5) APA format errors.Total Points: 100 

 
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Assignment Mental Health Disorders 19292421

assignment mental health disordersForumA 38-year-old woman presents to the office with complaints of weight loss, fatigue, and insomnia of 3-month duration. She reports that she has been feeling gradually more tired and staying up late at night because she can’t sleep. She does not feel that she is doing as well in her occupation as a secretary and states that she has trouble remembering things.
She does not go outdoors as much as she used to and cannot recall the
last time she went out with friends or enjoyed a social gathering. She
feels tired most of the week and states she feels that she wants to go to
sleep and frequently does not want to get out of bed. She denies any
recent medication, illicit drug, or alcohol use. She feels intense guilt
regarding past failed relationships because she perceives them as faults.
She states she has never thought of suicide, but has begun to feel increasingly
worthless.
Her vital signs and general physical examination are normal, although
she becomes tearful while talking. Her mental status examination is significant
for depressed mood, psychomotor retardation, and difficulty attending
to questions. Laboratory studies reveal a normal metabolic panel, normal
complete blood count, and normal thyroid functions.
➤ What is the most likely diagnosis?
➤ What is your next step?
➤ What are important considerations and potential complications of
management?

 
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Assignment Mental Health Disorders 19285587

 

assignment mental health disorders

A 38-year-old woman presents to the office with complaints of weight

loss, fatigue, and insomnia of 3-month duration. She reports that she has

been feeling gradually more tired and staying up late at night because

she can’t sleep. She does not feel that she is doing as well in her occupation

as a secretary and states that she has trouble remembering things.

She does not go outdoors as much as she used to and cannot recall the

last time she went out with friends or enjoyed a social gathering. She

feels tired most of the week and states she feels that she wants to go to

sleep and frequently does not want to get out of bed. She denies any

recent medication, illicit drug, or alcohol use. She feels intense guilt

regarding past failed relationships because she perceives them as faults.

She states she has never thought of suicide, but has begun to feel increasingly

worthless.

Her vital signs and general physical examination are normal, although

she becomes tearful while talking. Her mental status examination is significant

for depressed mood, psychomotor retardation, and difficulty attending

to questions. Laboratory studies reveal a normal metabolic panel, normal

complete blood count, and normal thyroid functions.

➤ What is the most likely diagnosis?

➤ What is your next step?

➤ What are important considerations and potential complications of

management?

 
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